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AIM: The study aimed to explore the experiences of care and recovery among older patients treated for physical trauma. DESIGN: A qualitative study with a constructivist grounded theory design. METHODS: Fifteen in-depth interviews with older adults recovering from physical trauma were conducted and analysed between 2019 and 2023, in accordance with grounded theory methodology. RESULTS: The findings show that for older patients who suffered physical trauma, the core category was the strive to recapture autonomy. This was achieved by means of Adaptation, Reflection and Interactions, which constitute the three main categories. Recovery involves facing and navigating various new life challenges, such as increased dependency on others, managing difficult symptoms and adapting in various ways to everyday life. The recovery process was influenced by fear, hope and the attitude towards new challenges. CONCLUSION: Older adults being cared for after a traumatic event have a difficult path to recovery ahead of them. Dealing with increased unwanted dependency on others was a main concern for the participants. Undertreated symptoms can lead to undesired isolation, delayed recovery and further increase unwanted dependency. On the other hand, hope, which was defined as having a positive approach to life and longing for the future, was a strong accelerating factor in the recovery process. IMPACT: As a result of this study, we have established that older patients experience the initial period after trauma as difficult and that support in the initial phase can be helpful when returning home. As healthcare services are under increasing pressure because of an ageing population, this study contributes by addressing an understudied population and clarifying their concerns. REPORTING METHOD: Reporting adheres to the COREQ (COnsolidated criteria for REporting Qualitative research) Checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient or public involvement.

AIM: The study aimed to explore the experiences of care and recovery among older patients treated for physical trauma. DESIGN: A qualitative study with a constructivist grounded theory design. METHODS: Fifteen in-depth interviews with older adults recovering from physical trauma were conducted and analysed between 2019 and 2023, in accordance with grounded theory methodology. RESULTS: The findings show that for older patients who suffered physical trauma, the core category was the strive to recapture autonomy. This was achieved by means of Adaptation, Reflection and Interactions, which constitute the three main categories. Recovery involves facing and navigating various new life challenges, such as increased dependency on others, managing difficult symptoms and adapting in various ways to everyday life. The recovery process was influenced by fear, hope and the attitude towards new challenges. CONCLUSION: Older adults being cared for after a traumatic event have a difficult path to recovery ahead of them. Dealing with increased unwanted dependency on others was a main concern for the participants. Undertreated symptoms can lead to undesired isolation, delayed recovery and further increase unwanted dependency. On the other hand, hope, which was defined as having a positive approach to life and longing for the future, was a strong accelerating factor in the recovery process. IMPACT: As a result of this study, we have established that older patients experience the initial period after trauma as difficult and that support in the initial phase can be helpful when returning home. As healthcare services are under increasing pressure because of an ageing population, this study contributes by addressing an understudied population and clarifying their concerns. REPORTING METHOD: Reporting adheres to the COREQ (COnsolidated criteria for REporting Qualitative research) Checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient or public involvement.

Objective: Despite participating in scenario training, many medical first responders (MFRs) perceive themselves as inadequately prepared to respond to mass casualty incidents (MCIs). The objective of this study was to conduct a comprehensive examination of traditional MCI scenario training methods, focusing on their inherent strengths and limitations. An investigation into the perceptions of MFRs who had participated in MCI scenario training was carried out to identify potential areas for improvement and provide recommendations for refining MCI training protocols. Design: Qualitative inductive approach using semistructured interviews that took place between October 2021 and February 2022. Data were analysed with qualitative content analysis. Setting: MCI scenario training involving four organisations (three emergency medical services and one search-and-rescue organisation) tasked with responding to MCIs, collectively representing four European Union countries. Participants: 27 MFRs (17 emergency medical services personnel and 10 search-and-rescue volunteers) were recruited to participate in the study. Results: Two categories and seven associated subcategories (shown in parentheses) were identified as influencing the learning outcomes for MFRs: Training in a context mirroring real-world incidents (conducting incident scene risk assessment, realistic representation in casualties, incorporating scenario variety into the curriculum, interagency collaboration, role alignment when training incident site management) and use of a pedagogical framework (allowing for mistakes, the importance of post-training evaluation). Conclusions: This study reaffirms the value of traditional MCI scenario training and identifies areas for enhancement, advocating for realistic scenarios, interagency collaboration, improved incident site management skills and thorough post-training evaluation. It suggests a shift in MCI training conceptualisation and delivery. The potential of virtual realit, Medical First Responder Training using a Mixed Reality Approach featuring haptic feedback for enhanced realism

Trauma är idag den vanligaste dödsorsaken bland personer i arbetsför ålder. För en patient som drabbas av trauma innebär att man på akutmottagningen tas emot av ett stort antal vårdpersonal. Arbetssättet som används vid traumaomhändertagande kännetecknas av effektivitet samt ett strukturerat arbetssätt för att kunna bedöma omfattningen av patientens skador och på ett snabbt och effektivt åtgärda dessa. Patienten som genomgår ett fysiskt trauma befinner sig i en utsatt situation, som sjuksköterska på en akutmottagning är det viktigt att inte glömma patientens omvårdnadsbehov i denna situation. Syftet med denna studie är att undersöka patientens upplevelse av traumaomhändertagandet på akutmottagningen. Som metod valde författarna att utföra en allmän litteraturöversikt för att svara på denna studies syfte. För att finna artiklar till resultatet utfördes sökningar i databaserna CINAHL och PubMed samt manuella sökningar. I resultatet inkluderades 15 vetenskapliga artiklar som publicerades mellan åren 2004–2023. Författarna använde sig av en integrativ analys som innebär att utifrån resultatet i de vetenskapliga artiklarna dra slutsatser och identifiera underliggande mönster för att sammanställa ett resultat. I resultatet av denna studie framkom det tre huvudkategorier: Patientens upplevda känslor under traumateamets omhändertagande, kommunikation och vårdpersonalens bemötande. Under huvudkategorierna framkom det även sex stycken underkategorier. I resultat framkommer att patienter generellt sätt är nöjda med det initiala omhändertagandet när stort fokus läggs på den enskilda patienten. Vidare framkommer det att inom vården finns det förbättringspotential gällande bemötande och samordning av den vidare vården. Slutsatsen av detta arbete är att kommunikationen har en stor betydelse för patientens upplevelse av traumaomhändertagandet och vidare vård efter det initiala omhändertagandet på akutmottagningen., Trauma is currently the most common cause of death among working-age individuals. When a patient experiences trauma, they are received by a large number of healthcare professionals in the emergency department. The approach used in trauma care is characterized by efficiency and a structured method to assess the extent of the patient’s injuries and promptly address them. Patients undergoing physical trauma are in a vulnerable situation, and as a nurse in an emergency department, it is important not to overlook their nursing needs in this situation. The purpose of this study is to examine the patient’s experience of the trauma care in the emergency department. The authors chose to conduct a general literature review as the method to address this study’s purpose. To find articles for the results, searches were conducted in the CINAHL and PubMed databases as well as manual searches. The results included 15 scientific articles published between 2004 and 2023. The authors used an integrative analysis to draw conclusions from the scientific articles’ results and identify underlying patterns to compile a result. The results of this study revealed three main themes: the patient’s experience of the initial care, communication, and the healthcare professionals’ approach. Within these main themes, six subcategories also emerged. The results indicate that patients are generally satisfied with the initial care when there is a strong focus on the individual patient. Furthermore, there is room for improvement in healthcare regarding attitude and coordination of further care. The conclusion of this work is that communication plays a significant role in the patient’s experience of the trauma care and subsequent care after the initial intervention.

Objective: Despite participating in scenario training, many medical first responders (MFRs) perceive themselves as inadequately prepared to respond to mass casualty incidents (MCIs). The objective of this study was to conduct a comprehensive examination of traditional MCI scenario training methods, focusing on their inherent strengths and limitations. An investigation into the perceptions of MFRs who had participated in MCI scenario training was carried out to identify potential areas for improvement and provide recommendations for refining MCI training protocols. Design: Qualitative inductive approach using semistructured interviews that took place between October 2021 and February 2022. Data were analysed with qualitative content analysis. Setting: MCI scenario training involving four organisations (three emergency medical services and one search-and-rescue organisation) tasked with responding to MCIs, collectively representing four European Union countries. Participants: 27 MFRs (17 emergency medical services personnel and 10 search-and-rescue volunteers) were recruited to participate in the study. Results: Two categories and seven associated subcategories (shown in parentheses) were identified as influencing the learning outcomes for MFRs: Training in a context mirroring real-world incidents (conducting incident scene risk assessment, realistic representation in casualties, incorporating scenario variety into the curriculum, interagency collaboration, role alignment when training incident site management) and use of a pedagogical framework (allowing for mistakes, the importance of post-training evaluation). Conclusions: This study reaffirms the value of traditional MCI scenario training and identifies areas for enhancement, advocating for realistic scenarios, interagency collaboration, improved incident site management skills and thorough post-training evaluation. It suggests a shift in MCI training conceptualisation and delivery. The potential of virtual realit, Medical First Responder Training using a Mixed Reality Approach featuring haptic feedback for enhanced realism

Objective: Despite participating in scenario training, many medical first responders (MFRs) perceive themselves as inadequately prepared to respond to mass casualty incidents (MCIs). The objective of this study was to conduct a comprehensive examination of traditional MCI scenario training methods, focusing on their inherent strengths and limitations. An investigation into the perceptions of MFRs who had participated in MCI scenario training was carried out to identify potential areas for improvement and provide recommendations for refining MCI training protocols. Design: Qualitative inductive approach using semistructured interviews that took place between October 2021 and February 2022. Data were analysed with qualitative content analysis. Setting: MCI scenario training involving four organisations (three emergency medical services and one search-and-rescue organisation) tasked with responding to MCIs, collectively representing four European Union countries. Participants: 27 MFRs (17 emergency medical services personnel and 10 search-and-rescue volunteers) were recruited to participate in the study. Results: Two categories and seven associated subcategories (shown in parentheses) were identified as influencing the learning outcomes for MFRs: Training in a context mirroring real-world incidents (conducting incident scene risk assessment, realistic representation in casualties, incorporating scenario variety into the curriculum, interagency collaboration, role alignment when training incident site management) and use of a pedagogical framework (allowing for mistakes, the importance of post-training evaluation). Conclusions: This study reaffirms the value of traditional MCI scenario training and identifies areas for enhancement, advocating for realistic scenarios, interagency collaboration, improved incident site management skills and thorough post-training evaluation. It suggests a shift in MCI training conceptualisation and delivery. The potential of virtual realit, Medical First Responder Training using a Mixed Reality Approach featuring haptic feedback for enhanced realism

Trauma är idag den vanligaste dödsorsaken bland personer i arbetsför ålder. För en patient som drabbas av trauma innebär att man på akutmottagningen tas emot av ett stort antal vårdpersonal. Arbetssättet som används vid traumaomhändertagande kännetecknas av effektivitet samt ett strukturerat arbetssätt för att kunna bedöma omfattningen av patientens skador och på ett snabbt och effektivt åtgärda dessa. Patienten som genomgår ett fysiskt trauma befinner sig i en utsatt situation, som sjuksköterska på en akutmottagning är det viktigt att inte glömma patientens omvårdnadsbehov i denna situation. Syftet med denna studie är att undersöka patientens upplevelse av traumaomhändertagandet på akutmottagningen. Som metod valde författarna att utföra en allmän litteraturöversikt för att svara på denna studies syfte. För att finna artiklar till resultatet utfördes sökningar i databaserna CINAHL och PubMed samt manuella sökningar. I resultatet inkluderades 15 vetenskapliga artiklar som publicerades mellan åren 2004–2023. Författarna använde sig av en integrativ analys som innebär att utifrån resultatet i de vetenskapliga artiklarna dra slutsatser och identifiera underliggande mönster för att sammanställa ett resultat. I resultatet av denna studie framkom det tre huvudkategorier: Patientens upplevda känslor under traumateamets omhändertagande, kommunikation och vårdpersonalens bemötande. Under huvudkategorierna framkom det även sex stycken underkategorier. I resultat framkommer att patienter generellt sätt är nöjda med det initiala omhändertagandet när stort fokus läggs på den enskilda patienten. Vidare framkommer det att inom vården finns det förbättringspotential gällande bemötande och samordning av den vidare vården. Slutsatsen av detta arbete är att kommunikationen har en stor betydelse för patientens upplevelse av traumaomhändertagandet och vidare vård efter det initiala omhändertagandet på akutmottagningen., Trauma is currently the most common cause of death among working-age individuals. When a patient experiences trauma, they are received by a large number of healthcare professionals in the emergency department. The approach used in trauma care is characterized by efficiency and a structured method to assess the extent of the patient’s injuries and promptly address them. Patients undergoing physical trauma are in a vulnerable situation, and as a nurse in an emergency department, it is important not to overlook their nursing needs in this situation. The purpose of this study is to examine the patient’s experience of the trauma care in the emergency department. The authors chose to conduct a general literature review as the method to address this study’s purpose. To find articles for the results, searches were conducted in the CINAHL and PubMed databases as well as manual searches. The results included 15 scientific articles published between 2004 and 2023. The authors used an integrative analysis to draw conclusions from the scientific articles’ results and identify underlying patterns to compile a result. The results of this study revealed three main themes: the patient’s experience of the initial care, communication, and the healthcare professionals’ approach. Within these main themes, six subcategories also emerged. The results indicate that patients are generally satisfied with the initial care when there is a strong focus on the individual patient. Furthermore, there is room for improvement in healthcare regarding attitude and coordination of further care. The conclusion of this work is that communication plays a significant role in the patient’s experience of the trauma care and subsequent care after the initial intervention.

AIM: The study aimed to explore the experiences of care and recovery among older patients treated for physical trauma. DESIGN: A qualitative study with a constructivist grounded theory design. METHODS: Fifteen in-depth interviews with older adults recovering from physical trauma were conducted and analysed between 2019 and 2023, in accordance with grounded theory methodology. RESULTS: The findings show that for older patients who suffered physical trauma, the core category was the strive to recapture autonomy. This was achieved by means of Adaptation, Reflection and Interactions, which constitute the three main categories. Recovery involves facing and navigating various new life challenges, such as increased dependency on others, managing difficult symptoms and adapting in various ways to everyday life. The recovery process was influenced by fear, hope and the attitude towards new challenges. CONCLUSION: Older adults being cared for after a traumatic event have a difficult path to recovery ahead of them. Dealing with increased unwanted dependency on others was a main concern for the participants. Undertreated symptoms can lead to undesired isolation, delayed recovery and further increase unwanted dependency. On the other hand, hope, which was defined as having a positive approach to life and longing for the future, was a strong accelerating factor in the recovery process. IMPACT: As a result of this study, we have established that older patients experience the initial period after trauma as difficult and that support in the initial phase can be helpful when returning home. As healthcare services are under increasing pressure because of an ageing population, this study contributes by addressing an understudied population and clarifying their concerns. REPORTING METHOD: Reporting adheres to the COREQ (COnsolidated criteria for REporting Qualitative research) Checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient or public involvement.

AIM: The study aimed to explore the experiences of care and recovery among older patients treated for physical trauma. DESIGN: A qualitative study with a constructivist grounded theory design. METHODS: Fifteen in-depth interviews with older adults recovering from physical trauma were conducted and analysed between 2019 and 2023, in accordance with grounded theory methodology. RESULTS: The findings show that for older patients who suffered physical trauma, the core category was the strive to recapture autonomy. This was achieved by means of Adaptation, Reflection and Interactions, which constitute the three main categories. Recovery involves facing and navigating various new life challenges, such as increased dependency on others, managing difficult symptoms and adapting in various ways to everyday life. The recovery process was influenced by fear, hope and the attitude towards new challenges. CONCLUSION: Older adults being cared for after a traumatic event have a difficult path to recovery ahead of them. Dealing with increased unwanted dependency on others was a main concern for the participants. Undertreated symptoms can lead to undesired isolation, delayed recovery and further increase unwanted dependency. On the other hand, hope, which was defined as having a positive approach to life and longing for the future, was a strong accelerating factor in the recovery process. IMPACT: As a result of this study, we have established that older patients experience the initial period after trauma as difficult and that support in the initial phase can be helpful when returning home. As healthcare services are under increasing pressure because of an ageing population, this study contributes by addressing an understudied population and clarifying their concerns. REPORTING METHOD: Reporting adheres to the COREQ (COnsolidated criteria for REporting Qualitative research) Checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient or public involvement.

Traumapatienter med allvarliga eller livshotande skador omhändertas ofta inom akutsjukvården. Vid akut traumaomhändertagande arbetar traumateamet strukturerat, automatiserat och multiprofessionellt nära patienten. Kunskap om vuxna patienters upplevelser av akut omhändertagande vid trauma är begränsat. Det är viktigt att öka sjuksköterskors kunskap om patienters upplevelser vid akut omhändertagande vid trauma, för att få förståelse om hur de kan få sina fysiska, psykosociala och relationella behov tillgodosedda. Sjuksköterskan behöver integrera vårdande handlingar för att patienterna skall känna sig omhändertagna och uppleva god vårdkvalitet och därmed minska deras lidande. Syftet var att undersöka vuxna patienters upplevelser av akut omhändertagande vid trauma. Metoden var en allmän litteraturöversikt med en systematisk ansats. Datainsamlingen utfördes på två databaser, CINAHL och PubMed. Sammanlagt inkluderades 14 kvalitativa artiklar och en kvantitativ artikel publicerade mellan år 2012–2022 som analyserades med en integrerad metod. I resultatet identifierades tre huvudkategorier och åtta underkategorier. Underkategorierna identifierades med stöd utifrån Fundamentals of Care mellersta dimension. Resultatet visade att huvudkategorierna; fysiska, psykosociala och relationella upplevelser var både positiva och negativa. Under de fysiska upplevelserna identifierades underkategorierna; rörelse och smärta, där patienter upplevde bristfällig smärtlindring och obehag av immobilisering, men även god smärtlindring och känsla av skydd. Under de psykosociala upplevelserna identifierades underkategorierna; kommunikation som kunde vara bristfällig, delaktighet och information med mest negativa upplevelser, värdighet och respekt och emotionella reaktioner innehöll både positiva och negativa upplevelser. Under de relationella upplevelserna identifierades underkategorierna; trygghet genom empati och medkänsla, trygghet genom engagemang och trygghet genom närvaro och stöd, där det, Trauma patients with serious or life-threatening injuries are often cared for in Emergency Medical Services. In acute trauma care, the multiprofessional trauma team works structured close to the patient. Knowledge of patients' experiences of acute trauma care is limited. It is important to increase nurses' knowledge of trauma patients' experiences of acute trauma care in order to gain an understanding of how trauma patients can have their physical, psychosocial and relational needs met. Nurses need to integrate caring actions in order for the patients to feel cared for and experience good quality of care and thereby reducing their suffering. The aim was to describe adult patients' experiences of acute trauma care. The method of the study was a general literature review with a systematic approach. Data collection was carried out in two databases; CINAHL and PubMed. A total of 14 qualitative articles and one quantitative article published between the years 2012–2022 was included and analyzed using an integrated method. In the results three main categories and eight subcategories were identified. The subcategories were identified with support based on the middle dimension of The Fundamentals of Care Framework. The results showed that under the main categories; physical, psychosocial and relational experiences were both positive and negative. Under physical experiences, the subcategories identified were; mobility and pain, where patients experienced discomfort from immobilization and inadequate pain relief, but also a sense of protection and adequate pain relief. Under psychosocial experiences, the subcategories identified were; communication that could be deficient, being involved and informed with most negative experiences, dignity and respect and emotional reactions contained both positive and negative experiences. Under the identified subcategories of relational experiences; feeling safe through empathy and compassion, feeling safe through commitment and feeling saf

Traumapatienter med allvarliga eller livshotande skador omhändertas ofta inom akutsjukvården. Vid akut traumaomhändertagande arbetar traumateamet strukturerat, automatiserat och multiprofessionellt nära patienten. Kunskap om vuxna patienters upplevelser av akut omhändertagande vid trauma är begränsat. Det är viktigt att öka sjuksköterskors kunskap om patienters upplevelser vid akut omhändertagande vid trauma, för att få förståelse om hur de kan få sina fysiska, psykosociala och relationella behov tillgodosedda. Sjuksköterskan behöver integrera vårdande handlingar för att patienterna skall känna sig omhändertagna och uppleva god vårdkvalitet och därmed minska deras lidande. Syftet var att undersöka vuxna patienters upplevelser av akut omhändertagande vid trauma. Metoden var en allmän litteraturöversikt med en systematisk ansats. Datainsamlingen utfördes på två databaser, CINAHL och PubMed. Sammanlagt inkluderades 14 kvalitativa artiklar och en kvantitativ artikel publicerade mellan år 2012–2022 som analyserades med en integrerad metod. I resultatet identifierades tre huvudkategorier och åtta underkategorier. Underkategorierna identifierades med stöd utifrån Fundamentals of Care mellersta dimension. Resultatet visade att huvudkategorierna; fysiska, psykosociala och relationella upplevelser var både positiva och negativa. Under de fysiska upplevelserna identifierades underkategorierna; rörelse och smärta, där patienter upplevde bristfällig smärtlindring och obehag av immobilisering, men även god smärtlindring och känsla av skydd. Under de psykosociala upplevelserna identifierades underkategorierna; kommunikation som kunde vara bristfällig, delaktighet och information med mest negativa upplevelser, värdighet och respekt och emotionella reaktioner innehöll både positiva och negativa upplevelser. Under de relationella upplevelserna identifierades underkategorierna; trygghet genom empati och medkänsla, trygghet genom engagemang och trygghet genom närvaro och stöd, där det, Trauma patients with serious or life-threatening injuries are often cared for in Emergency Medical Services. In acute trauma care, the multiprofessional trauma team works structured close to the patient. Knowledge of patients' experiences of acute trauma care is limited. It is important to increase nurses' knowledge of trauma patients' experiences of acute trauma care in order to gain an understanding of how trauma patients can have their physical, psychosocial and relational needs met. Nurses need to integrate caring actions in order for the patients to feel cared for and experience good quality of care and thereby reducing their suffering. The aim was to describe adult patients' experiences of acute trauma care. The method of the study was a general literature review with a systematic approach. Data collection was carried out in two databases; CINAHL and PubMed. A total of 14 qualitative articles and one quantitative article published between the years 2012–2022 was included and analyzed using an integrated method. In the results three main categories and eight subcategories were identified. The subcategories were identified with support based on the middle dimension of The Fundamentals of Care Framework. The results showed that under the main categories; physical, psychosocial and relational experiences were both positive and negative. Under physical experiences, the subcategories identified were; mobility and pain, where patients experienced discomfort from immobilization and inadequate pain relief, but also a sense of protection and adequate pain relief. Under psychosocial experiences, the subcategories identified were; communication that could be deficient, being involved and informed with most negative experiences, dignity and respect and emotional reactions contained both positive and negative experiences. Under the identified subcategories of relational experiences; feeling safe through empathy and compassion, feeling safe through commitment and feeling saf

Bakgrund Trauma orsakas oftast av högenergivåld och de flesta som råkar ut för trauma är personer mellan 18 och 64 år. Sjuksköterskans ansvar vid omhändertagande av patienter som har råkat ut för trauma är att utföra personcentrerad omvårdnad med omvårdnadsprocessen som stöd. För att kunna tillgodose patientens behov i samband med omhändertagande av patienter som råkat ut för trauma behöver sjuksköterskan förstå vilka omvårdnadsbehoven är. Syfte Syftet var att identifiera omvårdnadsbehov hos patienter som blivit omhändertagna på sjukhus efter att ha råkat ut för trauma. Metod Studien genomfördes som en strukturerad litteraturstudie med inslag av den metodologi som används vid systematiska översikt med en kvalitativ ansats. För sökningen användes databaserna CINAHL och PubMed där tolv artiklar identifierades och sedan analyserades. Resultat I resultatet identifierades två kategorier och sex underkategorier som belyser att patienter som har råkat ut för trauma har flertalet fysiska- och psykiska omvårdnadsbehov i samband med omhändertagandet. Fysiska behov som identifierats är behov av adekvat smärtlindring, behov av varsamhet vid förflyttning samt behov av stöttning vid daglig aktivitet. Psykiska behov som identifierats är trygghet, närvaro, bemötande samt känslomässigt stöd. Framför allt de psykiska behoven hos patienter som råkat ut för trauma behöver fyllas av sjuksköterskan. Slutsats Vid utförande av personcentrerad omvårdnad kan patientens psykiska behov i högre grad tillgodoses., Background Trauma is often caused by high energy mechanisms and often affects younger people between 18 and 64 years. Nurses’ responsibility for trauma care is to perform personcentred nursing with the nursing process as support. The nurse needs to understand patients’ needs to be able to meet them in connection with trauma care. Aim The aim of this study was to identify patients caring needs while receiving hospital care after suffering from trauma. Method This study was implemented as a structured literature study with the elements of the methodology used in systematic reviews with a qualitative approach. The databases CINAHL and PubMed were used for searching articles and twelve articles were identified and analysed. Results In the result two categories and six subcategories describe patients caring needs after suffering from trauma. Physical needs that have been identified are the need of pain relief, need of caution when moving and need of support during daily activities. Mental needs that have been identified are the need of security, need of presence, need of good reception, and need of emotional support. Above all, the mental needs of patients suffering from trauma need to be met by the nurse. Conclusions If nurses perform a person- centred nursing, the patient’s mental needs are met to a greater extent.

Bakgrund Trauma orsakas oftast av högenergivåld och de flesta som råkar ut för trauma är personer mellan 18 och 64 år. Sjuksköterskans ansvar vid omhändertagande av patienter som har råkat ut för trauma är att utföra personcentrerad omvårdnad med omvårdnadsprocessen som stöd. För att kunna tillgodose patientens behov i samband med omhändertagande av patienter som råkat ut för trauma behöver sjuksköterskan förstå vilka omvårdnadsbehoven är. Syfte Syftet var att identifiera omvårdnadsbehov hos patienter som blivit omhändertagna på sjukhus efter att ha råkat ut för trauma. Metod Studien genomfördes som en strukturerad litteraturstudie med inslag av den metodologi som används vid systematiska översikt med en kvalitativ ansats. För sökningen användes databaserna CINAHL och PubMed där tolv artiklar identifierades och sedan analyserades. Resultat I resultatet identifierades två kategorier och sex underkategorier som belyser att patienter som har råkat ut för trauma har flertalet fysiska- och psykiska omvårdnadsbehov i samband med omhändertagandet. Fysiska behov som identifierats är behov av adekvat smärtlindring, behov av varsamhet vid förflyttning samt behov av stöttning vid daglig aktivitet. Psykiska behov som identifierats är trygghet, närvaro, bemötande samt känslomässigt stöd. Framför allt de psykiska behoven hos patienter som råkat ut för trauma behöver fyllas av sjuksköterskan. Slutsats Vid utförande av personcentrerad omvårdnad kan patientens psykiska behov i högre grad tillgodoses., Background Trauma is often caused by high energy mechanisms and often affects younger people between 18 and 64 years. Nurses’ responsibility for trauma care is to perform personcentred nursing with the nursing process as support. The nurse needs to understand patients’ needs to be able to meet them in connection with trauma care. Aim The aim of this study was to identify patients caring needs while receiving hospital care after suffering from trauma. Method This study was implemented as a structured literature study with the elements of the methodology used in systematic reviews with a qualitative approach. The databases CINAHL and PubMed were used for searching articles and twelve articles were identified and analysed. Results In the result two categories and six subcategories describe patients caring needs after suffering from trauma. Physical needs that have been identified are the need of pain relief, need of caution when moving and need of support during daily activities. Mental needs that have been identified are the need of security, need of presence, need of good reception, and need of emotional support. Above all, the mental needs of patients suffering from trauma need to be met by the nurse. Conclusions If nurses perform a person- centred nursing, the patient’s mental needs are met to a greater extent.

Bakgrund Idag är fysiska traumaskador en av de absolut vanligaste dödsorsakerna i utvecklade länder för personer under 40 år. Sjuksköterskan tillhör den profession som möter och omhändertar traumapatienter dagligen vid ankomst på akutmottagningen, där omvårdnaden är centralt i sjuksköterskans roll. Studier visar på varierad erfarenhet och upplevelser bland sjuksköterskor som arbetar på akutmottagning, och deras professionella roll och ansvar i vårdandet av traumapatienter. Syfte Syftet var att beskriva sjuksköterskans omvårdnadsansvar vid omhändertagandet av traumapatienter på akutmottagning. Metod Den valda metoden i denna studie var en litteraturöversikt. Datainsamlingen genomfördes i januari 2020, där författarna använde sig av databaserna CINAHL samt Psycinfo för att identifiera artiklar som besvarade studiens syfte. Samtliga artiklar genomgick en kvalitetsgranskning och integrerad analys för att sammanställa de 16 artiklar som slutligen ingick i resultatet. Resultat Resultatet resulterade i tre kategorier utifrån sjuksköterskans upplevelse av att vårda traumapatienter: Teamwork, utbildning och emotionella utmaningar. Tydlig kommunikation, teamarbete och utbildning är essentiella aspekter för att främja sjuksköterskans roll i omvårdnadsarbetet av traumapatienter. Resultatet illustrerar behovet av adekvat utbildning för att stärka sjuksköterskans roll i vårdmötet med traumapatienter. Traumaskador är något man möter överallt och bör därför vara en tydlig del i utbildningen av nya sjuksköterskor, för att öka sjuksköterskans självtillit i att kunna hantera osäkra situationer. Slutsats Tydlig kommunikation, ett välfungerande teamarbete, kunskap, erfarenhet och utbildning är essentiella aspekter för att främja sjuksköterskans roll i omvårdnad av traumapatienter. Resultatet illustrerar behovet av adekvat utbildning, erfarenhet och träning inför vårdmötet av traumapatienter för att stärka sjuksköterskan i sin roll., Background Today, physical trauma injuries are one of the most common causes of death in developed countries for people under 40 years of age. The nurse belongs to the profession that meets and cares for trauma patients daily on arrival at the emergency department, where nursing is central to the nurse's role. Studies show varied experience and experiences among nurses working in the emergency department, and their professional role and responsibility in the care of trauma patients. Aim The purpose was to describe the nurse's nursing responsibility in the care of trauma patients in the emergency department. Method The chosen method in this study was a literature review. The data collection was carried out in January 2020, where the authors used the databases CINAHL and Psycinfo to identify articles that responded to the aim of the study. All articles underwent a quality review and integrated analysis to compile the 16 articles that were finally included in the results. Results The results resulted in three categories based on the nurse's experience of caring for trauma patients: teamwork, education, and emotional challenges. Clear communication, teamwork and education are essential aspects to promote the nurse's role in the nursing work of trauma patients. The results illustrate the need for adequate training to strengthen the nurse's role in the care encounter of trauma patients. Trauma injuries are something you encounter everywhere and should therefore be a clear part of the training of new nurses, in order to increase the nurse's self-confidence in being able to handle uncertain situations. Conclusions Clear communication, well-functioning teamwork, knowledge, experience and training are essential aspects to promote the nurse's role in the care of trauma patients. The results illustrate the need for adequate education, experience and training prior to the care meeting of trauma patients to strengthen the nurse in her role

Bakgrund Idag är fysiska traumaskador en av de absolut vanligaste dödsorsakerna i utvecklade länder för personer under 40 år. Sjuksköterskan tillhör den profession som möter och omhändertar traumapatienter dagligen vid ankomst på akutmottagningen, där omvårdnaden är centralt i sjuksköterskans roll. Studier visar på varierad erfarenhet och upplevelser bland sjuksköterskor som arbetar på akutmottagning, och deras professionella roll och ansvar i vårdandet av traumapatienter. Syfte Syftet var att beskriva sjuksköterskans omvårdnadsansvar vid omhändertagandet av traumapatienter på akutmottagning. Metod Den valda metoden i denna studie var en litteraturöversikt. Datainsamlingen genomfördes i januari 2020, där författarna använde sig av databaserna CINAHL samt Psycinfo för att identifiera artiklar som besvarade studiens syfte. Samtliga artiklar genomgick en kvalitetsgranskning och integrerad analys för att sammanställa de 16 artiklar som slutligen ingick i resultatet. Resultat Resultatet resulterade i tre kategorier utifrån sjuksköterskans upplevelse av att vårda traumapatienter: Teamwork, utbildning och emotionella utmaningar. Tydlig kommunikation, teamarbete och utbildning är essentiella aspekter för att främja sjuksköterskans roll i omvårdnadsarbetet av traumapatienter. Resultatet illustrerar behovet av adekvat utbildning för att stärka sjuksköterskans roll i vårdmötet med traumapatienter. Traumaskador är något man möter överallt och bör därför vara en tydlig del i utbildningen av nya sjuksköterskor, för att öka sjuksköterskans självtillit i att kunna hantera osäkra situationer. Slutsats Tydlig kommunikation, ett välfungerande teamarbete, kunskap, erfarenhet och utbildning är essentiella aspekter för att främja sjuksköterskans roll i omvårdnad av traumapatienter. Resultatet illustrerar behovet av adekvat utbildning, erfarenhet och träning inför vårdmötet av traumapatienter för att stärka sjuksköterskan i sin roll., Background Today, physical trauma injuries are one of the most common causes of death in developed countries for people under 40 years of age. The nurse belongs to the profession that meets and cares for trauma patients daily on arrival at the emergency department, where nursing is central to the nurse's role. Studies show varied experience and experiences among nurses working in the emergency department, and their professional role and responsibility in the care of trauma patients. Aim The purpose was to describe the nurse's nursing responsibility in the care of trauma patients in the emergency department. Method The chosen method in this study was a literature review. The data collection was carried out in January 2020, where the authors used the databases CINAHL and Psycinfo to identify articles that responded to the aim of the study. All articles underwent a quality review and integrated analysis to compile the 16 articles that were finally included in the results. Results The results resulted in three categories based on the nurse's experience of caring for trauma patients: teamwork, education, and emotional challenges. Clear communication, teamwork and education are essential aspects to promote the nurse's role in the nursing work of trauma patients. The results illustrate the need for adequate training to strengthen the nurse's role in the care encounter of trauma patients. Trauma injuries are something you encounter everywhere and should therefore be a clear part of the training of new nurses, in order to increase the nurse's self-confidence in being able to handle uncertain situations. Conclusions Clear communication, well-functioning teamwork, knowledge, experience and training are essential aspects to promote the nurse's role in the care of trauma patients. The results illustrate the need for adequate education, experience and training prior to the care meeting of trauma patients to strengthen the nurse in her role