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Background <p>Emergency care faces increasing pressure, with extended waiting times and strained resources. Medical Emergency Teams (METs) combine expertise from emergency departments and ambulance services to deliver coordinated emergency care in patients’ homes. This study explores nurses’ and physicians’ experiences and actions when providing such care.</p> Method <p>This qualitative study used the Critical Incident Technique with an inductive approach. Seventeen individual interviews were conducted with nurses and physicians from two METs in southwestern Sweden. All 22 clinicians were eligible and invited to participate, and no exclusion criteria were applied. Data were collected between November 2023 and January 2024 and analyzed using content analysis.</p> Results <p>Participants reported that collaboration within MET was sometimes insufficient, limiting the full use of team skills. However, in time-critical situations, teamwork became more cohesive. Actions included understanding patients situations and preferences and fostering collaboration with other care providers. Experience over time helped clinicians identify which patients could safely remain at home.</p> Conclusion <p>Delivering emergency care at home allows clinicians to gain deeper insight into patients’ everyday lives and provide more comprehensive care. This shift may reduce care fragmentation and help identify contextual risks often overlooked in hospital-based settings.</p>

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Nurses’ and physicians’ experience and actions in mobile emergency teams: a critical incident study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月11日

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  • Åsa Falchenberg,
  • Anders Sterner,
  • Gabriella Norberg Boysen,
  • Henrik Andersson,
  • Ulf Andersson

摘要

Background

Emergency care faces increasing pressure, with extended waiting times and strained resources. Medical Emergency Teams (METs) combine expertise from emergency departments and ambulance services to deliver coordinated emergency care in patients’ homes. This study explores nurses’ and physicians’ experiences and actions when providing such care.

Method

This qualitative study used the Critical Incident Technique with an inductive approach. Seventeen individual interviews were conducted with nurses and physicians from two METs in southwestern Sweden. All 22 clinicians were eligible and invited to participate, and no exclusion criteria were applied. Data were collected between November 2023 and January 2024 and analyzed using content analysis.

Results

Participants reported that collaboration within MET was sometimes insufficient, limiting the full use of team skills. However, in time-critical situations, teamwork became more cohesive. Actions included understanding patients situations and preferences and fostering collaboration with other care providers. Experience over time helped clinicians identify which patients could safely remain at home.

Conclusion

Delivering emergency care at home allows clinicians to gain deeper insight into patients’ everyday lives and provide more comprehensive care. This shift may reduce care fragmentation and help identify contextual risks often overlooked in hospital-based settings.