Katzenschlager Stephan, Elshaer Ahmed, Metelmann Bibiana, Metelmann Camilla, Thilakasiri Kaushila, Karageorgos Vlasios, Barry Tomas, Alm-Kruse Kristin, Karim Hritul, Maurer Holger, Kramer-Johansen Jo, Orlob Simon
Heidelberg University, Medical Faculty Heidelberg, Department of Anesthesiology, Heidelberg, Germany.
The Blizard Institute, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Resusc Plus. 2024 Mar 16;18:100608. doi: 10.1016/j.resplu.2024.100608. eCollection 2024 Jun.
Cardiac arrest research has not received as much scientific attention as research on other topics. Here, we aimed to identify cardiac arrest research barriers from the perspective of an international group of early career researchers.
Attendees of the 2022 international masterclass on cardiac arrest registry research accompanied the Global Out-of-Hospital Cardiac Arrest Registry collaborative meeting in Utstein, Norway, and used an adapted hybrid nominal group technique to obtain a diverse and comprehensive perspective. Barriers were identified using a web-based questionnaire and discussed and ranked during an in-person follow-up meeting. After each response was discussed and clarified, barriers were categorized and ranked over two rounds. Each participant scored these from 1 (least significant) to 5 (most significant).
Nine participants generated 36 responses, forming seven overall categories of cardiac arrest research barriers. "Allocated research time" was ranked first in both rounds. "Scientific environment", including appropriate mentorship and support systems, ranked second in the final ranking. "Resources", including funding and infrastructure, ranked third. "Access to and availability of cardiac arrest research data" was the fourth-ranked barrier. This included data from the cardiac arrest registries, medical devices, and clinical studies. Finally, "uniqueness" was the fifth-ranked barrier. This included ethical issues, patient recruitment challenges, and unique characteristics of cardiac arrest.
By identifying cardiac arrest research barriers and suggesting solutions, this study may act as a tool for stakeholders to focus on helping early career researchers overcome these barriers, thus paving the road for future research.
心脏骤停研究尚未像其他主题的研究那样受到同等程度的科学关注。在此，我们旨在从国际早期职业研究人员群体的角度识别心脏骤停研究的障碍。
2022年心脏骤停登记研究国际大师班的参与者参加了在挪威于特辛举行的全球院外心脏骤停登记协作会议，并采用了一种经过调整的混合名义小组技术，以获得多样化和全面的观点。通过基于网络的问卷识别障碍，并在面对面的后续会议中进行讨论和排名。在对每个回答进行讨论和澄清后，障碍被分为两类并在两轮中进行排名。每位参与者对这些障碍从1（最不重要）到5（最重要）进行评分。
9名参与者给出了36个回答，形成了心脏骤停研究障碍的七个总体类别。“分配的研究时间”在两轮中均排名第一。“科学环境”，包括适当的指导和支持系统，在最终排名中位列第二。“资源”，包括资金和基础设施，排名第三。“获取心脏骤停研究数据的途径和可得性”是排名第四的障碍。这包括来自心脏骤停登记处、医疗设备和临床研究的数据。最后，“独特性”是排名第五的障碍。这包括伦理问题、患者招募挑战以及心脏骤停的独特特征。
通过识别心脏骤停研究障碍并提出解决方案，本研究可作为一种工具，帮助利益相关者专注于帮助早期职业研究人员克服这些障碍，从而为未来的研究铺平道路。
