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  • 1.
    Andersson, Sten-Ove
    et al.
    Swedish Armed Forces, Centre for Defence Medicine, Box 5155, S-426 05 V Frölunda, Göteborg, Sweden.
    Dahlgren, Lars Owe
    Department of Behavioural Science, Linköping University, Linköping, Sweden.
    Lundberg, Lars
    Swedish Armed Forces, Centre for Defence Medicine, Box 5155, S-426 05 V Frölunda, Göteborg, Sweden.
    Sjöström, Björn
    University of Skövde, School of Life Sciences.
    The criteria nurses use in assessing acute trauma in military emergency care2007In: Accident and Emergency Nursing, ISSN 0965-2302, E-ISSN 1532-9267, Vol. 15, no 3, p. 148-156Article in journal (Refereed)
    Abstract [en]

    Emergency medical care for seriously injured patients in war or warlike situations is highly important when it comes to soldiers’ survival and morale. The Swedish Armed Forces sends nurses, who have limited experience of caring for injured personnel in the field, on a variety of international missions. The aim of this investigation was to identify the kind of criteria nurses rely on when assessing acute trauma and what factors are affecting the emergency care of injured soldiers. A phenomenographic research approach based on interviews was used. The database for the study consists of twelve nurses who served in Bosnia in 1994–1996. The criteria nurses rely on, when assessing acute trauma in emergency care, could be described in terms of domain-specific criteria such as a physiological, an anatomical, a causal and a holistic approach as well as contextual criteria such as being able to communicate, having a sense of belonging, the military environment, the conscript medical orderly and familiarity with health-caring activity. The present study shows that the specific contextual factors affecting emergency care in the field must also be practised before the nurse faces military emergency care situations. This calls for realistic exercises and training programs, where experience from civilian emergency care is interwoven with the knowledge specific to military medical care.

  • 2.
    Lindblad, Christina
    et al.
    Institute of Health Care Pedagogics, Göteborg Univ. Swed. Armed Forces, Göta Logistic Regiment, S-541 29 Skövde, Sweden.
    Sjöström, Björn
    University of Skövde, School of Life Sciences.
    Battlefield emergency care: a study of nurses’ perspectives2005In: Accident and Emergency Nursing, ISSN 0965-2302, E-ISSN 1532-9267, Vol. 13, no 1, p. 29-35Article in journal (Refereed)
    Abstract [en]

    Recent implementation of modern armoured fighting vehicles in Swedish army forces has been substantial. In consequence, changes in the knowledge area of battlefield emergency care have been so large that a new professional competence is demanded. The aim of this study was to explore and describe how nurses perceive battlefield emergency care. A qualitative design was used comprising in-depth research interviews with 11 male registered nurses who all had been trained as company nurses in the Armed Forces. Three major themes were described; Unpredictable and invisible, a contextual leadership and assimilation acts. From the first major theme, the characteristic of battlefield emergency care is that it is unpredictable and invisible with the subthemes: menacing, unknown, challenging and complicated. From the next major theme, that a contextual leadership is important to have, with the subthemes: field manners, responsibility capacity and capacity to determine. The third major theme assimilation acts with the subthemes: experience from combat casualty care, education, working experience and by utilizing research findings.

    If we are to be able to offer patients individualised and qualitatively good professional care, emergency care must be conducted on the basis of scientific and well-tried experience.

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