Department of Clinical Nursing, Muhimbili University of Health and Allied Sciences (MUHAS), P.O. Box 65001, Dar es Salaam, Tanzania.
Department of Nursing, Umeå University, Umeå, Sweden.
BMC Emerg Med. 2020 Sep 10;20(1):72. doi: 10.1186/s12873-020-00368-1.
The World Health Organisation (WHO) recommends involving lay people in prehospital care. Several training programmes have been implemented to build lay responder first aid skills. Findings show that most programmes significantly improved participants' first aid skills. However, there is a gap in knowledge of what factors influence the use of these skills in real situations. The current study aimed to describe police officers' views on and experiences of factors that facilitate or hinder their use of trained first aid skills at work.
Thirty-four police officers participated in five focus group discussions. A structured interview guide was used to collect data. Interviews were audio-recorded and transcribed verbatim. Data were analysed using qualitative content analysis.
We identified five categories of facilitators or hindrances. Training exposure was considered a facilitator; work situation and hospital atmosphere were considered hindrances; and the physical and social environments and the resources available for providing first aid could be either facilitators or hindrances.
Practical exposure during training is perceived to improve police officers' confidence in applying their first aid skills at work. However, contextual factors related to the working environment need to be addressed to promote this transfer of skills.
世界卫生组织(WHO)建议让非专业人员参与院前护理。已经实施了多个培训项目来培养非专业人员的急救技能。研究结果表明,大多数项目显著提高了参与者的急救技能。然而,在什么因素影响这些技能在实际情况下的使用方面,知识上存在差距。本研究旨在描述警察对促进或阻碍其在工作中使用培训急救技能的因素的看法和经验。
34 名警察参加了五次焦点小组讨论。使用结构化访谈指南收集数据。对访谈进行录音并逐字转录。使用定性内容分析方法对数据进行分析。
我们确定了五个促进或阻碍因素的类别。培训暴露被认为是一个促进因素;工作情况和医院氛围被认为是阻碍因素;物理和社会环境以及提供急救的可用资源可能是促进因素,也可能是阻碍因素。
培训期间的实际暴露被认为可以提高警察在工作中应用急救技能的信心。然而,需要解决与工作环境相关的背景因素,以促进这种技能的转移。