Abstract
Objective:
Emergency nursing is one of the most challenging and understaffed areas of professional nursing. This study looks at the ambulance doctors’ strategies towards emergency decision making.
Methods:
A multi-modal conversation analysis study in a comprehensive 3A hospital is carried out. 27 video recordings are identified, involving 27 patients, 45 patients’ relatives, 40 emergency doctors, and 20 ambulance drivers.
Results:
Based on the analysis of doctor-patient-relative interaction, we conclude that a series of multi modal strategies adopted by ambulance doctors for emergency nursing practices. In terms of patient transfer, a comfortable transfer condition could be better presented with interruption avoidance and cushion sequences. As for the patient evaluation, the utilization of embodied resources along with the relatives’ participation serves a strategy. The flow of handover teamwork requires collaboration and coordination among participants in a calm, concise, and incredibly logical way.
Conclusion:
This study furthers our understanding of ambulance doctors’ strategies in emergency nursing by analyzing the decision making dilemma in which ambulance doctors communicate with patients’ relatives and other emergency departments.
Practice implications:
Further research could find strength from a larger number of emergency interactions.