How social workers are positioned and constructed as contributors within national palliative care policies in Sweden: a policy analysis.

Background: Palliative care is expected to acknowledge physical, psychological, emotional, spiritual, and social needs, to which social workers can contribute with expertise on recognizing the importance of social relations and how social inequalities impact on individuals. The social work profession faces challenges in claiming their contributions in the hierarchies of medical professions. Polices play an important role in constructing and positioning responsibilities of professions.

Self-determination in older patients: Experiences from nurse-dominated ambulance services.

Aim: To describe ambulance clinicians' experiences of self-determination in older patients.

Design: The study had an inductive and explorative design, guided from a life-world perspective.

Methods: Thirty-two Swedish ambulance clinicians were interviewed in six focus groups in November 2019.

Ethics rounds in the ambulance service: a qualitative evaluation.

Background: It is a common ethical challenge for ambulance clinicians to care for patients with impaired decision-making capacities while assessing and determining the degree of decision-making ability and considering ethical values. Ambulance clinicians' ethical competence seems to be increasingly important in coping with such varied ethical dilemmas. Ethics rounds is a model designed to promote the development of ethical competence among clinicians.

Caring for older patients with reduced decision-making capacity: a deductive exploratory study of ambulance clinicians' ethical competence.

Background: As more people are living longer, they become frail and are affected by multi-morbidity, resulting in increased demands from the ambulance service. Being vulnerable, older patients may have reduced decision-making capacity, despite still wanting to be involved in decision-making about their care. Their needs may be complex and difficult to assess, and do not always correspond with ambulance assessment protocols.

Older patients' perceptions of the Swedish ambulance service: A qualitative exploratory study.

Background: As worldwide life expectancy increases, the Swedish Ambulance Service is likely to be affected by the demographic shift towards a larger proportion of older persons. An older population tends to increase the demand for ambulances, indicating a need to illuminate older patients' perspective. Thus, the aim of this study was to explore older patients' perceptions of the Swedish Ambulance Service.