Lived experiences of being cared for by ambulance clinicians when experiencing breathlessness-A phenomenological study

Identifier:  imarina:9280212

Handle: https://hdl.handle.net/20.500.11797/imarina9280212

Authors:  Kauppi, Wivica; Axelsson, Christer; Herlitz, Johan; Jimenez-Herrera, Maria; Palmer, Lina

Abstract:
Background Breathlessness is a serious and distressing symptom and a common reason why patients require prehospital care by ambulance clinicians. However, little is known about how patients experience this care when they are in a state of breathlessness. Aim The aim of this study is to describe the lived experiences of being cared for by ambulance clinicians when experiencing breathlessness. Methods Fourteen lifeworld interviews were conducted with patients who experienced breathlessness and were cared for by ambulance clinicians. The interviews were analysed using a qualitative phenomenological approach. Findings The essential meaning of being cared for by ambulance clinicians when experiencing breathlessness is described in two ways: existential humanising care, in which the experience is that of being embraced by a genuine presence or existential dehumanising care, in which feeling exposed to an objectifying presence is the main experience. This meaning has four constituents: surrendering to and trusting in the care that will come; being exposed to an objectifying presence is violating; being embraced by a genuine presence is relieving; and knowing is dwelling. Conclusion The findings reveal that the ability of ambulance clinicians to provide existential humanising and trustful care, which is the foundation of professional judgement, was essential in how patients responded to and handled the overall situation when breathlessness.