Smartphone activated community first responders’ experiences of out-of-hospital cardiac arrests alerts, a qualitative study

Källestedt, Marie-Louise Södersved; Lindén, Harald; Bjurling-Sjöberg, Petronella

doi:10.1016/j.resplu.2022.100246

Cited by 10 publications

(9 citation statements)

References 37 publications

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“…One recent study of how Swedish volunteer responders perceived being dispatched found a need for preparatory training of volunteers engaged in resuscitation programmes. 28 The authors suggested some action points to be included in future CPR training programmes, one of which was to prepare volunteers to handle the patients’ family and the unfamiliar environment, for example, in someone’s private home. Furthermore, a qualitative study on first responders engagement in OHCA found the interaction with family members to the OHCA patient could affect responders in their aftermath.…”

Section: Discussionmentioning

confidence: 99%

“…In Denmark, volunteer responders are not expected to be trained in prioritising or handling psychological crisis reactions. One recent study of how Swedish volunteer responders perceived being dispatched found a need for preparatory training of volunteers engaged in resuscitation programmes 28. The authors suggested some action points to be included in future CPR training programmes, one of which was to prepare volunteers to handle the patients’ family and the unfamiliar environment, for example, in someone’s private home.…”

Section: Discussionmentioning

confidence: 99%

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Volunteer responder provision of support to relatives of out-of-hospital cardiac arrest patients: a qualitative study

Kragh

Grabmayr²,

Tjørnhøj‐Thomsen³

et al. 2023

BMJ Open

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ObjectivesSmartphone dispatch of volunteer responders for out-of-hospital cardiac arrest (OHCA) is implemented worldwide. While basic life support courses prepare participants to provide CPR, the courses rarely address the possibility of meeting a family member or relative in crisis. This study aimed to examine volunteer responders’ provision of support to relatives of cardiac arrest patients and how relatives experienced the interaction with volunteer responders.DesignIn this qualitative study, we conducted 16 semistructured interviews with volunteer responders and relatives of cardiac arrest patients.SettingInterviews were conducted face to face and by video and recorded and transcribed verbatim.ParticipantsVolunteer responders dispatched to cardiac arrests and relatives of cardiac arrest patients were included in the study. Participants were included from all five regions of Denmark.ResultsA thematic analysis was performed with inspiration from Braun and Clarke. We identified three themes: (1) relatives’ experiences of immediate relief at arrival of assistance, (2) volunteer responders’ assessment of relatives’ needs and (3) the advantage of being healthcare educated.ConclusionsRelatives to out-of-hospital cardiac arrest patients benefited from volunteer responders’ presence and support and experienced the mere presence of volunteer responders as supportive. Healthcare-educated volunteer responders felt confident and skilled to provide care for relatives, while some non-healthcare-educated volunteer responders felt they lacked the proper training and knowledge to provide emotional support for relatives. Future basic life support courses should include a lesson on how to provide emotional support to relatives of cardiac arrest patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Volunteer responder provision of support to relatives of out-of-hospital cardiac arrest patients: a qualitative study

Kragh

Grabmayr²,

Tjørnhøj‐Thomsen³

et al. 2023

BMJ Open

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“…This includes the need for clearer understanding of medicolegal positioning and public recognition of the identity, professional role and scope of participants. Further research opportunities could include exploring nurses and midwives willingness to engage with digital technology to enhance their response to out-of-work emergencies,2 3 and the degree to which the moral agency identified here might become a more deliberate action. This is particularly relevant with the increase in natural and man-made disasters, and expectations in terms of medical professionals volunteering in such situations 4.…”

Section: Commentarymentioning

confidence: 99%

Model of moral agency that encompasses nurses’ and midwives’ perceptions of off-duty emergency response

Richardson

2022

Evid Based Nurs

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“…It has also been shown that even if most VFRs consider their CPR to have been a positive experience and would resuscitate again, they experienced severe short-term psychological impacts [ 20 ]. Participants in a study by Södersved Källestedt et al [ 21 ] described that they were not always prepared for their own feelings in the unexpected situations they met with when dispatched to OHCA. It is recognised that the VFRs are of great importance in the ´chain of survival´, but there is still a lack of knowledge about their experiences [ 22 ], especially from VFRs who are dispatched to rural areas.…”

Section: Introductionmentioning

confidence: 99%

Voluntary first responders’ experiences of being dispatched to suspected out-of-hospital cardiac arrest in rural areas: an interview study

Allert,

Nilsson,

Svensson

et al. 2024

BMC Cardiovasc Disord

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Background Out-of-hospital cardiac arrest (OHCA) is a leading cause of death, and survival outcomes vary across countries and regions. To improve survival, the European Resuscitation Council Guidelines encourage the implementation of technologies like smartphone applications to alert voluntary first responders (VFRs) who are near a suspected OHCA. VFRs are of great importance in the ´chain of survival´, but there is still a lack of knowledge about their experiences; especially of those operating in rural areas. Understanding those experiences is crucial in developing appropriate interventions to train, encourage, and safeguard VFRs in their mission. Therefore, the aim of this study was to describe VFRs´ experiences of being dispatched to suspected OHCA in rural areas. Methods The study used an inductive design. The data were collected using individual interviews with 16 VFRs and analysed using qualitative content analysis. Results The results are presented in terms of six generic categories ‘‘Being motivated and prepared’’, ‘‘Having strategies to undertake the mission’’, ‘‘Collaborating with others’’, ‘‘Being ethically aware’’, ‘‘Supporting the family members’’, and ‘‘Coping with the mission’’, which formed the basis of the main category ‘Desire to save lives and help others’. The findings showed that VFRs had a genuine desire to contribute to save lives in this rural area. Regardless of the circumstances, they were prepared to leave everything and act to the best for the victim and their family members. In theirs’ missions they collaborated with others at the scene and were guided by ethics while they acted in complex circumstances. Conclusions VFRs dispatched in rural areas express a desire to save lives. In their missions, they acted in complex situations and experienced both emotional and ethical challenges. The design, implementation, and evaluation of support interventions directed at VFRs should be prioritised, especially in rural areas, as it can contribute to more people becoming and remaining VFRs, which in turn could contribute to sustainable development.

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Smartphone activated community first responders’ experiences of out-of-hospital cardiac arrests alerts, a qualitative study

Cited by 10 publications

References 37 publications

Volunteer responder provision of support to relatives of out-of-hospital cardiac arrest patients: a qualitative study

Volunteer responder provision of support to relatives of out-of-hospital cardiac arrest patients: a qualitative study

Model of moral agency that encompasses nurses’ and midwives’ perceptions of off-duty emergency response

Voluntary first responders’ experiences of being dispatched to suspected out-of-hospital cardiac arrest in rural areas: an interview study

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