{
  "abstract": "Objective To examine the self-reported adherence of ambulance nurses to acute chest pain guidelines and analyse how demographic and professional characteristics influence this adherence.Design Cross-sectional study.Setting Regional ambulance service in southern Sweden (18 ambulance stations).Participants Ambulance nurses (registered and specialist nurses). Of the 397 ambulance nurses invited, 261 responded (65.7%) in 2023.Data analysis Descriptive statistics; independent-samples t-tests and χ 2 tests for group comparisons; Pearson correlation; and stepwise linear regression to identify predictors of adherence.Primary and secondary outcome measures Primary: adherence to the prehospital acute chest pain guideline, measured with the 5-item Self-Reported Adherence scale (5–25). Secondary: medication-specific adherence; guideline-access sources.Method A cross-sectional study involving 261 ambulance nurses from 18 ambulance stations in southern Sweden. Adherence to acute chest pain guidelines was assessed using a validated instrument. Data collected in autumn 2023 were analysed using descriptive and inferential statistics, including stepwise linear regression analysis.Results The study revealed an average self-reported adherence score of 19.2 out of 25 for acute chest pain guidelines. Mobile applications were the most commonly used source for accessing acute chest pain guidelines, while ambulance managers were the least used. Notably, older and more experienced ambulance nurses reported higher adherence scores. Additionally, a positive attitude towards the guidelines was correlated with higher adherence. Prioritisation of guidelines and age were predictors of adherence. In contrast, other demographic variables, such as sex and specialist nursing education, were not found to be associated with adherence.Conclusion The study indicates that self-reported adherence to acute chest pain guidelines among ambulance nurses is influenced by how highly they prioritise these guidelines and by their attitudes towards them, as well as their age and professional experience. Enhancing educational programmes and digital resources, particularly for younger and less experienced nurses, may improve adherence and patient outcomes in prehospital settings.",
  "authors": [
    {
      "affiliations": [
        "Department of Care Science, Faculty of Health and Society, Malmö universitet, Malmö, Sweden"
      ],
      "name": "Michael Ulrich Hansen"
    },
    {
      "affiliations": [
        "Department of Care Science, Faculty of Health and Society, Malmö universitet, Malmö, Sweden"
      ],
      "name": "Malin Axelsson"
    },
    {
      "affiliations": [
        "Department of Care Science, Faculty of Health and Society, Malmö universitet, Malmö, Sweden"
      ],
      "name": "Vedrana Vejzovic"
    },
    {
      "affiliations": [
        "Clinical Science, Clinical Research Centre, Malmo, Sweden"
      ],
      "name": "Ulf Jakobsson"
    },
    {
      "affiliations": [
        "Department of Care Science, Faculty of Health and Society, Malmö universitet, Malmö, Sweden"
      ],
      "name": "Slobodan Zdravkovic"
    }
  ],
  "title": "Self-reported adherence of ambulance nurses to acute chest pain guidelines in Southern Sweden: a cross-sectional study",
  "uid": "420c5155-5543-5993-b785-f4d1d321d354"
}