Exercise Medicine Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia
Department for Health, University of Bath, Bath, Somerset, UK.
Emerg Med J. 2020 Oct;37(10):617-622. doi: 10.1136/emermed-2019-208781. Epub 2020 Jun 16.
A voluntary State Government-led programme in Victoria, Australia 'Defibrillators for Sporting Clubs and Facilities Program' ran from 2015 to 2019, broadly aimed at increasing access to automated external defibrillators (AEDs), together with a greater number of community members trained for management of medical emergencies. This study aimed to understand whether participating sport clubs/facilities had successfully integrated an AED and medical planning with other club/facility safety practices, 12 months after delivery of the programme.
This was a qualitative case study of 14 sport clubs/facilities in Victoria, Australia in 2017, underpinned by the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework. We conducted observational audits of facilities (to locate AED placement, signage and other relevant location-specific factors) and semi-structured, face-to-face interviews with representatives of the clubs/facilities. Interview questions were designed to determine if and how the related, mandated emergency management programme was adapted for the long term (embedding), whether this aligned to ongoing organisational mission (active engagement), and whether or not it was still ongoing 6 months postinitial implementation (sustainability). Data were evaluated using qualitative descriptive methodology. For reporting, descriptive summaries of the audit were combined with interview data to contextualise and visualise the sport club/facility setting and key results.
Key issues identified were accessibility and visibility of the AED, with inadequate signage and challenges identifying an efficient location for access and storage. Most interviewees reported the AED and training were received with no further actions taken towards safety planning or integration with club/facility practice. Several challenges regarding remaining up to date with training and ensuring required routine checks of the AED take place were also raised.
This study identified several challenges for community sport clubs/facilities in the implementation of an AED and medical planning programme, including where to store the AED, how to make its presence known to the community and how to integrate changes alongside other club/facility practices.
澳大利亚维多利亚州政府主导的一项自愿计划“运动俱乐部和设施除颤器计划”于 2015 年至 2019 年实施，旨在广泛增加自动体外除颤器（AED）的可及性，并培训更多社区成员管理医疗紧急情况。本研究旨在了解在该计划实施 12 个月后，参与的运动俱乐部/设施是否成功地将 AED 和医疗计划与其他俱乐部/设施安全实践相结合。
这是 2017 年澳大利亚维多利亚州 14 个运动俱乐部/设施的定性案例研究，以 Reach、Effectiveness、Adoption、Implementation、Maintenance（RE-AIM）框架为基础。我们对设施进行了观察性审计（以确定 AED 的位置、标识和其他相关的特定位置因素），并对俱乐部/设施的代表进行了半结构化的面对面访谈。访谈问题旨在确定相关的强制性紧急管理计划是否以及如何长期适应（嵌入），是否与组织的长期使命保持一致（积极参与），以及在初始实施后 6 个月是否仍在进行（可持续性）。数据采用定性描述性方法进行评估。为了报告，对审计的描述性总结与访谈数据相结合，以对运动俱乐部/设施的环境和关键结果进行背景化和可视化。
确定的关键问题是 AED 的可及性和可见性，标识不足，以及确定方便获取和存储的有效位置的挑战。大多数受访者报告说，AED 和培训是在没有进一步采取安全规划或与俱乐部/设施实践整合的情况下收到的。还提出了一些关于如何保持最新的培训以及确保对 AED 进行所需的例行检查的挑战。
本研究确定了社区运动俱乐部/设施在实施 AED 和医疗计划方面面临的几个挑战，包括 AED 的存放位置、如何让社区了解其存在以及如何将这些变化与其他俱乐部/设施实践整合。
