Heffernan Eithne, Oving Iris, Barry Tomás, Phung Viet-Hai, Siriwardena Aloysius Niroshan, Masterson Siobhán
Discipline of General Practice, Clinical Science Institute, School of Medicine, National University of Ireland, Galway, H91 TK33, Ireland.
Department of Clinical and Experimental Cardiology, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, 1012 WX, The Netherlands.
HRB Open Res. 2020 Sep 14;2:34. doi: 10.12688/hrbopenres.12969.2. eCollection 2019.
Voluntary First Response is an important component of prehospital care for medical emergencies, particularly cardiac arrest, in many countries. This intervention entails the mobilisation of volunteers, known as Community First Responders (CFRs), by the Emergency Medical Services to respond to medical emergencies in their locality. They include lay responders and/or professional responders (e.g. police officers, fire fighters, and general practitioners). A wide variety of factors are thought to motivate CFRs to join and remain engaged in Voluntary First Response schemes, such as the availability of learning opportunities, recognition, counselling, and leadership. The aim of this review is to develop an in-depth understanding of CFR motivation, including the factors that influence the initial decision to volunteer as a CFR and the factors that sustain involvement in Voluntary First Response over time. Any factors relevant to CFR de-motivation and turnover will also be examined. This is a protocol for a qualitative systematic review of the factors that influence the motivation of individuals to participate in Voluntary First Response. A systematic search will be carried out on seven electronic databases. Qualitative studies, mixed-methods studies, and any other studies producing data relating to the review question will be eligible for inclusion. Title and abstract screening, as well as full text screening, will be completed independently by two authors. A narrative synthesis, which is an established qualitative synthesis methodology, will be performed. The quality of each of the included studies will be critically appraised. The findings of this review will be used to optimise the intervention of Voluntary First Response. Specifically, the results will inform the design and organisation of Voluntary First Response schemes, including their recruitment, training, and psychological support processes. This could benefit a range of stakeholders, including CFRs, paramedics, emergency physicians, patients, and the public.
在许多国家，志愿急救是医疗紧急情况（尤其是心脏骤停）院前护理的重要组成部分。这种干预措施需要紧急医疗服务部门动员志愿者，即社区急救员（CFRs），对其所在地区的医疗紧急情况做出响应。他们包括非专业急救人员和/或专业急救人员（如警察、消防员和全科医生）。人们认为有多种因素促使社区急救员加入并持续参与志愿急救计划，例如学习机会的可获得性、认可、咨询和领导力。本综述的目的是深入了解社区急救员的动机，包括影响最初决定成为社区急救员志愿者的因素以及随着时间推移维持参与志愿急救的因素。任何与社区急救员积极性下降和离职相关的因素也将进行研究。这是一项关于影响个人参与志愿急救动机因素的定性系统综述方案。将在七个电子数据库上进行系统检索。定性研究、混合方法研究以及任何其他产生与综述问题相关数据的研究都有资格纳入。标题和摘要筛选以及全文筛选将由两位作者独立完成。将进行叙述性综合，这是一种既定的定性综合方法。将对每项纳入研究的质量进行严格评估。本综述的结果将用于优化志愿急救干预措施。具体而言，结果将为志愿急救计划的设计和组织提供信息，包括其招募、培训和心理支持流程。这可能会使一系列利益相关者受益，包括社区急救员、护理人员、急诊医生、患者和公众。
