title: Reflective and collaborative skills enhances Ambulance nurses' competence - A study based on qualitative analysis of professional experiences.
abstract: BACKGROUND
  The Swedish ambulance health care services are changing and developing, with the ambulance nurse playing a central role in the development of practice. The competence required by ambulance nurses in the profession remains undefined and provides a challenge. The need for a clear and updated description of ambulance nurses' competence, including the perspective of professional experiences, seems to be essential.
  
  
  OBJECTIVE
  The aim of this study was to elucidate ambulance nurses' professional experiences and to describe aspects affecting their competence.
  
  
  METHODS
  For data collection, the study used the Critical Incident Technique, interviewing 32 ambulance nurses. A qualitative content analysis was applied.
  
  
  CONCLUSIONS
  This study elucidates essential parts of the development, usage and perceptions of the competence of ambulance nurses and how, in various ways, this is affected by professional experiences. The development of competence is strongly affected by the ability and possibility to reflect on practice on a professional and personal level, particularly in cooperation with colleagues. Experiences and communication skills are regarded as decisive in challenging clinical situations. The way ambulance nurses perceive their own competence is closely linked to patient outcome. The results of this study can be used in professional and curriculum development.
authors.affiliation: Department of Health Sciences, Faculty of Medicine, Lund University, Health Sciences Centre, 221 00 Lund, Sweden. Electronic address: jonas.wihlborg@med.lu.se.
authors.forename: Jonas
authors.initials: J
authors.lastname: Wihlborg
authors.affiliation: Centre for Teaching and Learning, Faculty of Medicine, Lund University, 221 00 Lund, Sweden.
authors.forename: Gudrun
authors.initials: G
authors.lastname: Edgren
authors.affiliation: Department of Health Sciences, Faculty of Medicine, Lund University, Health Sciences Centre, 221 00 Lund, Sweden.
authors.forename: Anders
authors.initials: A
authors.lastname: Johansson
authors.affiliation: Department of Health Sciences, Faculty of Medicine, Lund University, Health Sciences Centre, 221 00 Lund, Sweden.
authors.forename: Bengt
authors.initials: B
authors.lastname: Sivberg
mesh_terms: D000552:Ambulances; D002983:Clinical Competence / Q000592:standards*; D003299:Cooperative Behavior; D004632:Emergency Medical Services / Q000379:methods*; D006801:Humans; D007400:Interprofessional Relations; D009726:Nurses / Q000592:standards*; D009746:Nursing, Team / Q000379:methods / Q000592:standards; D009936:Organizational Innovation; D036301:Qualitative Research; D013548:Sweden; D013647:Task Performance and Analysis; D000078329:Workforce
keywords: Ambulance care; Ambulance nurse; Critical incident technique; Nursing; Prehospital emergency care; Professional competence; Qualitative content analysis