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Analysis of 141 nursing students' diaries and focus group interviews about their work with an ambulance service revealed the following: holistic nursing played a role; they developed appreciation for paramedics' skills; and experiential learning helped them understand the complete care process from the emergency call to patient discharge. (SK)

Background: There are challenges to person‐centred care provision in Emergency Medical Services (EMS) settings. The environment is often busy and noisy which can influence the experience of older people and their carer/partners when they attend emergency departments. Older people with mental health needs are a vulnerable group of people who are at risk of not having their needs met in acute care settings. This is due to complex presentations and increased pressures on the EMS system. Aim: The aim of the paper was to explore the care experience of older people with mental health needs and their carer/partners in pre‐hospital and in‐hospital Emergency Medical Services settings. Method: This study used an interpretive qualitative approach incorporating in‐depth, individual interviews to gather information on the experience of the older person with mental health needs and carers/partners. Data were analysed using Braun and Clarke's (2006) thematic analysis. Results: Fifteen individual interviews were carried out with older people with mental health needs (n = 10) and with carers/partners (n = 5). Six themes on 'Getting there, getting in and getting out', 'Seeing the person', 'Perceptions and experiences of the pre‐hospital and Emergency Department (ED)', 'The effects of the experience on personal well‐being', 'Older person/carer/partner perceptions and experiences of the EMS staff' and 'Making it better' emerged from the data. Conclusions: The results suggest that previous experiences with the emergency care system influence the way older people with mental health needs and their carers make decisions on current and future care needs. Negative experiences can be influenced by the layout and organisation of the ED. Participants remain reluctant to discuss or disclose their diagnosis in the Emergency Medical Services setting due to a perceived stigma. Health and social care systems and services need to undergo transformations to ensure that all people who access services are treated fairly and effectively. [ABSTRACT FROM AUTHOR]

Abstract Evidence suggests that children who are in pain and who present to emergency departments receive sub-optimal pain assessment and relief. Many factors contribute to this unacceptable quality of care, [...]

This paper sets out to demonstrate the need for accurate nursing assessment of patients admitted to A&E after acute myocardial infarction (MI). It considers the issues of communication, pain relief [...]

Aim: This study aimed to explore perceptions of people with spinal cord injuries regarding the information they received during their rehabilitation programme on post‐injury sexual functioning. Background: Spinal cord injury is a traumatic, life‐altering event that is associated with loss of motor and sensory function and sexual impairment. Existing evidence suggests that sexual issues are poorly handled during the rehabilitation phase of the patient's journey. Design A descriptive qualitative design was utilized in this study. Methods: Twenty‐nine people with spinal cord injury participated in qualitative in‐depth interviews between November 2017 and April 2018, and data were analysed using the Burnard (1991, https://doi.org/10.1016/0260-6917(91)90009-y) thematic analysis framework. Results: Some participants indicated they were sexually inactive prior to their spinal cord injury. They testified that they had not received information on post‐injury sexual functioning. Many participants who received post‐injury information on sexual functioning reported dissatisfaction with the content and timing of this information. Conclusion: Personal conversations between spinal cord injured patients and dedicated members of the interdisciplinary health team can enhance the quality of rehabilitation care and patients' satisfaction with rehabilitation care. Nurses are central clinicians in the rehabilitation programme of spinal cord injured patients and should engage in individually designed conversations about post‐injury sexual functioning. Summary statement: What is already known about this topic? Spinal cord injury causes significant disturbances of sexual functions and sexuality with potential serious implications for sexual relationships.Sexual health issues are considered important aspects of holistic care but are not routinely addressed in health‐care settings.Spinal cord injuries units provide rehabilitation for people with spinal cord injuries. What this paper adds? There are multiple barriers to providing high‐quality information on sexual functioning within the rehabilitation setting, associated with personal, clinician and systems‐related factors.Determinations regarding individualized plans for sexual health conversations must be collaborative with the patients and possibly their family members, considering the individual views of patients regarding the best timing, content and most appropriate method for such interventions.The experiences and views of people with spinal cord injury are diverse and probably culturally dependent, and there are inherent risks associated with stereotypical attitudes to sexual behaviour and age. The implications of this paper: Spinal cord rehabilitation services must respond to the identified unmet needs of people with spinal cord injury regarding education on sexual functioning.Multidisciplinary teams that utilize a holistic approach designed collaboratively with the individual with spinal cord injury will have the best potential for success.To be able to successfully realize rehabilitation standards, clinicians must be immersed in techniques and strategies that motivate and guide them in discussing sexual functioning and other sexual health‐related issues. [ABSTRACT FROM AUTHOR]