Consensus on innovations and future directions of community first responder schemes in United Kingdom: a national nominal group technique study.

Autor: Patel G; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK., Botan V; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK., Phung VH; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK., Trueman I; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK., Hosseini MP; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK., Smith MD; Aberystwyth Business School, Aberystwyth University, Ceredigion, UK., Ørner R; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK., Pattinson J; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK., Asghar Z; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK., Rowan E; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK., Spaight R; East Midlands Ambulance Service NHS Trust, Nottingham, UK., Mortimer C; South East Coast Ambulance Service NHS Foundation Trust, Sussex, UK., Brewster A; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK., Mountain P; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK., Miller J; West Midlands Ambulance Service NHS Trust, Birmingham, UK., Brown M; South Central Ambulance Service NHS Foundation Trust, Bicester, UK., Siriwardena AN; Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK. nsiriwardena@lincoln.ac.uk.
Jazyk: angličtina
Zdroj: Scandinavian journal of trauma, resuscitation and emergency medicine [Scand J Trauma Resusc Emerg Med] 2024 Sep 30; Vol. 32 (1), pp. 99. Date of Electronic Publication: 2024 Sep 30.
DOI: 10.1186/s13049-024-01254-6
Abstrakt: Aim: We aimed to achieve consensus among NHS and community stakeholders to identify and prioritise innovations in Community First Responder (CFR) schemes.
Methods: We conducted a mixed-methods study, adopting a modified nominal group technique with participants from ambulance services, CFR schemes and community stakeholders. The 1-day consensus workshop consisted of four sessions: introduction of innovations derived from primary research; round-robin discussions to generate new ideas; discussion and ranking of innovations; feedback of ranking, re-ranking and concluding statements. Innovations were ranked on a 5-point Likert scale and descriptive statistics of median and interquartile range calculated. Discussions were recorded, transcribed, and analysed thematically.
Results: The innovations found were classified into two categories: process innovations and technological innovations. The process innovations included six types of innovations: roles, governance, training, policies and protocols, recruitment, and awareness. The technological innovations included three aspects: information and communication; transport; and health technology. The descriptive statistics revealed that innovations such as counselling and support for CFRs (median: 5 IQR 5,5), peer support [5 (4,5)], and enhanced communication with control room [5 (4,5)] were essential priorities. Contrastingly, innovations such as the provision of dual CFR crew [1.5 (1,3)], CFR responsibilities in patient transport to hospital [1 (1,2)], and CFR access to emergency blue light [1 (1,1.5)] were deemed non-priorities.
Conclusions: This article established consensus on innovations in the CFR schemes and their ranking for improving the provision of care delivered by CFRs in communities. The consensus-building process also informed policy- and decision-makers on the potential future change agenda for CFR schemes.
(© 2024. The Author(s).)
Databáze: MEDLINE
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