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The management of emergencies consists of a chain of actions with the support of staff, stuff, structure, and system, i.e., surge capacity. However, whenever the needs exceed the present resources, there should be flexibility in the system to employ other resources within communities, i.e., flexible surge capacity (FSC). This study aimed to investigate the possibility of creating alternative care facilities (ACFs) to relieve hospitals in Bangkok, Thailand. Using a Swedish questionnaire, quantitative data were compiled from facilities of interest and were completed with qualitative data obtained from interviews with key informants. Increasing interest to take part in a FSC system was identified among those interviewed. All medical facilities indicated an interest in offering minor treatments, while a select few expressed interest in offering psychosocial support or patient stabilization before transport to major hospitals and minor operations. The non-medical facilities interviewed proposed to serve food and provide spaces for the housing of victims. The lack of knowledge and scarcity of medical instruments and materials were some of the barriers to implementing the FSC response system. Despite some shortcomings, FSC seems to be applicable in Thailand. There is a need for educational initiatives, as well as a financial contingency to grant the sustainability of FSC.
Phatthranit Phattharapornjaroen; Viktor Glantz; Eric Carlström; Lina Dahlén Holmqvist; Yuwares Sittichanbuncha; Amir Khorram-Manesh. The Feasibility of Implementing the Flexible Surge Capacity Concept in Bangkok: Willing Participants and Educational Gaps. International Journal of Environmental Research and Public Health 2021, 18, 7793 .
AMA StylePhatthranit Phattharapornjaroen, Viktor Glantz, Eric Carlström, Lina Dahlén Holmqvist, Yuwares Sittichanbuncha, Amir Khorram-Manesh. The Feasibility of Implementing the Flexible Surge Capacity Concept in Bangkok: Willing Participants and Educational Gaps. International Journal of Environmental Research and Public Health. 2021; 18 (15):7793.
Chicago/Turabian StylePhatthranit Phattharapornjaroen; Viktor Glantz; Eric Carlström; Lina Dahlén Holmqvist; Yuwares Sittichanbuncha; Amir Khorram-Manesh. 2021. "The Feasibility of Implementing the Flexible Surge Capacity Concept in Bangkok: Willing Participants and Educational Gaps." International Journal of Environmental Research and Public Health 18, no. 15: 7793.
Traditional healthcare services have demonstrated structural shortcomings in the delivery of patient care and enforced numerous elements of integration in the delivery of healthcare services. Integrated healthcare aims at providing all healthcare that makes humans healthy. However, with mainly chronically ill people and seniors, typically suffering from numerous comorbidities and diseases, being recruited for care, there is a need for a change in the healthcare service structure beyond direct-patient care to be compatible in peacetime and during public health emergencies. This article’s objective is to discuss the opportunities and obstacles for increasing the effectiveness of healthcare through improved integration. A rapid evidence review approach was used by performing a systematic followed by a non-systematic literature review and content analysis. The results confirmed that integrated healthcare systems play an increasingly important role in healthcare system reforms undertaken in European Union countries. The essence of these changes is the transition from the episodic treatment of acute diseases to the provision of coordinated medical services, focused on chronic cases, prevention, and ensuring patient continuity. However, integrated healthcare, at a level not yet fully defined, will be necessary if we are to both define and attain the integrated practice of both global health and global public health emergencies. This paper attains the necessary global challenges to integrate healthcare effectively at every level of society. There is a need for more knowledge to effectively develop, support, and disseminate initiatives related to coordinated healthcare in the individual healthcare systems.
Krzysztof Goniewicz; Eric Carlström; Attila Hertelendy; Frederick Burkle; Mariusz Goniewicz; Dorota Lasota; John Richmond; Amir Khorram-Manesh. Integrated Healthcare and the Dilemma of Public Health Emergencies. Sustainability 2021, 13, 4517 .
AMA StyleKrzysztof Goniewicz, Eric Carlström, Attila Hertelendy, Frederick Burkle, Mariusz Goniewicz, Dorota Lasota, John Richmond, Amir Khorram-Manesh. Integrated Healthcare and the Dilemma of Public Health Emergencies. Sustainability. 2021; 13 (8):4517.
Chicago/Turabian StyleKrzysztof Goniewicz; Eric Carlström; Attila Hertelendy; Frederick Burkle; Mariusz Goniewicz; Dorota Lasota; John Richmond; Amir Khorram-Manesh. 2021. "Integrated Healthcare and the Dilemma of Public Health Emergencies." Sustainability 13, no. 8: 4517.
The aim of this study is to contribute to the literature on how involuntary backsourcing in public organizations is performed in practice and how it affects the relationship between principal and agent. The study focuses on two questions: (1) Which stages characterize the process when public contracts are involuntary terminated? (2) How does involuntary backsourcing affect the relationship between principal and agent during the transfer period? The study's case concerns public backsourcing in Sweden, in particular, how a metropolitan municipality manages involuntary backsourcing. This study provides in‐depth insights into backsourcing and its practice, as well as the degree to which the conflict dimension between the parties is affected. The study shows—paradoxically—that the relationship between principal and agent during the transition phase is characterized by dependence, mutual exchange of information, collaboration, and less conflict. The study contributes to developing the theory of backsourcing, particularly the behavior that is played out between principal and agent in the transition stage. The findings identify the need for public organizations which make outsourcing decisions to have contingency plans for bringing operations back in‐house.
Johan M. Berlin; Magnus Jansson; David Karlsson; Eric D. Carlström. Involuntary backsourcing in the public sector: From conflict to collaboration. Public Administration 2021, 1 .
AMA StyleJohan M. Berlin, Magnus Jansson, David Karlsson, Eric D. Carlström. Involuntary backsourcing in the public sector: From conflict to collaboration. Public Administration. 2021; ():1.
Chicago/Turabian StyleJohan M. Berlin; Magnus Jansson; David Karlsson; Eric D. Carlström. 2021. "Involuntary backsourcing in the public sector: From conflict to collaboration." Public Administration , no. : 1.
Sudden cardiac arrest is one of the leading causes of death globally. The recommended clinical management in out-of-hospital cardiac arrest cases is the immediate initiation of high-quality cardiopulmonary resuscitation (CPR). Training mannequins should be combined with technology that provides students with detailed immediate feedback on the quality of CPR performance. This study aimed to verify the impacts of the type of feedback (basic or detailed) the responders receive from the device while learning CPR and how it influences the quality of their performance and the motivation to improve their skills. The study was conducted at the Medical University of Lublin among 694 multi-professional health students during first aid classes on basic life support (BLS). The students first practiced on an adult mannequin with a basic control panel; afterward, the same mannequin was connected to a laptop, ensuring a detailed record of the performed activities through a projector. Next, the participants expressed their subjective opinion on how the feedback provided during the classes, basic vs. detailed, motivated them to improve the quality of their CPR performance. Additionally, during the classes, the instructor conducted an extended observation of students’ work and behavior. In the students’ opinion, the CPR training with detailed feedback devices provided motivation for learning and improving CPR proficiency than that with a basic control panel. Furthermore, the comments given from devices seemed to be more acceptable to the students, who did not see any bias in the device’s evaluation compared to that of the instructor. Detailed device feedback motivates student health practitioners to learn and improve the overall quality of CPR. The use of mannequins that provide detailed feedback during BLS courses can improve survival in out-of-hospital cardiac arrest.
Patrycja Misztal-Okońska; Krzysztof Goniewicz; Mariusz Goniewicz; Jamie Ranse; Attila Hertelendy; Lesley Gray; Eric Carlström; Jarle Løwe Sørensen; Amir Khorram-Manesh. Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees. International Journal of Environmental Research and Public Health 2021, 18, 3885 .
AMA StylePatrycja Misztal-Okońska, Krzysztof Goniewicz, Mariusz Goniewicz, Jamie Ranse, Attila Hertelendy, Lesley Gray, Eric Carlström, Jarle Løwe Sørensen, Amir Khorram-Manesh. Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees. International Journal of Environmental Research and Public Health. 2021; 18 (8):3885.
Chicago/Turabian StylePatrycja Misztal-Okońska; Krzysztof Goniewicz; Mariusz Goniewicz; Jamie Ranse; Attila Hertelendy; Lesley Gray; Eric Carlström; Jarle Løwe Sørensen; Amir Khorram-Manesh. 2021. "Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees." International Journal of Environmental Research and Public Health 18, no. 8: 3885.
Local governments are bringing previously outsourced services back in‐house. Research into explanations for sourcing decisions in the public sector is growing, however, few researchers have investigated drivers of both outsourcing and backsourcing in local public‐governance organizations. In this study we utilize transaction cost economic theory (TCE) and political ideology to investigate underlying motives of sourcing in local public governance organizations. Based on a 2018 survey of chief financial officers (CEO) in all of Sweden's 290 municipalities, this study shows that backsourcing is strongly associated with outsourcing and that outsourcing and backsourcing should not be understood as opposite phenomena, rather as interdependent phenomena in a dynamic sourcing strategy. Outsourcing and backsourcing are driven in part by different factors: Outsourcing by political ambitions and economic factors relating to TCE, while managerial and pragmatic concerns are foregrounded for backsourcing.
Magnus Jansson; Eric Carlström; David Karlsson; Johan Berlin. Drivers of outsourcing and backsourcing in the public sector—From idealism to pragmatism. Financial Accountability & Management 2020, 37, 262 -278.
AMA StyleMagnus Jansson, Eric Carlström, David Karlsson, Johan Berlin. Drivers of outsourcing and backsourcing in the public sector—From idealism to pragmatism. Financial Accountability & Management. 2020; 37 (3):262-278.
Chicago/Turabian StyleMagnus Jansson; Eric Carlström; David Karlsson; Johan Berlin. 2020. "Drivers of outsourcing and backsourcing in the public sector—From idealism to pragmatism." Financial Accountability & Management 37, no. 3: 262-278.
This study evaluates the perceptions of preparedness and willingness to work during disasters and public health emergencies among 213 healthcare workers at hospitals in the southern region of Saudi Arabia by using a quantitative survey (Fight or Flight). The results showed that participants’ willingness to work unconditionally during disasters and emergencies varied based on the type of condition: natural disasters (61.97%), seasonal influenza pandemic (52.58%), smallpox pandemic (47.89%), SARS/COVID-19 pandemic (43.56%), special flu pandemic (36.15%), mass shooting (37.56%), chemical incident and bombing threats (31.92%), biological events (28.17%), Ebola outbreaks (27.7%), and nuclear incident (24.88%). A lack of confidence and the absence of safety assurance for healthcare workers and their family members were the most important reasons cited. The co-variation between age and education versus risk and danger by Spearman’s rho confirmed a small negative correlation between education and danger at a 95% level of significance, meaning that educated healthcare workers have less fear to work under dangerous events. Although the causes of unsuccessful management of disasters and emergencies may vary, individuals’ characteristics, such as lack of confidence and emotional distractions because of uncertainty about the safety issues, may also play a significant role. Besides educational initiatives, other measures, which guarantee the safety of healthcare providers and their family members, should be established and implemented.
Mohammed Sultan; Jarle Løwe Sørensen; Eric Carlström; Luc Mortelmans; Amir Khorram-Manesh. Emergency Healthcare Providers’ Perceptions of Preparedness and Willingness to Work during Disasters and Public Health Emergencies. Healthcare 2020, 8, 442 .
AMA StyleMohammed Sultan, Jarle Løwe Sørensen, Eric Carlström, Luc Mortelmans, Amir Khorram-Manesh. Emergency Healthcare Providers’ Perceptions of Preparedness and Willingness to Work during Disasters and Public Health Emergencies. Healthcare. 2020; 8 (4):442.
Chicago/Turabian StyleMohammed Sultan; Jarle Løwe Sørensen; Eric Carlström; Luc Mortelmans; Amir Khorram-Manesh. 2020. "Emergency Healthcare Providers’ Perceptions of Preparedness and Willingness to Work during Disasters and Public Health Emergencies." Healthcare 8, no. 4: 442.
The emergency department (ED) is one of the busiest facilities in a hospital, and it is frequently described as a bottleneck that limits space and structures, jeopardising surge capacity during Major Incidents and Disasters (MIDs) and pandemics such as the COVID 19 outbreak. One remedy to facilitate surge capacity is to establish an Urgent Care Centre (UCC), i.e., a secondary ED, co-located and in close collaboration with an ED. This study investigates the outcome of treatment in an ED versus a UCC in terms of length of stay (LOS), time to physician (TTP) and use of medical services. If it was possible to make these parameters equal to or even less than the ED, UCCs could be used as supplementary units to the ED, improving sustainability. The results show reduced waiting times at the UCC, both in terms of TTP and LOS. In conclusion, creating a primary care-like facility in close proximity to the hospitals may not only relieve overcrowding of the hospital’s ED in peacetime, but it may also provide an opportunity for use during MIDs and pandemics to facilitate the victims of the incident and society as a whole.
Annelie Raidla; Katrin Darro; Tobias Carlson; Amir Khorram-Manesh; Johan Berlin; Eric Carlström. Outcomes of Establishing an Urgent Care Centre in the Same Location as an Emergency Department. Sustainability 2020, 12, 8190 .
AMA StyleAnnelie Raidla, Katrin Darro, Tobias Carlson, Amir Khorram-Manesh, Johan Berlin, Eric Carlström. Outcomes of Establishing an Urgent Care Centre in the Same Location as an Emergency Department. Sustainability. 2020; 12 (19):8190.
Chicago/Turabian StyleAnnelie Raidla; Katrin Darro; Tobias Carlson; Amir Khorram-Manesh; Johan Berlin; Eric Carlström. 2020. "Outcomes of Establishing an Urgent Care Centre in the Same Location as an Emergency Department." Sustainability 12, no. 19: 8190.
This study was aimed at assessing the readiness of 200 emergency nurses in the southern part of Saudi Arabia in the management of public health emergencies, major incidents, and disasters by using quantitative research through a self-reporting validated questionnaire containing 10 different dimensions. All registered nurses working in emergency departments who were willing to participate, of all ages and gender groups, were included. Nurses who were not present during the study period because of vacation or maternity leave, nurses at the managerial level, and nursing aides were excluded. The participating nurses reported good knowledge in almost all investigated aspects of the theoretical dimensions of emergency management. However, they revealed perceived weaknesses in practical dimensions of emergency management and difficulties in assessing their own efforts. There was a significant correlation between qualification and the dimensions of emergency preparedness, epidemiology and surveillance, isolation and quarantine and critical resources, which indicates a need for strengthening their practical contribution as well as their theoretical knowledge. Educational initiatives combining theoretical and practical aspects of emergency management may provide an opportunity to examine nurses’ knowledge, skills, and abilities continuously in an environment with no harm to patients.
Mohammed Sultan; Amir Khorram-Manesh; Eric Carlström; Jarle Sørensen; Hadi Sulayyim; Fabian Taube. Nurses’ Readiness for Emergencies and Public Health Challenges—The Case of Saudi Arabia. Sustainability 2020, 12, 7874 .
AMA StyleMohammed Sultan, Amir Khorram-Manesh, Eric Carlström, Jarle Sørensen, Hadi Sulayyim, Fabian Taube. Nurses’ Readiness for Emergencies and Public Health Challenges—The Case of Saudi Arabia. Sustainability. 2020; 12 (19):7874.
Chicago/Turabian StyleMohammed Sultan; Amir Khorram-Manesh; Eric Carlström; Jarle Sørensen; Hadi Sulayyim; Fabian Taube. 2020. "Nurses’ Readiness for Emergencies and Public Health Challenges—The Case of Saudi Arabia." Sustainability 12, no. 19: 7874.
Flexible surge capacity aims to activate and utilize other resources than normally are surged in a community during the primary and secondary surge capacity. The presence of alternative leadership, skilled and knowledgeable in hospital and prehospital emergency management, is invaluable. Thai emergency physicians work at both levels, emphasizing their important role in emergency management of any source in a disaster-prone country. We aimed to investigate Thai emergency physicians’ ability in terms of knowledge and preparedness to manage potential emergencies using tabletop simulation exercises. Using an established method for training collaboration, two training courses were arranged for over 50 Thai emergency physicians, who were divided into three teams of prehospital, hospital, and incident command groups. Three scenarios of a terror attack along with a bomb explosion, riot, and shooting, and high building fire were presented, and the participants’ performance was evaluated regarding their preparedness, response and gained knowledge. Two senior observers followed the leadership characteristic in particular. Thai physicians’ perceived ability in command and control, communication, collaboration, coordination, and situation assessment improved in all groups systematically. New perspectives and innovative measures were presented by participants, which improved the overall management on the final day. Tabletop simulation exercise increased the perceived ability, knowledge, and attitude of Thai emergency physicians in managing major incidents and disasters. It also enabled them to lead emergency management in a situation when alternative leadership is a necessity as part of the concept of a flexible surge capacity response system.
Phatthranit Phattharapornjaroen; Viktor Glantz; Eric Carlström; Lina Dahlén Holmqvist; Amir Khorram-Manesh. Alternative Leadership in Flexible Surge Capacity—The Perceived Impact of Tabletop Simulation Exercises on Thai Emergency Physicians Capability to Manage a Major Incident. Sustainability 2020, 12, 6216 .
AMA StylePhatthranit Phattharapornjaroen, Viktor Glantz, Eric Carlström, Lina Dahlén Holmqvist, Amir Khorram-Manesh. Alternative Leadership in Flexible Surge Capacity—The Perceived Impact of Tabletop Simulation Exercises on Thai Emergency Physicians Capability to Manage a Major Incident. Sustainability. 2020; 12 (15):6216.
Chicago/Turabian StylePhatthranit Phattharapornjaroen; Viktor Glantz; Eric Carlström; Lina Dahlén Holmqvist; Amir Khorram-Manesh. 2020. "Alternative Leadership in Flexible Surge Capacity—The Perceived Impact of Tabletop Simulation Exercises on Thai Emergency Physicians Capability to Manage a Major Incident." Sustainability 12, no. 15: 6216.
Surge capacity is the ability to manage the increased influx of critically ill or injured patients during a sudden onset crisis. During such an event, all ordinary resources are activated and used in a systematic, structured, and planned way to cope with the situation. There are, however, occasions where conventional healthcare means are insufficient, and additional resources must be summoned. In such an event, the activation of existing capabilities within community resources can increase regional surge capacity in a flexible manner. These additional resources together represent the concept of Flexible Surge Capacity. This study aims to investigate the possibility of establishing a Flexible Surge Capacity response system to emergencies by examining the main components of surge capacity (Staff, Stuff, Structure, System) within facilities of interest present in the Western Region of Sweden. Through a mixed-method and use of (A) questionnaires and (B) semi-structured key-informant interviews, data was collected from potential alternative care facilities to determine capacities and capabilities and barriers and limitations as well as interest to be included in a flexible surge capacity response system. Both interest and ability were found in the investigated primary healthcare centers, veterinary and dental clinics, schools, and sports and hotel facilities to participate in such a system, either by receiving resources and/or drills and exercises. Barriers limiting the potential participation in this response system consisted of a varying lack of space, beds, healthcare materials, and competencies along with a need for clear organizational structure and medical responsibility. These results indicate that the concept of flexible surge capacity is a feasible approach to emergency management. Educational initiatives, drills and exercises, layperson empowerment, organizational and legal changes and sufficient funding are needed to realize the concept.
Viktor Glantz; Phatthranit Phattharapornjaroen; Eric Carlström; Amir Khorram-Manesh. Regional Flexible Surge Capacity—A Flexible Response System. Sustainability 2020, 12, 5984 .
AMA StyleViktor Glantz, Phatthranit Phattharapornjaroen, Eric Carlström, Amir Khorram-Manesh. Regional Flexible Surge Capacity—A Flexible Response System. Sustainability. 2020; 12 (15):5984.
Chicago/Turabian StyleViktor Glantz; Phatthranit Phattharapornjaroen; Eric Carlström; Amir Khorram-Manesh. 2020. "Regional Flexible Surge Capacity—A Flexible Response System." Sustainability 12, no. 15: 5984.
This is a study of inter-organisational exercises arranged by on-shore organisations (ONSOs) and off-shore organisations (OFFSOs). The aim was to compare findings from trained emergency staffs’ perceptions of the impact of exercises. The data were retrieved from surveys conducted by the research team in conjunction with exercises. The surveys included staff from the coast guard, sea rescue, police department, fire department and ambulance services. A total of 94 professional emergency personnel participated in the ONSO exercises and 252 in the OFFSO exercises. The study was based on the suggestion that collaborative elements during an inter-organisational exercise promote learning, and learning is important to make the exercises useful. Collaboration proved to be a predictor for some of the items in learning, and learning was a predictor for some of the items in utility. There was, however, a stronger covariation between collaboration, learning and utility in the OFFSOs exercises than in the ONSOs. One reason might be the different cultures of emergency staff involved in on-shore and off-shore organisations. The OFFSOs’ qualifications may be dominated by seamanship, together with professional practice, and all parties are expected to act as first responders. ONSOs, on the other hand, practice exercises from a strict professional and legal perspective.
Eric Carlström; Leif Magnussen; Elsa Kristiansen; Johan Berlin; Jarle Sørensen. Inter-Organisational Exercises in Dry and Wet Context—Why Do Maritime Response Organisations Gain More Knowledge from Exercises at Sea Than Those on Shore? Sustainability 2020, 12, 5604 .
AMA StyleEric Carlström, Leif Magnussen, Elsa Kristiansen, Johan Berlin, Jarle Sørensen. Inter-Organisational Exercises in Dry and Wet Context—Why Do Maritime Response Organisations Gain More Knowledge from Exercises at Sea Than Those on Shore? Sustainability. 2020; 12 (14):5604.
Chicago/Turabian StyleEric Carlström; Leif Magnussen; Elsa Kristiansen; Johan Berlin; Jarle Sørensen. 2020. "Inter-Organisational Exercises in Dry and Wet Context—Why Do Maritime Response Organisations Gain More Knowledge from Exercises at Sea Than Those on Shore?" Sustainability 12, no. 14: 5604.
Intrahospital transports are associated with complications and adverse events in intensive care patients. Yet, little is known about how patients’ percive these tranfers. Thus, this study aimed to explore patients’ experiences of the intrahospital transport process. An exploratory qualitative study compromising interviews with twelve patients. Data were analysed using thematic analysis. Two intensive care units in a university hospital setting. An understanding of patients’ experiences of the intrahospital transport process. The main finding was patients’ description of “being in safe hands” during the transport. Patients’ experience of transports as feasible and safe was reflected in the first main theme, “feeling prepared and safeguarded”. The second theme, “being on the move”, described patients’ perceptions of the transport; although they were aware of movement, the transport was viewed as a minor event during their stay. The third theme, “entrusting myself to others”, revealed how patients handed over control and decision making to the staff, confident that they would look after their best interest. Patients perceived intrahospital transports as an acceptable and safe process. Findings suggest that patients’ experience could be improved by being provided with accurate and timely information and preparedness for transport-related events.
Lina Bergman; Monica Pettersson; Wendy Chaboyer; Eric Carlström; Mona Ringdal. In safe hands: Patients’ experiences of intrahospital transport during intensive care. Intensive and Critical Care Nursing 2020, 59, 102853 .
AMA StyleLina Bergman, Monica Pettersson, Wendy Chaboyer, Eric Carlström, Mona Ringdal. In safe hands: Patients’ experiences of intrahospital transport during intensive care. Intensive and Critical Care Nursing. 2020; 59 ():102853.
Chicago/Turabian StyleLina Bergman; Monica Pettersson; Wendy Chaboyer; Eric Carlström; Mona Ringdal. 2020. "In safe hands: Patients’ experiences of intrahospital transport during intensive care." Intensive and Critical Care Nursing 59, no. : 102853.
Intrahospital transport is a high-risk procedure for critically ill patients, yet there is little known about how the transport team manages critical incidents that occur. The aim of this study was to explore critical care nurses' and physicians' experiences and practices associated with critical incidents during the transfer process in critically ill patients. As a part of an ethnographic study, semistructured interviews were performed using the critical incident technique. Data were collected in two intensive care units at one university hospital in a Swedish metropolitan city. Critical care nurses (n = 15) and physicians (n = 5) were interviewed, together describing a total of 46 critical incidents. Data were analysed using qualitative content and thematic analysis approaches. Content analysis of nurses' and physicians' practices resulted in a description of requirements for safe transports, including organisational prerequisites, professional skills and attributes, as well as actions and behaviours of safely performing transfers. Exploring the experiences of nurses and physicians in transporting critically ill patients yielded three main themes. The first theme, a hazardous process, revealed how caring for critically ill patients during intrahospital transfers was perceived as an unsafe, demanding task that presents several threats to the patient's safety. However, despite worries and concerns, participants trusted their own abilities to handle unexpected events, resulting in the second theme, performing when it matters. The third theme, towards safe practice, captured suggestions for improvement and attitudes towards existing safety hazards. To prevent and manage critical incidents during intrahospital transport, findings of this study suggest that nontechnical skills such as situational awareness and teamwork are essential. In addition, the team must possess the requisite technical skills and knowledge to undertake transports. Finally, organisations are required to provide a supportive and sustainable transport environment that includes fewer transport-related hazards.
Lina Bergman; Monica Pettersson; Wendy Chaboyer; Eric Carlström; Mona Ringdal. Improving quality and safety during intrahospital transport of critically ill patients: A critical incident study. Australian Critical Care 2020, 33, 12 -19.
AMA StyleLina Bergman, Monica Pettersson, Wendy Chaboyer, Eric Carlström, Mona Ringdal. Improving quality and safety during intrahospital transport of critically ill patients: A critical incident study. Australian Critical Care. 2020; 33 (1):12-19.
Chicago/Turabian StyleLina Bergman; Monica Pettersson; Wendy Chaboyer; Eric Carlström; Mona Ringdal. 2020. "Improving quality and safety during intrahospital transport of critically ill patients: A critical incident study." Australian Critical Care 33, no. 1: 12-19.
To explore the views of registered nurses experienced in aesthetic nursing regarding medically safe practices and sound ethical standards. Aesthetic nursing is an emerging field of modern-day healthcare encompassed within aesthetic medicine. There is a distinct lack of research regarding how registered nurses who specialise in this area of care view medically safe practices and sound ethical standards. This is important to explore, because, in the absence of mandatory regulations within the sector, and it is the aesthetic nurse's own obligation to uphold professional, medical and ethical standards. Qualitative study. Individual semi-structured interviews were conducted with 13 registered nurses who had worked in aesthetic nursing for at least two years. The interview transcripts were categorised using qualitative content analysis. The COREQ checklist was used to report the study. A main theme was generated during the analysis: Considering my professional, the clinic's and the patient's needs. The participants described that they considered medical and ethical aspects pertinent to their professional roles as registered nurses but also undertook practices in addition to what they already did as registered nurses, such as creating professional networks using social media. They also described the importance of establishing local medical and ethical guidelines for their clinics, and that they considered patients' individual needs such as using individual information relating to their patients' previous experiences. The study points to the positive tendencies of registered nurses in aesthetics to develop their own professional networks and create local medical and ethical guidelines until more robust mandatory regulations are in place. Considering that aesthetic nursing is a young industry, registered nurses are in an excellent position to utilise their professional networks and work with professional bodies to develop standards of professional nursing practice and education for this field.
Christopher Holmberg; Eric Carlström; Helena Collier. Registered nurses' perspectives on medically safe practices and sound ethical standards in aesthetic nursing: An interview study. Journal of Clinical Nursing 2019, 29, 944 -954.
AMA StyleChristopher Holmberg, Eric Carlström, Helena Collier. Registered nurses' perspectives on medically safe practices and sound ethical standards in aesthetic nursing: An interview study. Journal of Clinical Nursing. 2019; 29 (5-6):944-954.
Chicago/Turabian StyleChristopher Holmberg; Eric Carlström; Helena Collier. 2019. "Registered nurses' perspectives on medically safe practices and sound ethical standards in aesthetic nursing: An interview study." Journal of Clinical Nursing 29, no. 5-6: 944-954.
Among several serious medical conditions, arrhythmia and heat stroke are two important causes of death during endurance races. Clinically, collapsing might be the first sign of these serious conditions and may mimic the more common and benign exercise-associated collapse. Several risk factors have been reported in the literature. We aimed to conduct a qualitative study to find a perceived risk profile among runners who collapsed and who were transported by ambulances to the nearest hospital during Gothenburg’s half marathon (2010–2017). Collapsing runners seem to lack the ability to make a decision to withdraw from the contest despite being exhausted. They feel the pain, but are unable to put meaning to their feeling, to adjust their pacing, and to handle other influences. Consequently, they do not overcome the problem or assess the situation. These individual mental characteristics may indicate a unique profile for collapsing runners. Pre-race health control and educational initiatives aiming at mental preparedness and information before endurance races might be a necessary step to avoid life-threatening complications.
Amir Khorram-Manesh; Therese Löf; Mats Börjesson; Finn Nilson; Sofia Thorsson; Fredrik Lindberg; Eric Carlström. Profiling Collapsing Half Marathon Runners—Emerging Risk Factors: Results from Gothenburg Half Marathon. Sports 2019, 8, 2 .
AMA StyleAmir Khorram-Manesh, Therese Löf, Mats Börjesson, Finn Nilson, Sofia Thorsson, Fredrik Lindberg, Eric Carlström. Profiling Collapsing Half Marathon Runners—Emerging Risk Factors: Results from Gothenburg Half Marathon. Sports. 2019; 8 (1):2.
Chicago/Turabian StyleAmir Khorram-Manesh; Therese Löf; Mats Börjesson; Finn Nilson; Sofia Thorsson; Fredrik Lindberg; Eric Carlström. 2019. "Profiling Collapsing Half Marathon Runners—Emerging Risk Factors: Results from Gothenburg Half Marathon." Sports 8, no. 1: 2.
The aim was to analyze the influence of weather conditions on medical emergencies in a half-marathon, specifically by evaluating its relation to the number of non-finishers, ambulance-required assistances, and collapses in need of ambulance as well as looking at the location of such emergencies on the race course. Seven years of data from the world’s largest half marathon were used. Meteorological data were obtained from a nearby weather station, and the Physiological Equivalent Temperature (PET) index was used as a measure of general weather conditions. Of the 315,919 race starters, 104 runners out of the 140 ambulance-required assistances needed ambulance services due to collapses. Maximum air temperature and PET significantly co-variated with ambulance-required assistances, collapses, and non-finishers (R2=0.65–0.92; p=0.001–0.03). When air temperatures vary between 15–29°C, an increase of 1°C results in an increase of 2.5 (0.008/1000) ambulance-required assistances, 2.5 (0.008/1000) collapses (needing ambulance services), and 107 (0.34/1000) non-finishers. The results also indicate that when the daily maximum PET varies between 18–35°C, an increase of 1°C PET results in an increase of 1.8 collapses (0.006/1000) needing ambulance services and 66 non-finishers (0.21/1000).
Eric Carlström; Mats Borjesson; Gunnar Palm; Amir Khorram-Manesh; Fredrik Lindberg; Björn Holmer; Andreas Berner; Per Örninge; Hampus Luning; Finn Nilson; Carita Gelang; Sofia Thorsson. Medical Emergencies During a Half Marathon Race – The Influence of Weather. Laryngo-Rhino-Otologie 2019, 40, 312 -316.
AMA StyleEric Carlström, Mats Borjesson, Gunnar Palm, Amir Khorram-Manesh, Fredrik Lindberg, Björn Holmer, Andreas Berner, Per Örninge, Hampus Luning, Finn Nilson, Carita Gelang, Sofia Thorsson. Medical Emergencies During a Half Marathon Race – The Influence of Weather. Laryngo-Rhino-Otologie. 2019; 40 (5):312-316.
Chicago/Turabian StyleEric Carlström; Mats Borjesson; Gunnar Palm; Amir Khorram-Manesh; Fredrik Lindberg; Björn Holmer; Andreas Berner; Per Örninge; Hampus Luning; Finn Nilson; Carita Gelang; Sofia Thorsson. 2019. "Medical Emergencies During a Half Marathon Race – The Influence of Weather." Laryngo-Rhino-Otologie 40, no. 5: 312-316.
People affected by head and neck cancer (HNC) experience a variety of multifaceted health-related problems during the treatment process, based on both the disease and side effects, several years after the treatment is complete. This study investigated a person-centred intervention using transition theory as a framework. Thus, the aim of the present study was to explore patients’ experience of the transition and person centred care from diagnosis to the end of the treatment period. Interviews were conducted with 12 persons included in the person-centred intervention group. The patients were recruited from a randomised controlled study. We used a directed deductive content analysis as an analysis method. There was a distinct transition between being a healthy person to being diagnosed with a serious disease. The majority of the participants felt that the diagnosis had put their lives in the balance; they felt both healthy and sick at the same time, and all participants described that their symptoms and side effects were the worst possible and totally unexpected. Of great importance was the health-care plan, comprising self-management goals which were formed in partnership between the patient and the nurse. The participants experienced that their interaction and engagement with lay persons and healthcare professionals supported a gradual acceptance of the situation and a sense of relief with a kind of awareness of the disease. The intervention played a significant role in promoting a healthy transition. Person-centredness and transition theory can help healthcare professionals to be more confident and resourceful in supporting people affected by HNC.
Ingalill Koinberg; Elisabeth Hansson Olofsson; Eric Carlström; Lars-Eric Olsson. Impact of a person-centered intervention for patients with head and neck cancer: a qualitative exploration. BMC Nursing 2018, 17, 1 -9.
AMA StyleIngalill Koinberg, Elisabeth Hansson Olofsson, Eric Carlström, Lars-Eric Olsson. Impact of a person-centered intervention for patients with head and neck cancer: a qualitative exploration. BMC Nursing. 2018; 17 (1):1-9.
Chicago/Turabian StyleIngalill Koinberg; Elisabeth Hansson Olofsson; Eric Carlström; Lars-Eric Olsson. 2018. "Impact of a person-centered intervention for patients with head and neck cancer: a qualitative exploration." BMC Nursing 17, no. 1: 1-9.
Introduction The purpose of this study was to investigate inter‐organisational collaboration on care planning for patients with complex care needs. Internationally, and in Sweden where the data for this study was collected, difficulties in care planning and transition of patients between the main health care providers, hospitals, municipal care, and primary care are well known. Method A survey of a total population of care managers in hospitals, municipalities, and primary care in Sweden was conducted. The study assessed accessibility, willingness, trustworthiness, and collaboration between health care providers. Data were analysed with descriptive statistics, bivariate, and multivariate regressions. Results The results indicate that Swedish health care providers show strong self‐awareness, but they describe each other's ability to collaborate as weak. Primary care stands out, displaying the highest discrepancy between self‐awareness and displayed accessibility, willingness, trustworthiness, and collaboration. Conclusion Inability to collaborate in patient care planning may be due to shortcomings in terms of trust between caregivers in the health care organisation at a national level. Organisations that experience difficulties in collaboration tend to defend themselves with arguments about their own excellence and insufficiency of others.
Lena G. Larsson; Siv Bäck‐Pettersson; Sven Kylén; Bertil Marklund; Martin Gellerstedt; Eric Carlström. A national study on collaboration in care planning for patients with complex needs. The International Journal of Health Planning and Management 2018, 34, e646 -e660.
AMA StyleLena G. Larsson, Siv Bäck‐Pettersson, Sven Kylén, Bertil Marklund, Martin Gellerstedt, Eric Carlström. A national study on collaboration in care planning for patients with complex needs. The International Journal of Health Planning and Management. 2018; 34 (1):e646-e660.
Chicago/Turabian StyleLena G. Larsson; Siv Bäck‐Pettersson; Sven Kylén; Bertil Marklund; Martin Gellerstedt; Eric Carlström. 2018. "A national study on collaboration in care planning for patients with complex needs." The International Journal of Health Planning and Management 34, no. 1: e646-e660.
Trygve Steiro; Torbjørn Rundmo; Tobias Werler; Kristian Firing; Odin Fauskevåg; Ingrid Nyhus; Brita Bjørkelo; Tone Cecilie Carlsten; Berit Kristin Haugdal; Gila Hammer Furnes; Herner Sæverot; Raino Malnes; Irmelin Drake; Carl Cato Wadel; Marius Herberg; Tormod Heier; Johan Bergh; Ole Boe; Leif Inge Magnussen; Eric Carlström; Olav Kjellevold Olsen; Per Øystein Saksvik; Marianne Storm; Siri Wiig; Kjersti Halvorsen; Ann Christin Rivenes; Tommy Krabberød; Jan O. Jacobsen; Pål Kristian Fredriksen; Tore Listou; Hitoshi Kawano. Interaction: 'Samhandling' Under Risk: A Step Ahead of the Unforeseen. Interaction_'Samhandling' Under Risk: A Step Ahead of the Unforeseen 2018, 1 .
AMA StyleTrygve Steiro, Torbjørn Rundmo, Tobias Werler, Kristian Firing, Odin Fauskevåg, Ingrid Nyhus, Brita Bjørkelo, Tone Cecilie Carlsten, Berit Kristin Haugdal, Gila Hammer Furnes, Herner Sæverot, Raino Malnes, Irmelin Drake, Carl Cato Wadel, Marius Herberg, Tormod Heier, Johan Bergh, Ole Boe, Leif Inge Magnussen, Eric Carlström, Olav Kjellevold Olsen, Per Øystein Saksvik, Marianne Storm, Siri Wiig, Kjersti Halvorsen, Ann Christin Rivenes, Tommy Krabberød, Jan O. Jacobsen, Pål Kristian Fredriksen, Tore Listou, Hitoshi Kawano. Interaction: 'Samhandling' Under Risk: A Step Ahead of the Unforeseen. Interaction_'Samhandling' Under Risk: A Step Ahead of the Unforeseen. 2018; ():1.
Chicago/Turabian StyleTrygve Steiro; Torbjørn Rundmo; Tobias Werler; Kristian Firing; Odin Fauskevåg; Ingrid Nyhus; Brita Bjørkelo; Tone Cecilie Carlsten; Berit Kristin Haugdal; Gila Hammer Furnes; Herner Sæverot; Raino Malnes; Irmelin Drake; Carl Cato Wadel; Marius Herberg; Tormod Heier; Johan Bergh; Ole Boe; Leif Inge Magnussen; Eric Carlström; Olav Kjellevold Olsen; Per Øystein Saksvik; Marianne Storm; Siri Wiig; Kjersti Halvorsen; Ann Christin Rivenes; Tommy Krabberød; Jan O. Jacobsen; Pål Kristian Fredriksen; Tore Listou; Hitoshi Kawano. 2018. "Interaction: 'Samhandling' Under Risk: A Step Ahead of the Unforeseen." Interaction_'Samhandling' Under Risk: A Step Ahead of the Unforeseen , no. : 1.
Jarle Lowe Sorensen; Leif Inge Magnussen; Glenn-Egil Torgersen; Atle M Christiansen; Eric D Carlström. Perceived Usefulness of Maritime Cross-Border Collaboration Exercises. Arts and Social Sciences Journal 2018, 9, 1 -5.
AMA StyleJarle Lowe Sorensen, Leif Inge Magnussen, Glenn-Egil Torgersen, Atle M Christiansen, Eric D Carlström. Perceived Usefulness of Maritime Cross-Border Collaboration Exercises. Arts and Social Sciences Journal. 2018; 9 (4):1-5.
Chicago/Turabian StyleJarle Lowe Sorensen; Leif Inge Magnussen; Glenn-Egil Torgersen; Atle M Christiansen; Eric D Carlström. 2018. "Perceived Usefulness of Maritime Cross-Border Collaboration Exercises." Arts and Social Sciences Journal 9, no. 4: 1-5.