Perceptions of ambulance nurses on their knowledge and competence when assessing psychiatric mental illness

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Perceptions of ambulance nurses on their knowledge and competence when assessing psychiatric mental illness. / Todorova, Lizbet; Johansson, Anders; Ivarsson, Bodil.

In: Nursing Open, 27.11.2020.

Research output: Contribution to journalArticle

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TY - JOUR

T1 - Perceptions of ambulance nurses on their knowledge and competence when assessing psychiatric mental illness

AU - Todorova, Lizbet

AU - Johansson, Anders

AU - Ivarsson, Bodil

PY - 2020/11/27

Y1 - 2020/11/27

N2 - Aims and objectives: To obtain the current perception of the knowledge and competence of pre-hospital emergency specialist nurses (ambulance) in attending patients with psychiatric symptoms. Background: Psychiatric illnesses have increased throughout the population. Consequently, pre-hospital emergency services frequently attend individuals with suspected or known mental illnesses. Design: We employed a set of quantitative and qualitative methods to gain a deeper understanding of ambulance nurses' self-evaluated knowledge. Methods: Seven ambulance nurses received and completed a survey questionnaire prior commencing employment in November 2019. Then, we conducted interviews to explore ambulance nurses' perceptions of their own knowledge and competence when attending individuals with mental disorders. The surveys were analysed with descriptive statistics, followed by content analysis. Results: Three topics emerged: the encounter of patients with mental illness; the awareness of lacking knowledge about mental illnesses; and the expectations for future Prehospital Emergency Psychiatric Response Teams. Although ambulance nurses already possessed basic knowledge regarding psychiatric illnesses, it was insufficient, based on their perception of appropriate care. Ambulance nurses considered that combining pre-hospital and psychiatric expertise in the pre-hospital emergency unit would increase their in-depth knowledge about various psychiatric illnesses, the treatment options and the alternatives regarding where to deliver patients for continued care.

AB - Aims and objectives: To obtain the current perception of the knowledge and competence of pre-hospital emergency specialist nurses (ambulance) in attending patients with psychiatric symptoms. Background: Psychiatric illnesses have increased throughout the population. Consequently, pre-hospital emergency services frequently attend individuals with suspected or known mental illnesses. Design: We employed a set of quantitative and qualitative methods to gain a deeper understanding of ambulance nurses' self-evaluated knowledge. Methods: Seven ambulance nurses received and completed a survey questionnaire prior commencing employment in November 2019. Then, we conducted interviews to explore ambulance nurses' perceptions of their own knowledge and competence when attending individuals with mental disorders. The surveys were analysed with descriptive statistics, followed by content analysis. Results: Three topics emerged: the encounter of patients with mental illness; the awareness of lacking knowledge about mental illnesses; and the expectations for future Prehospital Emergency Psychiatric Response Teams. Although ambulance nurses already possessed basic knowledge regarding psychiatric illnesses, it was insufficient, based on their perception of appropriate care. Ambulance nurses considered that combining pre-hospital and psychiatric expertise in the pre-hospital emergency unit would increase their in-depth knowledge about various psychiatric illnesses, the treatment options and the alternatives regarding where to deliver patients for continued care.

KW - ambulance services

KW - ambulance specialist nurse

KW - communication

KW - competence

KW - inter-professional

KW - medical skills

KW - mental illness

KW - mixed methods

KW - psychiatric care

KW - suicide

U2 - 10.1002/nop2.703

DO - 10.1002/nop2.703

M3 - Article

AN - SCOPUS:85096723519

JO - Nursing Open

JF - Nursing Open

SN - 2054-1058

ER -