title: Nursing students' perceptions of learning nursing skills in the ambulance service.
abstract: Several previous studies have explored nursing students' perceptions of clinical learning at hospitals and in other health care facilities, but there are few studies exploring nursing students' perceptions of the clinical learning in the ambulance service. Therefore, the aim of this study was to explore nursing students' perceptions of learning nursing skills in the ambulance service. An inductive qualitative study design with two focus group interviews and content analysis was used. Two themes were identified. The first theme, professional skills, included: Assessment, Prioritizing and initiating care, and Medical treatment and evaluation of interventions. The second theme, a holistic approach to the care included: Cultural, social, and ethical aspects of caring, Decision-making in collaboration with patients, and Care provided in the patients' home.
  
  
  CONCLUSIONS
  The ambulance service provides a learning environment where the students face a multifaceted picture of health and illness. This learning environment helps nursing students to learn independently how to use professional nursing skills and how to care by employing a holistic approach. However, further research is needed to explore if and how this knowledge about nursing and caring in the ambulance service is useful when working as a Registered Nurse in other health care settings.
authors.affiliation: Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset & Academic EMS in Stockholm, Falk Ambulance, Stockholm, Sweden.
authors.forename: Tomas
authors.initials: T
authors.lastname: Nilsson
authors.affiliation: Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Section of Care Science & Academic EMS in Stockholm, Sweden. Electronic address: veronica.lindstrom@ki.se.
authors.forename: Veronica
authors.initials: V
authors.lastname: Lindström
mesh_terms: D000328:Adult; D000552:Ambulances / Q000458:organization & administration*; D002983:Clinical Competence / Q000592:standards; D004508:Education, Nursing, Baccalaureate / Q000592:standards*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D010465:Perception; D036301:Qualitative Research; D013338:Students, Nursing / Q000523:psychology*; D000078329:Workforce
keywords: Ambulance service; Learning environment; Nursing students; Prehospital emergency care