title: Experiences of adding nurses to increase medical competence at an emergency medical dispatch centre.
abstract: BACKGROUND
  Prehospital care begins when the call is placed to the emergency medical dispatch (EMD) centre and ends when the patient is cared for at the emergency department. The highly technical and specialized character demands advanced medical competence. Communication problems, serious and unpredictable situations can often occur during the emergency calls. A two-year intervention study involved the addition of registered nurses to an EMD-centre team to increase medical competence.
  
  
  OBJECTIVE
  To describe registered nurses' and emergency-operators' experiences of working together at an EMD-centre after adding registered nurses to increase medical competence.
  
  
  METHODS
  Qualitative content analysis was used to analyse the text from interviews with four registered nurses and 15 emergency-operators involved in the intervention.
  
  
  RESULTS
  Initial frustration and scepticism changed to more positive experiences that resulted in improved cooperation and service. The registered nurses had difficulties dealing with the more urgently acute calls, while the emergency-operators had difficulties with the more complicated, somewhat diffuse cases. The two professions complemented each other.
  
  
  CONCLUSIONS
  Combining the registered nurses' and emergency-operators' knowledge and experience at an EMD-centre can perhaps improve the prehospital care for those requiring emergency medical care.
authors.affiliation: Centre for Nursing Science, Orebro University Hospital, P.O. Box 1324, SE-701 13 Orebro, Sweden. kerstin.forslund@orebroll.se
authors.forename: Kerstin
authors.initials: K
authors.lastname: Forslund
authors.forename: Mona
authors.initials: M
authors.lastname: Kihlgren
authors.forename: Venke
authors.initials: V
authors.lastname: Sorlie
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D003299:Cooperative Behavior; D004631:Emergency Medical Service Communication Systems / Q000458:organization & administration*; D004632:Emergency Medical Services / Q000458:organization & administration; D004634:Emergency Medical Technicians / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D005260:Female; D005639:Frustration; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D024382:Professional Role / Q000523:psychology; D036301:Qualitative Research; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013548:Sweden; D014218:Triage / Q000458:organization & administration