@article{ref1,
title="The experience of non-conveyance following emergency medical service triage from the perspective of patients and their relatives: a qualitative study",
journal="International emergency nursing",
year="2020",
author="van Doorn, Silvie C. M. and Verhalle, Ruud C. and Ebben, Remco H. A. and Frost, Donna M. and Vloet, Lilian C. M. and de Brouwer, Carin P. M.",
volume="54",
number="",
pages="e100952-e100952",
abstract="BACKGROUND: As many as 25% of all Dutch ambulance emergency service assignments result in non-conveyance of the patient to the hospital. Little is known about how  patients and their relatives experience being left at home by an ambulance nurse  after an acute request for medical help. <br><br>AIM: To gain insight into the experience of  patients and their relatives with a high urgency request for ambulance assistance  that results in non-conveyance, with the ultimate goal of offering adequate  follow-up. <br><br>METHOD: A qualitative design based on semi-structured interviews with  fifteen patients and seven relatives, conducted between September and November 2018. <br><br>RESULTS: Four themes emerged from the thematic analysis: Fear as the prominent  emotion, four components of confidence in decision-making, different consequences  and coping between patient and relative(s) over time and the perceived need for  evaluation afterwards. <br><br>CONCLUSION: The experience after non-conveyance has several  phases in which fear, reassurance, confirmation (for relatives) and shame (for  patients) follow each other throughout the care process. Complex interpersonal  skills of ambulance nurses congruent with the concept of person-centred care can  modulate this impact. These findings offer starting points for the optimisation of  training programmes within the ambulance care sector.<p /> <p>Language: en</p>",
language="en",
issn="1755-599X",
doi="10.1016/j.ienj.2020.100952",
url="http://dx.doi.org/10.1016/j.ienj.2020.100952"
}