Community first response and out-of-hospital cardiac arrest: a qualitative study of the views and experiences of international experts

被引:8
作者
Heffernan, Eithne [1 ]
Mc Sharry, Jenny [2 ]
Murphy, Andrew [1 ]
Barry, Tomas [3 ]
Deasy, Conor [4 ,5 ]
Menzies, David [5 ,6 ,7 ]
Masterson, Siobhan [1 ,5 ]
机构
[1] Natl Univ Ireland Galway, Sch Med, Clin Sci Inst, Discipline Gen Practice, Galway, Ireland
[2] Natl Univ Ireland Galway, Sch Psychol, Hlth Behav Change Res Grp, Galway, Ireland
[3] Univ Coll Dublin, Sch Med, Dublin, Ireland
[4] Cork Univ Hosp, Dept Emergency Med, Cork, Ireland
[5] Hlth Serv Execut, Natl Ambulance Serv, Dublin, Ireland
[6] St Vincents Univ Hosp, Dublin, Ireland
[7] CFR Ireland, Dublin, Ireland
来源
BMJ OPEN | 2021年 / 11卷 / 03期
关键词
qualitative research; accident & emergency medicine; international health services; cardiology; LOCAL LAY RESCUERS; CARDIOPULMONARY-RESUSCITATION; NATIONAL INITIATIVES; SURVIVAL; HEALTH; CARE; DEFIBRILLATION; ASSOCIATION; CHALLENGES; STANDARDS;
D O I
10.1136/bmjopen-2020-042307
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives This research aimed to examine the perspectives, experiences and practices of international experts in community first response: an intervention that entails the mobilisation of volunteers by the emergency medical services to respond to prehospital medical emergencies, particularly cardiac arrests, in their locality. Design This was a qualitative study in which semistructured interviews were conducted via teleconferencing. The data were analysed in accordance with an established thematic analysis procedure. Setting There were participants from 11 countries: UK, USA, Canada, Australia, New Zealand, Singapore, Ireland, Norway, Sweden, Denmark and the Netherlands. Participants Sixteen individuals who held academic, clinical or managerial roles in the field of community first response were recruited. Maximum variation sampling targeted individuals who varied in terms of gender, occupation and country of employment. There were eight men and eight women. They included ambulance service chief executives, community first response programme managers and cardiac arrest registry managers. Results The findings provided insights on motivating and supporting community first response volunteers, as well as the impact of this intervention. First, volunteers can be motivated by 'bottom-up factors', particularly their characteristics or past experiences, as well as 'top-down factors', including culture and legislation. Second, providing ongoing support, especially feedback and psychological services, is considered important for maintaining volunteer well-being and engagement. Third, community first response can have a beneficial impact that extends not only to patients but also to their family, their community and to the volunteers themselves. Conclusions The findings can inform the future development of community first response programmes, especially in terms of volunteer recruitment, training and support. The results also have implications for future research by highlighting that this intervention has important outcomes, beyond response times and patient survival, which should be measured, including the benefits for families, communities and volunteers.
引用
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页数:11
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