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Suserud, Björn-Ove
Alternative names
Publications (10 of 78) Show all publications
Suserud, B.-O. & Lundberg, L. (2016). Prehospital akutsjukvård (2ed.). Stockholm: Liber
Open this publication in new window or tab >>Prehospital akutsjukvård
2016 (Swedish)Book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Liber, 2016. p. 560 Edition: 2
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-11678 (URN)978-91-47-11474-0 (ISBN)
Available from: 2017-01-09 Created: 2017-01-09 Last updated: 2017-01-09Bibliographically approved
suserud, B.-O. (2015). Learning by simulation in prehospital emergency care - an integrative literature review.. Scandinavian Journal of Caring Sciences, 30(2), 234-240
Open this publication in new window or tab >>Learning by simulation in prehospital emergency care - an integrative literature review.
2015 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 2, p. 234-240Article in journal (Refereed) Published
Abstract [en]

Learning by simulation in prehospital emergency care

– an integrative literature review

Background: Acquiring knowledge and experience on high-energy trauma is often difficult due to infrequent exposure. This creates a need for training which is specifically tailored for complex prehospital conditions. Simulation provides an opportunity for ambulance nurses to focus on the actual problems in clinical practice and to develop knowledge regarding trauma care. The aim of this study was to describe what ambulance nurses and paramedics in prehospital emergency care perceive as important for learning when participating in simulation exercises.

Methods: An integrative literature review was carried out. Criteria for inclusion were primary qualitative and quantitative studies, where research participants were ambulance nurses or paramedics, working within prehospital care settings, and where the research interventions involved simulation.

Results: It was perceived important for the ambulance nurses’ learning that scenarios were advanced and possible to simulate repeatedly. The repetitions contributed to increase the level of experience, which in turn improved the patients care. Moreover, realism in the simulation and being able to interact and communicate with the patient were perceived as important aspects, as was debriefing, which enabled the enhancement of knowledge and skills. The result is presented in the following categories: To gain experience, To gain practice and To be

strengthened by others.

Conclusion: Learning through simulation does not requireyears of exposure to accident scenes. The simulated learning is enhanced by realistic, stressful scenarios where ambulance nurses interact with the patients. In this study, being able to communicate with the patient was highlighted as a positive contribution to learning. However, this has seldom been mentioned in a previous research on simulation. Debriefing is important for learning as it enables scrutiny of one´s actions and thereby the possibility to improve and adjust one’s caring. The effect of simulation exercises is important on patient outcome.

Keywords
accident and emergency, acute care, advanced nursing practice, clinical nurse specialist, emergency, paramedical care
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-4007 (URN)10.1111/scs.12252 (DOI)
Available from: 2015-12-10 Created: 2015-12-10 Last updated: 2018-05-27Bibliographically approved
Andersson Hagiwara, M., Suserud, B.-O., Andersson-Gare, B., Sjöqvist, B.-A., Henricson, M. & Jonsson, A. (2014). The effect of a Computerised Decision Support System (CDSS) on compliance with the prehospital assessment process: results of an interrupted time-series study. BMC Medical Informatics and Decision Making, 14(70)
Open this publication in new window or tab >>The effect of a Computerised Decision Support System (CDSS) on compliance with the prehospital assessment process: results of an interrupted time-series study
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2014 (English)In: BMC Medical Informatics and Decision Making, ISSN 1472-6947, E-ISSN 1472-6947, Vol. 14, no 70Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:Errors in the decision-making process are probably the main threat to patient safety in the prehospital setting. The reason can be the change of focus in prehospital care from the traditional "scoop and run" practice to a more complex assessment and this new focus imposes real demands on clinical judgment. The use of Clinical Guidelines (CG) is a common strategy for cognitively supporting the prehospital providers. However, there are studies that suggest that the compliance with CG in some cases is low in the prehospital setting. One possible way to increase compliance with guidelines could be to introduce guidelines in a Computerized Decision Support System (CDSS). There is limited evidence relating to the effect of CDSS in a prehospital setting. The present study aimed to evaluate the effect of CDSS on compliance with the basic assessment process described in the prehospital CG and the effect of On Scene Time (OST).METHODS:In this time-series study, data from prehospital medical records were collected on a weekly basis during the study period. Medical records were rated with the guidance of a rating protocol and data on OST were collected. The difference between baseline and the intervention period was assessed by a segmented regression.RESULTS:In this study, 371 patients were included. Compliance with the assessment process described in the prehospital CG was stable during the baseline period. Following the introduction of the CDSS, compliance rose significantly. The post-intervention slope was stable. The CDSS had no significant effect on OST.CONCLUSIONS:The use of CDSS in prehospital care has the ability to increase compliance with the assessment process of patients with a medical emergency. This study was unable to demonstrate any effects of OST.

Place, publisher, year, edition, pages
BioMed Central Ltd., 2014
Keywords
Prehospital emergency care
National Category
Computer and Information Sciences Nursing
Research subject
Integrated Caring Science
Identifiers
urn:nbn:se:hb:diva-1881 (URN)10.1186/1472-6947-14-70 (DOI)000341056300002 ()2320/13998 (Local ID)2320/13998 (Archive number)2320/13998 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2018-01-10Bibliographically approved
Suserud, B.-O. (2013). A formação e a investigação em emergência. In: : . Paper presented at 2o Encontro de Enfermagem de Emergência Emergency Nursing Conference, Encuentro de Enfermería de Emergencias Local: 28 e 29 de Novembro 2013.
Open this publication in new window or tab >>A formação e a investigação em emergência
2013 (Portuguese)Conference paper, Published paper (Refereed)
Keywords
Prehospital akutsjukvård
National Category
Nursing
Research subject
Integrated Caring Science
Identifiers
urn:nbn:se:hb:diva-7091 (URN)2320/13064 (Local ID)2320/13064 (Archive number)2320/13064 (OAI)
Conference
2o Encontro de Enfermagem de Emergência Emergency Nursing Conference, Encuentro de Enfermería de Emergencias Local: 28 e 29 de Novembro 2013
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-10-14Bibliographically approved
Suserud, B.-O., Jonsson, A., Johansson, A. & Petzäll, K. (2013). Caring for patients at high speed. Emergency Nurse, 21(7), 14-18
Open this publication in new window or tab >>Caring for patients at high speed
2013 (English)In: Emergency Nurse, ISSN 1354-5752, E-ISSN 2047-8984, Vol. 21, no 7, p. 14-18Article in journal (Refereed) Published
Abstract [en]

Aim The aim of this article is to explore whether ambulance clinicians in Sweden perceive their working environment to be safe. Method Twenty four ambulance nurses and nine paramedics at five ambulance stations in urban and rural areas of Sweden were interviewed. Findings After transcripts of the interviews had been analysed, nine issues that affect how participants perceive the safety of patient care in ambulances emerged: planning before departure; use of safety belts; driving at high speeds; patient first, safety second; equipment design and placement; noise; driving styles; presence of relatives; documentation. Conclusion Ambulance personnel should have greater involvement in the design of ambulance care spaces and drivers should be given more regular training.

Place, publisher, year, edition, pages
R C N Publishing Co., 2013
Keywords
Prehospital akutsjukvård
National Category
Nursing
Research subject
Integrated Caring Science
Identifiers
urn:nbn:se:hb:diva-1692 (URN)10.7748/en2013.11.21.7.14.e1213 (DOI)24219684 (PubMedID)2320/13079 (Local ID)2320/13079 (Archive number)2320/13079 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-10-17Bibliographically approved
Hagiwara Andersson, M., Lundberg, L., Suserud, B.-O., Henricson, M., Sjökvist, B.-A. & Jonsson, A. (2013). Decision support system in prehospital care: a randomized controlled simulation study. American Journal of Emergency Medicine, 31(1), 143-153
Open this publication in new window or tab >>Decision support system in prehospital care: a randomized controlled simulation study
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2013 (English)In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 31, no 1, p. 143-153Article in journal (Refereed) Published
Abstract [en]

Introduction Prehospital emergency medicine is a challenging discipline characterized by a high level of acuity, a lack of clinical information and a wide range of clinical conditions. These factors contribute to the fact that prehospital emergency medicine is a high-risk discipline in terms of medical errors. Prehospital use of Computerized Decision Support System (CDSS) may be a way to increase patient safety but very few studies evaluate the effect in prehospital care. The aim of the present study is to evaluate a CDSS. Methods In this non-blind block randomized, controlled trial, 60 ambulance nurses participated, randomized into 2 groups. To compensate for an expected learning effect the groups was further divided in two groups, one started with case A and the other group started with case B. The intervention group had access to and treated the two simulated patient cases with the aid of a CDSS. The control group treated the same cases with the aid of a regional guideline in paper format. The performance that was measured was compliance with regional prehospital guidelines and On Scene Time (OST). Results There was no significant difference in the two group's characteristics. The intervention group had a higher compliance in the both cases, 80% vs. 60% (p < 0.001) but the control group was complete the cases in the half of the time compare to the intervention group (p < 0.001). Conclusion The results indicate that this CDSS increases the ambulance nurses' compliance with regional prehospital guidelines but at the expense of an increase in OST.

Place, publisher, year, edition, pages
W.B. Saunders Co., 2013
Keywords
Decision support system, Prehospital, Prehospital akutsjukvård
National Category
Other Clinical Medicine
Identifiers
urn:nbn:se:hb:diva-1341 (URN)10.1016/j.ajem.2012.06.030 (DOI)000312954600022 ()23000323 (PubMedID)2320/11554 (Local ID)2320/11554 (Archive number)2320/11554 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-11-19Bibliographically approved
Hagiwara, M., Suserud, B.-O., Jonsson, A. & Henricson, M. (2013). Exclusion of context knowledge in the development of prehospital guidelines: results produced by realistic evaluation.. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 21(46)
Open this publication in new window or tab >>Exclusion of context knowledge in the development of prehospital guidelines: results produced by realistic evaluation.
2013 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 21, no 46Article in journal (Refereed) Published
Abstract [en]

Background Prehospital work is accomplished using guidelines and protocols, but there is evidence suggesting that compliance with guidelines is sometimes low in the prehospital setting. The reason for the poor compliance is not known. The objective of this study was to describe how guidelines and protocols are used in the prehospital context. Methods This was a single-case study with realistic evaluation as a methodological framework. The study took place in an ambulance organization in Sweden. The data collection was divided into four phases, where phase one consisted of a literature screening and selection of a theoretical framework. In phase two, semi-structured interviews with the ambulance organization's stakeholders, responsible for the development and implementation of guidelines, were performed. The third phase, observations, comprised 30 participants from both a rural and an urban ambulance station. In the last phase, two focus group interviews were performed. A template analysis style of documents, interviews and observation protocols was used. Results The development of guidelines took place using an informal consensus approach, where no party from the end users was represented. The development process resulted in guidelines with an insufficiently adapted format for the prehospital context. At local level, there was a conscious implementation strategy with lectures and manikin simulation. The physical format of the guidelines was the main obstacle to explicit use. Due to the format, the ambulance personnel feel they have to learn the content of the guidelines by heart. Explicit use of the guidelines in the assessment of patients was uncommon. Many ambulance personnel developed homemade guidelines in both electronic and paper format. The ambulance personnel in the study generally took a positive view of working with guidelines and protocols and they regarded them as indispensable in prehospital care, but an improved format was requested by both representatives of the organization and the ambulance personnel. Conclusions The personnel take a positive view of the use of guidelines and protocols in prehospital work. The main obstacle to the use of guidelines and protocols in this organization is the format, due to the exclusion of context knowledge in the development process.

Place, publisher, year, edition, pages
BioMed Central Ltd., 2013
Keywords
Prehospital akutsjukvård
National Category
Nursing
Research subject
Integrated Caring Science
Identifiers
urn:nbn:se:hb:diva-1693 (URN)10.1186/1757-7241-21-46 (DOI)000321211200001 ()23799944 (PubMedID)2320/13080 (Local ID)2320/13080 (Archive number)2320/13080 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-12-01Bibliographically approved
Suserud, B.-O. (2013). Papel do Enfermeiro no Serviço de Emergência Sueco. In: : . Paper presented at 2º Encontro de Enfermagem de Emergência, Lisboa, 28 e 29 de Novembro 2013.
Open this publication in new window or tab >>Papel do Enfermeiro no Serviço de Emergência Sueco
2013 (Portuguese)Conference paper, Published paper (Refereed)
National Category
Nursing
Research subject
Integrated Caring Science
Identifiers
urn:nbn:se:hb:diva-6845 (URN)2320/12962 (Local ID)2320/12962 (Archive number)2320/12962 (OAI)
Conference
2º Encontro de Enfermagem de Emergência, Lisboa, 28 e 29 de Novembro 2013
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-10-14Bibliographically approved
Suserud, B.-O., Halabi, J., Abdalrahim, M., Olausson, S. & Lepp, M. (2012). Learning Through Drama in th Field of Global Nursing. In: : . Paper presented at 23rd International Nursing Research Congress, Brisbane, Australia.
Open this publication in new window or tab >>Learning Through Drama in th Field of Global Nursing
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2012 (English)Conference paper, Published paper (Refereed)
National Category
Medical and Health Sciences
Research subject
Integrated Caring Science
Identifiers
urn:nbn:se:hb:diva-6915 (URN)2320/11819 (Local ID)2320/11819 (Archive number)2320/11819 (OAI)
Conference
23rd International Nursing Research Congress, Brisbane, Australia
Note

http://www.nursinglibrary.org/vhl/

Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-10-14Bibliographically approved
Melby, V., Deeny, P., Andersson Hagiwara, M., Jonsson, A., Kängström, A., Kernohan, W. & Suserud, B.-O. (2012). Patient comfort in pre-hospital emergency care: A challenge to clinicians.. Journal of Paramedic Practice, 4(7), 389-399
Open this publication in new window or tab >>Patient comfort in pre-hospital emergency care: A challenge to clinicians.
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2012 (English)In: Journal of Paramedic Practice, ISSN 1759-1376, Vol. 4, no 7, p. 389-399Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this paper is to report on a study that compared ambulance clinicians' views of two different types of patient coverings, focusing on core caring concepts such as comfort, dignity, and safety. Design: Ambulance clinicians' views were gathered in respect of two types of patient coverings, and 128 ambulance patients were randomly distributed into a control or experimental group receiving respectively either the traditional cotton blanket or a multi-layered TelesPro rescue covering. Views were gathered using a short questionnaire developed by the authors. Findings: Ambulance clinicians, in their own view, maintained the core caring concepts no matter which type of covering was used. Findings suggest strongly that the rescue covering provided for a superior patient experience in respect of all core concepts and one functional aspect. Conclusions: Ambulance clinicians undertake caring that encompasses the core caring concepts of comfort, safety, and dignity, while remaining vigilant to threats to these constituents of caring.

Place, publisher, year, edition, pages
M A Healthcare Ltd., 2012
Keywords
prehospital akutsjukvård
National Category
Medical and Health Sciences
Research subject
Integrated Caring Science
Identifiers
urn:nbn:se:hb:diva-1454 (URN)2320/11818 (Local ID)2320/11818 (Archive number)2320/11818 (OAI)
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2018-02-20Bibliographically approved
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