Caring for the invisible and forgotten: a qualitative document analysis and experience-based co-design project to improve the care of families experiencing out-of-hospital cardiac arrest

被引：2

作者：

Loch, Tess N. ^{[1
]}

Drennan, Ian ^{[2
,3
]}

Buick, Jason ^{[4
]}

Mercier, Danielle ^{[5
]}

Brindley, Peter ^{[5
]}

MacKenzie, Mark ^{[5
]}

Kroll, Thilo ^{[7
]}

Frazer, Kate ^{[7
]}

Douma, Matthew E. ^{[6
,7
]}

机构：

[1] Univ Calgary, Cumming Sch Med, Calgary, AB, Canada

[2] Sunnybrook Res Inst, Sunnybrook Ctr Prehosp Med, Toronto, ON, Canada

[3] Univ Toronto, Temerty Fac Med, Dept Family & Community Med, Div Emergency Med, Toronto, ON, Canada

[4] Univ Toronto, Inst Hlth Policy Management & Evaluat, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[5] Alberta Hlth Serv, Edmonton, AB, Canada

[6] Univ Alberta, Fac Med & Dent, Dept Crit Care Med, Edmonton, AB, Canada

[7] Univ Coll Dublin, Sch Nursing Midwifery & Hlth Syst, Dublin, Ireland

来源：

CANADIAN JOURNAL OF EMERGENCY MEDICINE | 2023年 / 25卷 / 03期

关键词：

Cardiac arrest; Family-centred care; Emergency medical services; Qualitative; CENTERED CARE; CARDIOPULMONARY-RESUSCITATION; SURVIVAL; PATIENT; LIFE; GUIDELINES; NEEDS;

D O I：

10.1007/s43678-023-00464-8

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

ObjectivesThe objectives of this project were to collect and analyze clinical governance documents related to family-centred care and cardiac arrest care in Canadian EMS organizations; and to improve the family-centredness of out-of-hospital cardiac arrest care through experience-based co-design.MethodsWe conducted qualitative document analysis of Canadian EMS clinical governance documents related to family-centred and cardiac arrest care, combining elements of content and thematic analysis methods. We then used experience-based co-design to develop a family-centred out-of-hospital cardiac arrest care policy and procedure template.ResultsThirty-five Canadian EMS organizations responded to our requests, representing service area coverage for 80% of the Canadian population. Twenty documents were obtained for review and six overarching themes were identified: addressing family in event of in-home death, importance of family, family member escort, provider discretion and family presence discouraged. Informed by our qualitative analysis we then co-designed a policy and procedure template was created that prioritizes patient care while promotes family-centredness.ConclusionsThere were few directives to support family-centred care by Canadian EMS organizations. A family-centred out-of-hospital cardiac arrest care policy and procedure template was developed using experience-based co-design to assist EMS organizations improve the family-centredness of out-of-hospital cardiac arrest care.

引用

页码：233 / 243

页数：11

共 39 条

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