Räddningsaktörers tidiga närvaro vid akuta situationer på svensk landsbygd

Aim: The overall aim was to describe the first responders´ (FRs) experiences ofarriving early at emergency situations in rural areas in Sweden and the characteristicfeatures of the assignments they encounter. The four studies aimed to: describe critical incidents in which ambulance nurses experience worry in their professional life and the actions they take in order to prevent and cope with it (I), explore and describe experiences of the First Incident Person (FIP) assignment within an Fire Department (FD) (II), describe experiences of the While Waiting for the Ambulance (WWFA) assignment, as experienced by home healthcare nurses (III) and map out and describe WWFA assignments focusing on frequency, event time,CardioPulmonary Resuscitation (CPR) and survival >30 days after performed CPR (IV). Methods: The four studies in this thesis had both descriptive and explorative designs. They were analysed with qualitative and quantitative analysis methods. Results: By dispatching FRs in rural areas an early presence at the scene of anaccident or emergency situation can be secured, which prevent full scenarios to happen and increase the possibility to save lives. However, FRs are worried about specific emergency situations as well as situations related to their work environment.Leaving ongoing work tasks cause ethical dilemmas and inner emotional worries why support before, during and after an FR assignment is sought for. Conclusions: Generating effective interprofessional collaboration during FR assignment requires that the FRs work conditions are adopted to the assignment requirements for immediate response. The feeling of security disappears when the FRs are excluded from the group affiliation and the need to feel support in new interprofessional collaboration structures becomes clear. Support function based on individual requests is to be designed. Continuous collaborative exercises are required where all involved FRs participate