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Fredén, Lars
Publications (3 of 3) Show all publications
Carlström, E. D. D. & Fredén, L. (2017). The first single responders in Sweden: Evaluation of a pre-hospital single staffed unit. International Emergency Nursing, 32(S1), 15-19
Open this publication in new window or tab >>The first single responders in Sweden: Evaluation of a pre-hospital single staffed unit
2017 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 32, no S1, p. 15-19Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Single responder (SR) systems have been implemented in several countries. When the very first SR system in Sweden was planned, it was criticised because of concerns about sending single emergency nurses out on alerts. In the present study, the first Swedish SR unit was studied in order to register waiting times and assess the working environment.

METHOD: Quantitative data were collected from the ambulance dispatch register. Data on the working environment were collected using a questionnaire sent to the SR staff.

RESULTS: The SR system reduced the average patient waiting time from 26 to 13min. It also reduced the number of ambulance transports by 35% following triage of patient(s) priority determined by the SR. The staff perceived the working environment to be adequate.

CONCLUSION: The SR unit was successful in that it reduced waiting times to prehospital health care. Contrary to expectations, it proved to be an adequate working environment. There is good reason to believe that SR systems will spread throughout the country. In order to enhance in depth the statistical analysis, additional should be collected over a longer time period and from more than one SR unit.

Single responder, Ambulance delays, Low-priority cases, Waiting times, Sweden Working environment, Emergency nurse
National Category
Research subject
urn:nbn:se:hv:diva-9683 (URN)10.1016/j.ienj.2016.05.003 (DOI)000402650700004 ()27282963 (PubMedID)2-s2.0-84973169064 (Scopus ID)

Available online 6 June 2016

Available from: 2016-12-16 Created: 2016-08-10 Last updated: 2019-05-21Bibliographically approved
Forsman, A. K., Fredén, L., Lindqvist, R. & Wahlbeck, K. (2015). Contribution of the Nordic School of Public Health to the public mental health research field: a selection of research initiatives, 2007-2014.. Scandinavian Journal of Public Health, 43(16 Suppl), 66-72
Open this publication in new window or tab >>Contribution of the Nordic School of Public Health to the public mental health research field: a selection of research initiatives, 2007-2014.
2015 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, no 16 Suppl, p. 66-72Article in journal (Refereed) Published
Abstract [en]

The field of public mental health has been defined by an expert group convened by the Nordic School of Public Health (NHV) as encompassing the experience, occurrence, distribution and trajectories of positive mental health and mental health problems and their determinants; mental health promotion and prevention of mental disorders; as well as mental health system policies, governance and organization. The mental health priorities of the Nordic Council of Ministers in 2010 signalled a mutual Nordic exchange of knowledge in the following thematic areas: child and adolescent mental health; working life and mental health; mental health in older people; strengthening the role of primary care in mental health service provision; stronger involvement of users and carers; and reduction of use of coercion in psychiatric care. Efforts to realize these priorities included commissioning the Nordic Research Academy for Mental Health, an NHV-based network of research institutions with a common interest in mental health research across the Nordic countries, to develop, organize and follow-up projects on public mental health. The research initiatives included mental health policy analysis, register-based research and research focused on the users' perspective in a Nordic context, as well as EU-level research policy analysis. The public mental health research conducted at the NHV highlighted the complexity of mental health and emphasized that the broad determinants of mental health need to be increasingly addressed in both public health research and practice. For example, health promotion actions, improved access to health care, a healthy alcohol policy and prevention of suicides and violence are all needed to reduce the life expectancy gap - a red flag indicator of public health inequalities. By exchanging knowledge and best practice, the collaboration between the Nordic countries contributes to the welfare of the region. The expertise and traditions developed at the NHV are of significant importance in this work.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
urn:nbn:se:hv:diva-8040 (URN)10.1177/1403494814568599 (DOI)26311802 (PubMedID)2-s2.0-84940376312 (Scopus ID)
Available from: 2015-09-01 Created: 2015-09-01 Last updated: 2019-03-12Bibliographically approved
Dahlborg Lyckhage, E., Fredén, L., Hassler, S., Pennbrant, S. & Skyvell Nilsson, M. (2014). Gränshinder: en kvalitativ och kvantitativ studie av samverkandesjukvård. Trollhättan: University West
Open this publication in new window or tab >>Gränshinder: en kvalitativ och kvantitativ studie av samverkandesjukvård
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2014 (Swedish)Report (Other academic)
Abstract [en]

The project "Health care interaction" among different care providers was introduced as a trial activity in the municipalities of Strömstad and Tanum in the spring of 2010. The aim of health care interaction is to provide citizens health care adapted to their specific need within shortest possible time frame; Is emergency care not needed, the aim is to avoid that the care seeker ends up in an emergency room at the hospital. In this study experiences from health care interaction is described with quantitative as well as qualitative data. Empirical data is based on available medical statistics, focus group interviews with nurses with long experience from pre-hospital emergency care and home health care, questionnaires data gathered from other health professionals involved in the activity, individual interviews with nurses and physicians at call centers for medical information, primary health care centers, home health care, pre-hospital health care and elderly care. The analysis of the data reveal opportunities and expectations among the personnel as well as their willingness to develop and improve the health care. It's also evident that the general impression among health care personnel is that increased interaction among health care providers improves the quality of the health care given. Health care interaction also contributes to improved opportunities for person-centered care with an increased degree of continuity and participation for the patient. The study also reveals that collaboration between colleagues promotes development of individual and collective knowledge. Conclusions drawn from the study is that the documentation and information system used in health care interaction needs to strengthen the participation of the care seekers as well as to improve in accessibility for the personnel involved. In order for health care interaction to evolve and develop through close follow-up and evaluation, a more transparent and uniform system for documentation is recommended. It's also concluded from the study that the call center for medical information (1177) as one of the major actors in the health care interaction program has the best potential to instigate an expansion and development of the health care interaction among care providers.

Place, publisher, year, edition, pages
Trollhättan: University West, 2014. p. 28
Reports University West, ISSN 2002-6188, E-ISSN 2002-6196 ; 2014:3
Erfarenheter, interprofessionellt lärande, patientcentrerad vård, samverkande sjukvård, vårdpersonal
National Category
Research subject
urn:nbn:se:hv:diva-6917 (URN)
Available from: 2014-10-27 Created: 2014-10-27 Last updated: 2019-03-12

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