scholarly journals Influencing factors of telephone-cardiopulmonary resuscitation in China: a qualitative exploration based on managerial perspectives

2019 ◽  
Author(s):  
Xuehua Zhu ◽  
Li Gui ◽  
Xiaoge Xie ◽  
Yin Lin
Keyword(s):  
Qualitative Study ◽  
Cardiopulmonary Resuscitation ◽  
Influencing Factors ◽  
Large Scale ◽  
Structured Interview ◽  
First Aid ◽  
Factors Affecting ◽  
Bystander Cpr ◽  
Qualitative Exploration ◽  
Telephone Cardiopulmonary Resuscitation

AbstractBackgroundTelephone-cardiopulmonary resuscitation (T-CPR) has been proven to systematically improve bystander CPR implementation and thus improve the survival rate of out-of-hospital cardiac arrest (OHCA) patients on a large scale. However, China has a lower proportion of cities that provide T-CPR than other countries. To promote the implementation of T-CPR in China, our study is based on managerial perspectives (Health Bureau, Fist-aid Center and other management personnel) who will play a key role in carrying out TCPR, and through a qualitative study to explore the factors affecting the providing of TCPR, especially finding out the possible obstacles, so as to promote the implementation of TCPR and play a role in promoting human health.MethodsThe semi-structured interview was conducted with managers by phenomenological research method in the qualitative study, and the data was sorted out by Nvivo 10.0 qualitative analysis software, and the data was analyzed by Colaizzi analysis to extract the theme.ResultsThe influencing factors of T-CPR in China were mainly divided into six dimensions: bystander factors, dispatcher factors, dispatching system factors, legal factors, guiding factors and financial factors.ConclusionIt is urgent to promote the implementation of T-CPR in China. We can promote it by strengthening the training of bystanders in CPR knowledge and skills, enhancing the awareness of first aid in the whole society, developing T-CPR guidance process suitable for Chines national conditions, building an intelligent pre-hospital emergency system, promoting the legislation of first aid exemption, and providing financial support from various channels.

scholarly journals Teaching First Aid to Prospective Teachers as a Way to Promote Child Healthcare

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 367
Author(s):  
María del Carmen Olmos-Gómez ◽  
Francisca Ruiz-Garzón ◽  
Paula Pais-Roldán ◽  
Rafael López-Cordero
Keyword(s):  
Professional Development ◽  
Qualitative Study ◽  
Prospective Teachers ◽  
Structured Interview ◽  
First Aid ◽  
Great Difficulty ◽  
Public University ◽  
Future Teachers ◽  
Emergency Situations ◽  
Child Healthcare

This article aimed to analyze, through a qualitative study (i.e., semi-structured interview), the opinions and knowledge of fourth-year future teachers at a Spanish public university (University of Granada) regarding training and the need for first aid (FA) at school. With a sample of 70 subjects in their last year of training, our conclusion is that although they are aware of the importance of first aid for their professional development, there is no such training in their careers, and thus they have great difficulty understanding how to react to emergency situations on the job.

Exploring How Lay Rescuers Overcome Barriers to Provide Cardiopulmonary Resuscitation: A Qualitative Study

2016 ◽  
Vol 32 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Wenche Torunn Mathiesen ◽  
Conrad Arnfinn Bjørshol ◽  
Sindre Høyland ◽  
Geir Sverre Braut ◽  
Eldar Søreide
Keyword(s):  
Qualitative Study ◽  
Cardiopulmonary Resuscitation ◽  
Qualitative Content Analysis ◽  
Survival Rates ◽  
Social Institutions ◽  
Structured Interview ◽  
Publication Type ◽  
Interview Guide ◽  
Lay Rescuer ◽  
Cpr Training

AbstractBackgroundSurvival rates after out-of-hospital cardiac arrest (OHCA) vary considerably among regions. The chance of survival is increased significantly by lay rescuer cardiopulmonary resuscitation (CPR) before Emergency Medical Services (EMS) arrival. It is well known that for bystanders, reasons for not providing CPR when witnessing an OHCA incident may be fear and the feeling of being exposed to risk. The aim of this study was to gain a better understanding of why barriers to providing CPR are overcome.MethodsUsing a semi-structured interview guide, 10 lay rescuers were interviewed after participating in eight OHCA incidents. Qualitative content analysis was used. The lay rescuers were questioned about their CPR-knowledge, expectations, and reactions to the EMS and from others involved in the OHCA incident. They also were questioned about attitudes towards providing CPR in an OHCA incident in different contexts.ResultsThe lay rescuers reported that they were prepared to provide CPR to anybody, anywhere. Comprehending the severity in the OHCA incident, both trained and untrained lay rescuers provided CPR. They considered CPR provision to be the expected behavior of any community citizen and the EMS to act professionally and urgently. However, when asked to imagine an OHCA in an unclear setting, they revealed hesitation about providing CPR because of risk to their own safety.ConclusionMutual trust between community citizens and towards social institutions may be reasons for overcoming barriers in providing CPR by lay rescuers. A normative obligation to act, regardless of CPR training and, importantly, without facing any adverse legal reactions, also seems to be an important factor behind CPR provision.MathiesenWT, BjørsholCA, HøylandS, BrautGS, SøreideE. Exploring how lay rescuers overcome barriers to provide cardiopulmonary resuscitation: a qualitative study. Prehosp Disaster Med. 2017;32(1):27–32.

scholarly journals Factors influencing the performance of community health workers: A qualitative study of Anganwadi Workers from Bihar, India

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242460
Author(s):  
Aparna John ◽  
Nicholas Nisbett ◽  
Inka Barnett ◽  
Rasmi Avula ◽  
Purnima Menon
Keyword(s):  
Qualitative Study ◽  
Community Health ◽  
Large Scale ◽  
Health Workers ◽  
Seasonal Migration ◽  
High Coverage ◽  
Factors Affecting ◽  
Community Factors ◽  
Factors Influencing ◽  
The Individual

Globally, there remain significant knowledge and evidence gaps around how to support Community Health Worker (CHW) programmes to achieve high coverage and quality of interventions. India’s Integrated Child Development Services scheme employs the largest CHW cadre in the world—Anganwadi Workers (AWWs). However, factors influencing the performance of these workers remain under researched. Lessons from it have potential to impact on other large scale global CHW programmes. A qualitative study of AWWs in the Indian state of Bihar was conducted to identify key drivers of performance in 2015. In-depth interviews were conducted with 30 AWWs; data was analysed using both inductive and deductive thematic analysis. The study adapted and contextualised existing frameworks on CHW performance, finding that factors affecting performance occur at the individual, community, programme and organisational levels, including factors not previously identified in the literature. Individual factors include initial financial motives and family support; programme factors include beneficiaries’ and AWWs’ service preferences and work environment; community factors include caste dynamics and community and seasonal migration; and organisational factors include corruption. The initial motives of the worker (the need to retain a job for family financial needs) and community expectations (for product-oriented services) ensure continued efforts even when her motivation is low. The main constraints to performance remain factors outside of her control, including limited availability of programme resources and challenging relationships shaped by caste dynamics, seasonal migration, and corruption. Programme efforts to improve performance (such as incentives, working conditions and supportive management) need to consider these complex, inter-related multiple determinants of performance. Our findings, including new factors, contribute to the global literature on factors affecting the performance of CHWs and have wide application.

scholarly journals Implementation factors affecting the large-scale deployment of digital health and well-being technologies: A qualitative study of the initial phases of the ‘Living-It-Up’ programme

2016 ◽  
Vol 22 (4) ◽  
pp. 867-877 ◽  
Author(s):  
Ruth Agbakoba ◽  
Marilyn McGee-Lennon ◽  
Matt-Mouley Bouamrane ◽  
Nicholas Watson ◽  
Frances S Mair
Keyword(s):  
Qualitative Study ◽  
Large Scale ◽  
Digital Health ◽  
Well Being ◽  
Normalisation Process Theory ◽  
Important Lesson ◽  
Factors Affecting ◽  
Services Delivery ◽  
Design Activities ◽  
Health And Well Being

Little is known about the factors which facilitate or impede the large-scale deployment of health and well-being consumer technologies. The Living-It-Up project is a large-scale digital intervention led by NHS 24, aiming to transform health and well-being services delivery throughout Scotland. We conducted a qualitative study of the factors affecting the implementation and deployment of the Living-It-Up services. We collected a range of data during the initial phase of deployment, including semi-structured interviews (N = 6); participant observation sessions (N = 5) and meetings with key stakeholders (N = 3). We used the Normalisation Process Theory as an explanatory framework to interpret the social processes at play during the initial phases of deployment. Initial findings illustrate that it is clear − and perhaps not surprising − that the size and diversity of the Living-It-Up consortium made implementation processes more complex within a ‘multi-stakeholder’ environment. To overcome these barriers, there is a need to clearly define roles, tasks and responsibilities among the consortium partners. Furthermore, varying levels of expectations and requirements, as well as diverse cultures and ways of working, must be effectively managed. Factors which facilitated implementation included extensive stakeholder engagement, such as co-design activities, which can contribute to an increased ‘buy-in’ from users in the long term. An important lesson from the Living-It-Up initiative is that attempting to co-design innovative digital services, but at the same time, recruiting large numbers of users is likely to generate conflicting implementation priorities which hinder − or at least substantially slow down − the effective rollout of services at scale. The deployment of Living-It-Up services is ongoing, but our results to date suggest that − in order to be successful − the roll-out of digital health and well-being technologies at scale requires a delicate and pragmatic trade-off between co-design activities, the development of innovative services and the efforts allocated to widespread marketing and recruitment initiatives.

scholarly journals Explaining the determinants of Human Papillomavirus Vaccine uptake and Strategies to Increase Its Uptake among young adults in Capital of Iran: a qualitative study

2020 ◽  
Author(s):  
Soudabeh Yarmohammadi ◽  
Mohtasham Ghaffari ◽  
Ali Ramezankhani
Keyword(s):  
Young Adults ◽  
Qualitative Study ◽  
Work Experience ◽  
Hpv Vaccine ◽  
Structured Interview ◽  
Educational Process ◽  
Vaccine Uptake ◽  
Factors Affecting ◽  
Compulsory Vaccination ◽  
Vaccine Availability

Abstract Background The HPV vaccine prevents the most common cancer in women, which is cervical cancer. This study aimed to determine the factors affecting the uptake and non- uptake of HPV vaccine in the young adult in Tehran and strategies to increase their vaccine uptake. Methods This is the first qualitative study with the conventional content analysis approach in this context in Iran in 2018-2019. Participants, with a maximum variation in terms of age, sex, educational level, occupation, income, work experience, marital status, were selected purposefully to take part in a semi-structured interview. The data were recorded and analyzed according to the interview continued until data saturation. MAXQDA software version 10 was used for data management. Results The participants were 20 health professionals and 10 young adults from Tehran. Factors affecting HPV vaccine uptake and non- uptake identified as seven categories, including knowledge, health value, external stimuli, outcome expectations, perceived threat, healthcare services, and Contextual factors. Moreover, the strategies to increase vaccine uptake included Compulsory vaccination, vaccine availability, and implementing the educational process. Conclusions Considering the factors identified in this study, the authorities and practitioners must take steps to increase the HPV vaccine in young adults by considering the effective factors, as well as the strategies, such as Compulsory vaccination, increasing vaccine availability, and implementing educational interventions.

scholarly journals Factors Affecting a Successful Out-Of-Hospital Cardiopulmonary Resuscitation / Pirmsslimnīcas Etapa Kardiopulmonālo Reanimāciju Rezultātus Ietekmējošie Faktori

2014 ◽  
Vol 68 (5-6) ◽  
pp. 228-231
Author(s):  
Kaspars Setlers ◽  
Indulis Vanags ◽  
Anita Kalēja
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Hospital Admission ◽  
Heart Rhythm ◽  
Patient Characteristics ◽  
Spontaneous Circulation ◽  
Factors Affecting ◽  
Bystander Cpr ◽  
And Gender ◽  
Hospital Cardiac Arrest

Abstract A retrospective patient record analysis of the Emergency Medial Service’s Rîga City Regional Centre was provided from January 2012 through December 2013. 1359 adult patients were CPR treated for out-of-hospital cardiac arrest according to ERC Guidelines 2010. A total of 490 patients were excluded from the study. The main outcome measure was survival to hospital admission. Of 869 CPR-treated patients, 60% (n = 521) were men. The mean age of patients was 66.68 ± 15.28 years. The survival rate to hospital admission was 12.9% (n = 112). 54 of survived patients were women. Mean patient age of successful CPR was 63.22 ± 16.21 and unsuccessful CPR 67.20 ± 15.09. At least one related illness was recorded with 63.4% (n = 551) patients. There were 61 survivors in bystander witnessed OHCA and nine survivors in unwitnessed OHCA. The rate of bystander CPR when CA (cardiac arrest) was witnessed was 24.8%. Ventricular fibrillation (VF) as initial heart rhythm was significantly associated with survival to hospital admission in 54 cases (p < 0.0001). Age and gender affected return of spontaneous circulation. Survival to hospital admission had rhythm-specific outcome. Presence of OHCA witnesses improved outcome compared to bystander CPR. The objective of this study was to report patient characteristics, the role of witnesses in out-of-hospital cardiac arrest (OHCA) and outcome of adult cardiopulmonary resuscitation

scholarly journals Influencing Factors for Participation in Developmental Programmes. A Study on Self-help Groups in Nepal

2021 ◽  
Vol 8 (4) ◽  
pp. 438-444
Author(s):  
Budhibal Thapa Chettry
Keyword(s):  
International Development ◽  
Influencing Factors ◽  
Growth And Development ◽  
Large Scale ◽  
Structured Interview ◽  
Primary Data ◽  
Self Help ◽  
The Government ◽  
Self Help Groups ◽  
Different Levels

With the growth in technology, it is very clear that there is a change among women though SHGs for growth and development of themselves through participation in developmental programmes. The researcher presents this study with the fervent hope that this will draw the attention of the authorities, departments and organisations concerned with micro-finance and SHGs on various issues in respect of development of women. The study constitutes a sample of 399 respondents. Primary data was collected from the SHG members by using structured interview. The findings of the study indicate that women and their progress identity can be achieved.  To make the SHGs really meaningful and successful, the government at different levels has to intervene in a large scale not as provider of finance or provider of other inputs, but as facilitator and promoter. It is also thus important to view micro-credit programmes as a complement rather than a substitute for effective policies to be able to transform national and international development of women. Int. J. Soc. Sc. Manage. Vol. 8, Issue-4: 438-444.

scholarly journals Explaining the determinants of hookah consumption among women in southern Iran: a qualitative study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sakineh Dadipoor ◽  
Gerjo Kok ◽  
Teamur Aghamolaei ◽  
Mohtasham Ghaffari ◽  
Ali Heyrani ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Ecological Model ◽  
Structured Interview ◽  
Psychosocial Needs ◽  
Political Factors ◽  
Factors Affecting ◽  
Southern Iran ◽  
Data Saturation ◽  
Bandar Abbas ◽  
Internal And External Factors

Abstract Background The prevalence of hookah consumption has been on the increase in Iran over the past two decades. This rate is higher among women than men in the south of Iran than other geographical areas. The purpose of this study was to explain the determinants of hookah consumption among indigenous women of Bandar Abbas city, southern Iran. Methods This is the first qualitative study with the conventional content analysis approach that has examined the factors affecting the consumption of hookah at all ecological levels in 2018–2019. Participants, with a maximum variation in terms of age, education, occupation, hookah consumption and geographical areas of the city, were selected purposefully to take part in a semi-structured interview. The data were recorded, typed and analyzed according to the framework of the ecological model of health promotion at five levels (intrapersonal, interpersonal, organizational, social and political). The interview continued until data saturation. MAXQDA software version 10 was used for data management. Results Interviews were conducted with 56 participants (21 female hookah smokers, 15 female ex- smokers, and 20 experienced experts). A total of eight main categories were extracted from the data including; positive attitude towards hookah consumption, psychosocial needs, sensory charms of hookah, individual factors, family factors, cultural-environmental backgrounds, social-political backgrounds, and economic challenges. Conclusions The results indicated the extensive influence of internal and external factors on the consumption of hookah. In order to successfully reduce the consumption of hookah, it is essential to consider intrapersonal, interpersonal, organizational, social and political factors.

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