How do members of a fire and rescue service perceive expanding their roles to deliver more health care services?

被引:14
作者
Byrne-Davis, L. M. T. [1 ]
Marchant, D. [1 ]
Bull, E. R. [1 ,2 ]
Gyles, D. [1 ]
Dean, E. [3 ]
Hart, J. K. [1 ]
机构
[1] Univ Manchester, Div Med Educ, Manchester M13 9PT, Lancs, England
[2] Manchester Metropolitan Univ, Dept Psychol, Manchester M15 6GX, Lancs, England
[3] GMFRS Headquarters, Greater Manchester Fire & Rescue Serv, Salford M27 8US, Lancs, England
关键词
health promotion; population-based and preventative services; public health; LIFE-STYLE CHANGES; PROFESSIONALS; CONSULTATIONS; FACILITATORS; EXPERIENCES; BEHAVIOR; BARRIERS;
D O I
10.1093/pubmed/fdy148
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Increasingly, public sector workers are being required to expand their roles into public health. Fire and rescue services, as part of the Emergency Medical Response trial, are at the forefront of role expansion, with increasing capacity due to reducing numbers of fires in recent years. Firefighter roles, successfully implemented, include responding to cardiac arrests and conducting checks on health and wellbeing in people's own homes. In this study, we explored fire service members' perceptions about this role expansion, to increase understanding of how role expansion can be introduced and supported. Methods We interviewed 21 firefighters and team members about their perceptions of new roles. Interviews were conducted, transcribed and thematically analysed until reaching thematic saturation. Results Perspectives differed for responding to cardiac arrests and wellbeing checks. Cardiac arrests were seen as aligned with core roles and thus more acceptable. For both types of new role participants wanted more training and opportunities to provide feedback on implementation. Conclusions How team members viewed role expansion depended on new role alignment with core role, training and being able to give feedback to management to shape future services.
引用
收藏
页码:593 / 599
页数:7
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