Patient satisfaction with prehospital emergency care following a hip fracture: a prospective questionnaire-based study

Abstract Background Older patients with a hip fracture require specialized emergency care and their first healthcare encounter before arriving at the hospital is often with the ambulance service. Since 2005 there has been a registered nurse on the crew of every ambulance in Sweden in order to provid...

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Main Authors: Glenn Larsson, Ulf Strömberg, Cecilia Rogmark, Anna Nilsdotter
Format: Article
Language:English
Published: BMC 2018-08-01
Series:BMC Nursing
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12912-018-0307-x
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author Glenn Larsson
Ulf Strömberg
Cecilia Rogmark
Anna Nilsdotter
author_facet Glenn Larsson
Ulf Strömberg
Cecilia Rogmark
Anna Nilsdotter
author_sort Glenn Larsson
collection DOAJ
description Abstract Background Older patients with a hip fracture require specialized emergency care and their first healthcare encounter before arriving at the hospital is often with the ambulance service. Since 2005 there has been a registered nurse on the crew of every ambulance in Sweden in order to provide prehospital emergency care and to prepare the patients for hospitalization. It is important to investigate patient satisfaction with prehospital emergency care following a hip fracture to ensure that their expectations of good care are met. The aim of this study was to investigate patient satisfaction with prehospital emergency care following a hip fracture by comparing two similar emergency care contexts. Methods The study was conducted using the Consumer Emergency Care Satisfaction Scale (CECSS) on patients treated for hip fracture in prehospital emergency care. The data were collected within a randomized controlled study for the purpose of comparing prehospital fast track care (PFTC) and the traditional type of transport to an accident and emergency department (A&E). Results Questionnaire data from 287 patients, 188 women (66%) and 99 men (34%) with a mean age of 80.9 years, were analysed. More than 80% of the patients selected the most positive response alternatives, but 16% were dissatisfied with the nursing information provided. Patients in PFTC responded more positively on specific caring behaviour than those transported to the A&E department in the traditional way. Conclusion Patient satisfaction with prehospital emergency care following a hip fracture is an important outcome and this study highlights the fact that patients expressed a high level of satisfaction with the prehospital emergency care provided by ambulance nurses in both care contexts under study. However, some areas need to be improved in terms of nursing information.
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spelling doaj.art-7808b81d1d094cd5a621fa300d5a22af2022-12-21T20:01:27ZengBMCBMC Nursing1472-69552018-08-011711910.1186/s12912-018-0307-xPatient satisfaction with prehospital emergency care following a hip fracture: a prospective questionnaire-based studyGlenn Larsson0Ulf Strömberg1Cecilia Rogmark2Anna Nilsdotter3Department of Ambulance and Prehospital Care, Region Halland, Health Centre NyhemDepartment of R&D, Sahlgrenska University HospitalDepartment of Orthopaedics, Lund UniversityDepartment of Orthopaedics, Lund UniversityAbstract Background Older patients with a hip fracture require specialized emergency care and their first healthcare encounter before arriving at the hospital is often with the ambulance service. Since 2005 there has been a registered nurse on the crew of every ambulance in Sweden in order to provide prehospital emergency care and to prepare the patients for hospitalization. It is important to investigate patient satisfaction with prehospital emergency care following a hip fracture to ensure that their expectations of good care are met. The aim of this study was to investigate patient satisfaction with prehospital emergency care following a hip fracture by comparing two similar emergency care contexts. Methods The study was conducted using the Consumer Emergency Care Satisfaction Scale (CECSS) on patients treated for hip fracture in prehospital emergency care. The data were collected within a randomized controlled study for the purpose of comparing prehospital fast track care (PFTC) and the traditional type of transport to an accident and emergency department (A&E). Results Questionnaire data from 287 patients, 188 women (66%) and 99 men (34%) with a mean age of 80.9 years, were analysed. More than 80% of the patients selected the most positive response alternatives, but 16% were dissatisfied with the nursing information provided. Patients in PFTC responded more positively on specific caring behaviour than those transported to the A&E department in the traditional way. Conclusion Patient satisfaction with prehospital emergency care following a hip fracture is an important outcome and this study highlights the fact that patients expressed a high level of satisfaction with the prehospital emergency care provided by ambulance nurses in both care contexts under study. However, some areas need to be improved in terms of nursing information.http://link.springer.com/article/10.1186/s12912-018-0307-xPrehospital emergency care, Patient satisfaction, Hip fracture, Ambulance nurse
spellingShingle Glenn Larsson
Ulf Strömberg
Cecilia Rogmark
Anna Nilsdotter
Patient satisfaction with prehospital emergency care following a hip fracture: a prospective questionnaire-based study
BMC Nursing
Prehospital emergency care, Patient satisfaction, Hip fracture, Ambulance nurse
title Patient satisfaction with prehospital emergency care following a hip fracture: a prospective questionnaire-based study
title_full Patient satisfaction with prehospital emergency care following a hip fracture: a prospective questionnaire-based study
title_fullStr Patient satisfaction with prehospital emergency care following a hip fracture: a prospective questionnaire-based study
title_full_unstemmed Patient satisfaction with prehospital emergency care following a hip fracture: a prospective questionnaire-based study
title_short Patient satisfaction with prehospital emergency care following a hip fracture: a prospective questionnaire-based study
title_sort patient satisfaction with prehospital emergency care following a hip fracture a prospective questionnaire based study
topic Prehospital emergency care, Patient satisfaction, Hip fracture, Ambulance nurse
url http://link.springer.com/article/10.1186/s12912-018-0307-x
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AT ceciliarogmark patientsatisfactionwithprehospitalemergencycarefollowingahipfractureaprospectivequestionnairebasedstudy
AT annanilsdotter patientsatisfactionwithprehospitalemergencycarefollowingahipfractureaprospectivequestionnairebasedstudy