title: Need for compassion in prehospital and emergency care: a qualitative study on bus crash survivors' experiences.
abstract: OBJECTIVE
  To explore the survivors' experiences after a major bus crash.
  
  
  BACKGROUND
  Survivors' experiences of emergency care after transportation related major incidents are relatively unexplored, with research involving survivors mainly focused on pathological aspects or effects of crisis support.
  
  
  METHODS
  Semi-structured telephone interviews were conducted with 54 out of 56 surviving passengers 5 years after a bus crash in Sweden. Interviews were analyzed using qualitative content analysis.
  
  
  RESULTS
  Prehospital discomfort, lack of compassionate care, dissatisfaction with crisis support and satisfactory initial care and support are the categories. Lack of compassion in emergency departments was identified as a main finding. Lack of compassion caused distress among survivors and various needs for support were not met. Survivors' desire to be with their fellow survivors the day of the crash was not facilitated after arriving at emergency departments.
  
  
  CONCLUSIONS
  Connectedness among survivors ought to be promoted upon arrival at emergency departments. There is a need for emergency department professionals to be sufficiently educated in compassionate care.
authors.affiliation: Department of Surgery and Perioperative Sciences, Section of Surgery, Umeå University, SE-90187 Umeå, Sweden; Department of Nursing, Umeå University, SE-90187 Umeå, Sweden. Electronic address: isabelle.doohan@umu.se.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Doohan
authors.affiliation: Department of Surgery and Perioperative Sciences, Section of Surgery, Umeå University, SE-90187 Umeå, Sweden; Department of Nursing, Umeå University, SE-90187 Umeå, Sweden; Affiliated to Arctic Research Centre, Umeå University, SE-90187 Umeå, Sweden.
authors.forename: Britt-Inger
authors.initials: BI
authors.lastname: Saveman
mesh_terms: D000059:Accidents / Q000523:psychology; D004632:Emergency Medical Services / Q000592:standards*; D004636:Emergency Service, Hospital / Q000592:standards*; D004645:Empathy; D005260:Female; D006801:Humans; D008297:Male; D018986:Motor Vehicles; D036301:Qualitative Research; D017741:Survivors / Q000523:psychology*; D013548:Sweden
keywords: Compassionate care; Emergency medical services; Emergency nursing; Experiences; Interview; Qualitative research; Social support