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dc.contributor.authorHammarbäck, Staffan
dc.contributor.authorHolmberg, Mats
dc.contributor.authorWiklund Gustin, Lena
dc.contributor.authorBremer, Anders
dc.date.accessioned2023-08-29T08:34:24Z
dc.date.available2023-08-29T08:34:24Z
dc.date.issued2023-04-07
dc.description.abstractBackground - Even though the traditional focus in emergency care is on life-threatening medical crisis, ambulance clinicians frequently encounter patients with mental illness, including suicidal ideation. A suicide is preceded by a complex process where most of the suicidal ideation is invisible to others. However, as most patients seek healthcare in the year before suicide, ambulance clinicians could have an important part to play in preventing suicide, as they encounter patients in different phases of the suicidal process.<p> <p>Aim - The aim of this study was to describe ambulance clinicians’ conceptions of responsibility when encountering patients in a suicidal process.<p> <p>Research design - A qualitative inductive design using a phenomenographic approach was used.<p> <p>Participants and research context - Twenty-seven ambulance clinicians from two regions in southern Sweden were interviewed.<p> <p>Ethical considerations - The study was approved by the Swedish Ethical Review Authority.<p> <p>Findings - Three categories of descriptions captured a movement from responding to a biological being to responding to a social being. Conventional responsibility was perceived as a primary responsibility for emergency care. In conditional responsibility, the patient’s mental illness was given only limited importance and only if certain conditions were met. Ethical responsibility was perceived to have its primary focus on the encounter with the patient and listening to the patient’s life story.<p> <p>Conclusions - An ethical responsibility is favourable regarding suicide prevention in ambulance care, and competence development in mental illness and conversation skills could enable ambulance clinicians to have conversations with patients about suicidal ideation.en_US
dc.identifier.citationHammarbäck, Holmberg, Wiklund Gustin, Bremer. Ambulance clinicians’ responsibility when encountering patients in a suicidal process. Nursing Ethics. 2023
dc.identifier.cristinIDFRIDAID 2159184
dc.identifier.doi10.1177/09697330221149102
dc.identifier.issn0969-7330
dc.identifier.issn1477-0989
dc.identifier.urihttps://hdl.handle.net/10037/30495
dc.language.isoengen_US
dc.publisherSAGE Publicationsen_US
dc.relation.journalNursing Ethics
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleAmbulance clinicians’ responsibility when encountering patients in a suicidal processen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)