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Sjuksköterskans upplevelser av att använda det mekaniska hjälpmedlet LUCAS vid prehospitala hjärtstopp: En kvalitativ intervjustudie
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Introduktion av Lund University Cardiac Assist System (LUCAS) i ambulanssjukvården i samband med hjärtstopp har medfört en säkrare arbetsmiljö för ambulanspersonal. LUCAS frigör resurser och har upplevts som ett bra hjälpmedel som ökar säkerheten under transport. Forskning har dock inte visat på någon högre överlevnad jämfört med manuella kompressioner. År 2015 infördes LUCAS i ett landsting Sverige för att öka säkerheten för personalen under transport med pågående HLR. Syfte: Syftet med denna studie var att beskriva sjuksköterskans upplevelser av att använda det mekaniska hjälpmedlet LUCAS i samband med prehospitala hjärtstopp. Metod: En kvalitativ intervjustudie genomfördes och inkluderade 13 sjuksköterskor. Materialet analyserades med kvalitativ innehållsanalys. Resultat: Fem kategorier och 14 underkategorier framkom och beskrevs. Vårdkvalitén för patienter förändrades genom resursförstärkning. Patientsäkerhetsperspektivet påverkades och olika faktorer påverkade sjuksköterskans arbetsmiljö. Trygghet i handhavandet av LUCAS kopplades till kompetens och rutiner. Tillgängligheten av LUCAS upplevdes som oviss. Konklusion: LUCAS frigör resurser och skapar förutsättningar för ökad vårdkvalité och säkerhet under transport. Förflyttning kan vara problematisk och lägeskontroller är av stor vikt för att minska skaderisk. Tillgängligheten känns oviss och samverkan med räddningstjänst kan förbättra tillgängligheten. Tillgängligheten kan öka genom generellt införande av LUCAS i alla ambulanser.

Abstract [en]

Background: Introducing Lund University Cardiac Assist System (LUCAS) in the prehospital care for cardiac arrests has resulted in a safer work environment for the nurse. LUCAS releases resources and can be described as a good device that improves safety during transport. Research has, however, not shown any increased rates of patient survival, when compared to manual compressions. LUCAS was introduced in 2015 to a municipality in Sweden with the aim of increasing personnel safety during transport with ongoing CPR. Aim: The aim of this study was to describe the experiences of nurses using the mechanical device LUCAS during out-of-hospital cardiac arrests. Method: A qualitative interview study was conducted and 13 nurses were included. The material was analyzed with qualitative content analysis. Result: Five categories and 14 sub-categories were identified and described. The quality of care for patients was altered through resource reinforcement. Patient safety is affected and various factors pertaining to the work environment for nurses are identified. Secure administration of LUCAS was connected to competence and routines. Availability can be described as uncertain. Conclusion: LUCAS released resources contributing to increased quality of care and personnel safety during transport. Moving the patient could be troublesome and the placement of the device was critical in order to decrease the risk of injury. Device availability is currently uncertain. Cooperation with the fire rescue department could potentially improve availability. Availability can be increased through a general distribution of LUCAS to all ambulances vehicles.

Place, publisher, year, edition, pages
2016. , 36 p.
National Category
Nursing
Identifiers
URN: urn:nbn:se:kau:diva-41702OAI: oai:DiVA.org:kau-41702DiVA: diva2:919760
Subject / course
Emergency Care Specialist Nursing, Prehospital Nursing, Graduate Diploma*
Educational program
Study Programme for Specialist Nursing in Prehospital Nursing (60 ECTS credits)
Supervisors
Examiners
Available from: 2016-07-07 Created: 2016-04-14 Last updated: 2016-07-07Bibliographically approved

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