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A Retrospective Review of Patient Records and Factors Associated with Decisions Made by Community Nurse-Paramedics’ in Finland
Community paramedicine (CP) has extended the role of paramedics and the main goal is to provide non-emergency care, which reduces the visits to emergency departments. The aim of this study was to describe the Finnish CP and examine the factors that were involved in CNPs’ decision-making processes. T...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608054/ https://www.ncbi.nlm.nih.gov/pubmed/34968343 http://dx.doi.org/10.3390/nursrep11030065 |
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author | Rasku, Tuija Helminen, Mika Kaunonen, Marja Thyer, Elizabeth Paavilainen, Eija Joronen, Katja |
author_facet | Rasku, Tuija Helminen, Mika Kaunonen, Marja Thyer, Elizabeth Paavilainen, Eija Joronen, Katja |
author_sort | Rasku, Tuija |
collection | PubMed |
description | Community paramedicine (CP) has extended the role of paramedics and the main goal is to provide non-emergency care, which reduces the visits to emergency departments. The aim of this study was to describe the Finnish CP and examine the factors that were involved in CNPs’ decision-making processes. The study was based on data from 450 consecutive CP patient records from three hospital districts. A more detailed analysis was carried out on 339 cases in patients’ homes and elderly care homes, and the data analysis included multivariate logistic regression to examine the impact of variables on the CNPs’ decisions. These patients’ most common health issues were general weakness (15.9%) and fever (10.6%), and over half (58.7%) could remain at home after the CP visit. There were five independent factors associated with the CNPs’ decisions of the patient’s care continuum: the hospital district, if the patient could walk, whether the troponin test was performed, a physician was consulted, and the nature of the task. CP units played a valuable role in non-emergency care. Understanding the factors associated with CNP decision-making can increase the safety and effectiveness of reducing hospital visits, by providing patient care at home, or in elderly care facilities. |
format | Online Article Text |
id | pubmed-8608054 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-86080542021-12-28 A Retrospective Review of Patient Records and Factors Associated with Decisions Made by Community Nurse-Paramedics’ in Finland Rasku, Tuija Helminen, Mika Kaunonen, Marja Thyer, Elizabeth Paavilainen, Eija Joronen, Katja Nurs Rep Article Community paramedicine (CP) has extended the role of paramedics and the main goal is to provide non-emergency care, which reduces the visits to emergency departments. The aim of this study was to describe the Finnish CP and examine the factors that were involved in CNPs’ decision-making processes. The study was based on data from 450 consecutive CP patient records from three hospital districts. A more detailed analysis was carried out on 339 cases in patients’ homes and elderly care homes, and the data analysis included multivariate logistic regression to examine the impact of variables on the CNPs’ decisions. These patients’ most common health issues were general weakness (15.9%) and fever (10.6%), and over half (58.7%) could remain at home after the CP visit. There were five independent factors associated with the CNPs’ decisions of the patient’s care continuum: the hospital district, if the patient could walk, whether the troponin test was performed, a physician was consulted, and the nature of the task. CP units played a valuable role in non-emergency care. Understanding the factors associated with CNP decision-making can increase the safety and effectiveness of reducing hospital visits, by providing patient care at home, or in elderly care facilities. MDPI 2021-08-31 /pmc/articles/PMC8608054/ /pubmed/34968343 http://dx.doi.org/10.3390/nursrep11030065 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Rasku, Tuija Helminen, Mika Kaunonen, Marja Thyer, Elizabeth Paavilainen, Eija Joronen, Katja A Retrospective Review of Patient Records and Factors Associated with Decisions Made by Community Nurse-Paramedics’ in Finland |
title | A Retrospective Review of Patient Records and Factors Associated with Decisions Made by Community Nurse-Paramedics’ in Finland |
title_full | A Retrospective Review of Patient Records and Factors Associated with Decisions Made by Community Nurse-Paramedics’ in Finland |
title_fullStr | A Retrospective Review of Patient Records and Factors Associated with Decisions Made by Community Nurse-Paramedics’ in Finland |
title_full_unstemmed | A Retrospective Review of Patient Records and Factors Associated with Decisions Made by Community Nurse-Paramedics’ in Finland |
title_short | A Retrospective Review of Patient Records and Factors Associated with Decisions Made by Community Nurse-Paramedics’ in Finland |
title_sort | retrospective review of patient records and factors associated with decisions made by community nurse-paramedics’ in finland |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608054/ https://www.ncbi.nlm.nih.gov/pubmed/34968343 http://dx.doi.org/10.3390/nursrep11030065 |
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