Family & bystander experiences of emergency ambulance services care: a scoping review

Article


Satchell, Eillish, Carey, Melissa, Dicker, Bridget, Drake, Haydn, Gott, Merryn, Moeke-Maxwell, Tess and Anderson, Natalie. 2023. "Family & bystander experiences of emergency ambulance services care: a scoping review." BMC Emergency Medicine. 23. https://doi.org/10.1186/s12873-023-00829-3
Article Title

Family & bystander experiences of emergency ambulance services care: a scoping review

ERA Journal ID42227
Article CategoryArticle
AuthorsSatchell, Eillish, Carey, Melissa, Dicker, Bridget, Drake, Haydn, Gott, Merryn, Moeke-Maxwell, Tess and Anderson, Natalie
Journal TitleBMC Emergency Medicine
Journal Citation23
Article Number68
Number of Pages17
Year2023
ISSN1471-227X
Digital Object Identifier (DOI)https://doi.org/10.1186/s12873-023-00829-3
Web Address (URL)https://link.springer.com/article/10.1186/s12873-023-00829-3
Abstract

Background
Emergency ambulance personnel respond to a variety of incidents in the community, including medical, trauma and obstetric emergencies. Family and bystanders present on scene may provide first aid, reassurance, background information or even act as proxy decision-makers. For most people, involvement in any event requiring an emergency ambulance response is a stressful and salient experience. The aim of this scoping review is to identify and synthesise all published, peer-reviewed research describing family and bystanders’ experiences of emergency ambulance care.

Methods
This scoping review included peer-reviewed studies that reported on family or bystander experiences where emergency ambulance services responded. Five databases were searched in May 2022: Medline, CINAHL, Scopus, ProQuest Dissertation & Theses and PsycINFO. After de-duplication and title and abstract screening, 72 articles were reviewed in full by two authors for inclusion. Data analysis was completed using thematic synthesis.

Results
Thirty-five articles reporting heterogeneous research designs were included in this review (Qualitative = 21, Quantitative = 2, Mixed methods = 10, Evidence synthesis = 2). Thematic synthesis developed five key themes characterising family member and bystander experiences. In an emergency event, family members and bystanders described chaotic and unreal scenes and emotional extremes of hope and hopelessness. Communication with emergency ambulance personnel played a key role in family member and bystander experience both during and after an emergency event. It is particularly important to family members that they are present during emergencies not just as witnesses but as partners in decision-making. In the event of a death, family and bystanders want access to psychological post-event support.

Conclusion
By incorporating patient and family-centred care into practice emergency ambulance personnel can influence the experience of family members and bystanders during emergency ambulance responses. More research is needed to explore the needs of diverse populations, particularly regarding differences in cultural and family paradigms as current research reports the experiences of westernised nuclear family experiences.

KeywordsFamily; Bystander; Experiences ; Emergency Care
Article Publishing Charge (APC) FundingProject Funding
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020429999. Other health sciences not elsewhere classified
420317. Patient safety
Byline AffiliationsUniversity of Auckland, New Zealand
Auckland University of Technology, New Zealand
St John New Zealand (Hato Hone Aotearoa), New Zealand
Auckland City Hospital, New Zealand
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