BACKGROUND Not much is known about emergency care delivered in patients' homes or other out-of-hospital settings. This study aims to describe out-of-hospital emergency staff's experiences of encountering and counseling patients and their family members. METHODS A descriptive cross-sectional design was applied. Data were collected from a hospital district in Finland from emergency care staff via an electronic survey questionnaire specifically developed for this purpose (N = 125, N = 142 reponse rate 59%, response rate 53%) and analyzed using descriptive statistics. RESULTS Respondents succeeded in encountering (up to 3.88/4) and counseling (up to 3.89/4) patients and family members. Challenges were related to introducing themselves to family members (3.20/4), to interacting with patients from different cultures (3.38/4) and to allowing family members to be present in care situations (2.29/4). Providing emotional support (2.56/4), especially to family members, and confirming (3.16/4) and ensuring continuity of care instructions (3.00/4) were found to be challenging. CONCLUSIONS High-level counseling in acute out-of-hospital situations demands that care providers can put themselves into the patient's and family's situation, ensure follow-up care and provide care instructions to both patients and families. The presence and participation of family members is essential in acute care situations outside hospital contexts. Ensuring that these contents are included and practiced during basic and continuing emergency care education for nurses and other emergency staff is crucial for developing counseling practices.

中文翻译：

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在院外紧急情况下为患者和家人提供咨询：针对急诊人员的调查。

背景技术关于在患者家中或其他院外环境中提供的急救服务知之甚少。这项研究旨在描述院外急诊人员与患者及其家人的相遇和咨询经验。方法采用描述性横截面设计。数据是通过为此目的专门开发的电子调查问卷从芬兰的一个医院地区收集的，该问卷是通过专门为此设计的电子调查问卷（N = 125，N = 142回应率59％，回应率53％）进行的，并使用描述性统计数据进行了分析。结果受访者成功遇到（最多3.88 / 4个）和咨询（最多3.89 / 4个）患者及其家庭成员。挑战涉及向家人介绍自己（3.20 / 4），与来自不同文化背景的患者互动（3。38/4），并允许家人在照护情况下出席（2.29 / 4）。尤其是向家庭成员提供情感支持（2.56 / 4）并确认（3.16 / 4）和确保护理指导的连续性（3.00 / 4）被认为具有挑战性。结论急性院外情况的高水平咨询要求护理提供者能够将自己置于患者和家人的情况下，确保后续护理并向患者和家人提供护理指导。家庭成员的出席和参与对于医院以外的急诊情况至关重要。确保在护士和其他急救人员的基础和持续紧急护理教育期间包括并实践这些内容，这对于制定咨询实践至关重要。