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Operations & systems

What makes a HEMS nurse: Spanish views

Nursing Competencies in Helicopter Emergency Medical Services (HEMS) in Spain: A Qualitative Study of Professional Profiles and Advanced Training
Nursing Open · 2026-10 · Added 21 October 2026

A qualitative Spanish study of 17 HEMS professionals found flight nursing was seen as a highly specialised profile requiring critical-care experience, advanced technical skills, aviation safety training and structured in-person education — with no formalised national training pathway.

Study type
Qualitative
Design
Qualitative study (phenomenologically informed thematic analysis)
Participants
17 HEMS professionals interviewed
Main finding
Four themes: access to the HEMS environment, technical competencies, professional role development and structured professionalisation; online-only training widely seen as insufficient
Caveat
Small purposive sample in a single country's physician-staffed system; perception-based, no outcome data
Bottom line
Context only

Why it matters in Australia (Medium relevance). Spain runs a physician-and-nurse HEMS model unlike Australian flight services, but the emphasis on critical-care depth, CRM and aviation safety echoes what Australian aeromedical retrieval training already requires.

Learning goal

Understand what critical care and aviation competencies underpin safe aeromedical retrieval practice in Australia.

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