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Kommunikation är en viktig del inom ambulanssjukvård, framför allt i samband med överlämning av patienter och vid den överrapportering som sker mellan ambulanssjuksköterskan och mottagande hälso- och sjukvårdspersonal på exempelvis en akutmottagning. Bristfällig kommunikation kan i sin tur leda till att information missas att rapporteras och kan leda till att patientsäkerheten blir lidande. Det handlar inte bara om bristande kommunikation som påverkar patientsäkerheten utan även om stress eller brist på erfarenhet hos ambulanssjuksköterskor. Forskning kring kommunikation inom omvårdnad finns, men forskningen inom området överrapportering mellan ambulanssjuksköterskor och övrig hälso- och sjukvårdspersonal är begränsad. Syftet med studien var att beskriva ambulanssjuksköterskors erfarenheter av överrapportering av patienter på akutrummet. En kvalitativ intervjustudie med induktiv ansats genomfördes. Nio ambulanssjuksköterskor med yrkeserfarenhet mellan 2,5 till 14 år intervjuades med semistrukturerade intervjuer. För att analysera den insamlade datan användes kvalitativ innehållsanalys enligt Graneheim och Lundmans (2004) modell. Resultatet visade att SBAR (situation, bakgrund, aktuell bedömning, rekommendation) är den modell som ambulanssjuksköterskorna i grunden försöker använda sig av på akutrummet, men med viss modifikation av modellen beroende på vilken typ av patient som de har framför sig. Ambulanssjuksköterskorna upplevde att det var ett stressmoment när hälso- och sjukvårdspersonal avbröt eller kom in under deras överrapportering på akutrummet, främst var det ambulanssjuksköterskorna som var nya inom yrket som upplevde det. Däremot uttryckte ambulanssjuksköterskorna med erfarenheter (>5 år) inom verksamheten att överrapporteringen på akutrummet fungerade bra överlag men att det kan behövas tydligare strukturer. Ambulanssjuksköterskorna upplevde att de blev ifrågasatta trots erfarenheter, mer än vad de blev bemötta med respekt. / Communication is an important part of ambulance care, above all in connection with the handover of patients and in the over-reporting that takes place between the ambulance nurse and the receiving healthcare staff in, for example, an emergency department. Inadequate communication can in turn lead to information being omitted in the reporting which can threaten patient safety. It is not only lack of communication that affects patient safety, but also stress or lack of experience on the part of ambulance nurses. Research on communication in nursing exists, but there is a knowledge gap regarding over-reporting between ambulance nurses and other healthcare personnel. The purpose of the study was to describe the experiences of ambulance nurses when overreporting patients in the emergency room. A qualitative interview study with an inductive approach was carried out. Nine ambulance nurses with professional experience between 2.5 and 14 years were interviewed using semi-structured interviews. To analyze the collected data, qualitative content analysis was used according to Graneheim and Lundman's (2004) model. The result showed that SBAR (situation, background, assessment, recommendation) is the model that the ambulance nurses basically try to use in the emergency room, but with some modification of the model depending on the type of patient they have in front of them. The ambulance nurses felt that it was a stressful moment when health and medical personnel interrupted or entered during their overreporting in the emergency room. But it was mainly the ambulance nurses who were new in the profession who experienced it. In contrast, the ambulance nurses with experience (>5 years) in the operation expressed that the over-reporting in the emergency room worked well overall, but that clearer structures may be needed. The ambulance nurses felt that they were questioned despite their experience, more than they were treated with respect.

Accurate self-report assessment of psychopathology depends on individuals responding honestly and accurately. Some respondents, however, may respond in a manner not representative of their traits/symptoms. The MMPI-2-RF contains “validity” scales to detect elevations on over-reporting (OR) or under-reporting (UR) scales which typically correspond to elevations on MMPI-2-RF substantive scales and on instruments administered alongside the MMPI-2-RF. We examined effects of OR and UR on the Personality Inventory for DSM-5 (PID-5); a self-report instrument that assesses 25 pathological traits used with other diagnostic criteria to diagnose personality disorders (PDs) in Section III of the DSM-5. Using MMPI-2-RF validity scale scores, 908 students and 255 psychiatric outpatients were classified into OR, UR or within normal limit response groups. Significant group differences were found such that differences in the frequency of PD diagnosis emerged across response groups. We believe the PID-5 is vulnerable to OR and UR responding, which potentially compromises its validity.

Accurate self-report assessment of psychopathology depends on individuals responding honestly and accurately. Some respondents, however, may respond in a manner not representative of their traits/symptoms. The MMPI-2-RF contains “validity” scales to detect elevations on over-reporting (OR) or under-reporting (UR) scales which typically correspond to elevations on MMPI-2-RF substantive scales and on instruments administered alongside the MMPI-2-RF. We examined effects of OR and UR on the Personality Inventory for DSM-5 (PID-5); a self-report instrument that assesses 25 pathological traits used with other diagnostic criteria to diagnose personality disorders (PDs) in Section III of the DSM-5. Using MMPI-2-RF validity scale scores, 908 students and 255 psychiatric outpatients were classified into OR, UR or within normal limit response groups. Significant group differences were found such that differences in the frequency of PD diagnosis emerged across response groups. We believe the PID-5 is vulnerable to OR and UR responding, which potentially compromises its validity.