PDF(Pubmed)
Abstract：
UNASSIGNED: Education for the lay public in basic life support (BLS) is critical for increasing bystander cardiopulmonary resuscitation (CPR) rates and improving survival from out-of-hospital cardiac arrest (OHCA). Despite years of implementation, the BLS training rate in China has remained modest. The aim of this study was to investigate the factors influencing the implementation of BLS training programs in emergency medical service (EMS) centers in China and to identify specific barriers and enablers.
UNASSIGNED: Qualitative interviews were conducted with key informants from 40 EMS centers in Chinese cities. The participants included 11 directors/deputy directors, 24 training department leaders, and 5 senior trainers. The interview guide was based on the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. Thematic content analysis was used to identify themes and patterns across the interviews.
UNASSIGNED: We identified 16 factors influencing the implementation of BLS training programs encompassing the outer content, inner context, innovation and bridging factors. Some factors acted as either barriers or enablers at different EPIS stages. The main implementation barriers included limited external leadership, insufficient government investment, low public awareness, a shortage of trainers, an absence of incentives, an absence of authoritative courses and guidelines, a lack of qualification to issue certificates, limited academic involvement, and insufficient publicity. The main enablers were found to be supportive government leaders, strong public demand, adequate resources, program champions, available high-quality courses of high fitness within the local context, the involvement of diverse institutions, and effective publicity and promotion.
UNASSIGNED: Our findings emphasize the diversity of stakeholders, the complexity of implementation, and the need for localization and co-construction when conducting BLS training for lay public in city EMS centers. Improvements can be made at the national level, city level, and EMS institutional level to boost priority and awareness, promote legislation and policies, raise sustainable resources, and enhance the technology of BLS courses.
UNASSIGNED: Qualitative interviews were conducted with key informants from 40 EMS centers in Chinese cities. The participants included 11 directors/deputy directors, 24 training department leaders, and 5 senior trainers. The interview guide was based on the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. Thematic content analysis was used to identify themes and patterns across the interviews.
UNASSIGNED: We identified 16 factors influencing the implementation of BLS training programs encompassing the outer content, inner context, innovation and bridging factors. Some factors acted as either barriers or enablers at different EPIS stages. The main implementation barriers included limited external leadership, insufficient government investment, low public awareness, a shortage of trainers, an absence of incentives, an absence of authoritative courses and guidelines, a lack of qualification to issue certificates, limited academic involvement, and insufficient publicity. The main enablers were found to be supportive government leaders, strong public demand, adequate resources, program champions, available high-quality courses of high fitness within the local context, the involvement of diverse institutions, and effective publicity and promotion.
UNASSIGNED: Our findings emphasize the diversity of stakeholders, the complexity of implementation, and the need for localization and co-construction when conducting BLS training for lay public in city EMS centers. Improvements can be made at the national level, city level, and EMS institutional level to boost priority and awareness, promote legislation and policies, raise sustainable resources, and enhance the technology of BLS courses.
摘要：
■对普通公众进行基本生命支持（BLS）的教育对于提高旁观者心肺复苏（CPR）率和改善院外心脏骤停（OHCA）的生存率至关重要。尽管实施了多年，BLS在中国的培训率一直保持适度。这项研究的目的是调查影响在中国急诊医疗服务（EMS）中心实施BLS培训计划的因素，并确定具体的障碍和推动者。
■对来自中国40个城市EMS中心的主要线人进行了定性访谈。与会者包括11名董事/副董事，24名培训部门领导,和5名高级培训师。采访指南是基于探索，准备工作,实施,可持续性(EPIS)框架。主题内容分析用于识别访谈中的主题和模式。
■我们确定了影响BLS培训计划实施的16个因素，包括外部内容，内在语境，创新和桥梁因素。某些因素在不同的EPIS阶段充当障碍或推动者。主要的执行障碍包括有限的外部领导，政府投资不足,公众意识低,培训师短缺，缺乏激励措施，缺乏权威的课程和指南，缺乏颁发证书的资格，学术参与有限，宣传不够。主要推动者被发现是支持政府领导人，强烈的公众需求，充足的资源,项目冠军,在当地范围内提供高质量的高健身课程，不同机构的参与，有效的宣传和推广。
■我们的研究结果强调了利益相关者的多样性，实施的复杂性，以及在城市EMS中心进行BLS培训时需要本地化和共同建设。可以在国家一级进行改进，城市层面,和EMS机构级别，以提高优先级和意识，促进立法和政策，筹集可持续资源，并提高BLS课程的技术。
■对来自中国40个城市EMS中心的主要线人进行了定性访谈。与会者包括11名董事/副董事，24名培训部门领导,和5名高级培训师。采访指南是基于探索，准备工作,实施,可持续性(EPIS)框架。主题内容分析用于识别访谈中的主题和模式。
■我们确定了影响BLS培训计划实施的16个因素，包括外部内容，内在语境，创新和桥梁因素。某些因素在不同的EPIS阶段充当障碍或推动者。主要的执行障碍包括有限的外部领导，政府投资不足,公众意识低,培训师短缺，缺乏激励措施，缺乏权威的课程和指南，缺乏颁发证书的资格，学术参与有限，宣传不够。主要推动者被发现是支持政府领导人，强烈的公众需求，充足的资源,项目冠军,在当地范围内提供高质量的高健身课程，不同机构的参与，有效的宣传和推广。
■我们的研究结果强调了利益相关者的多样性，实施的复杂性，以及在城市EMS中心进行BLS培训时需要本地化和共同建设。可以在国家一级进行改进，城市层面,和EMS机构级别，以提高优先级和意识，促进立法和政策，筹集可持续资源，并提高BLS课程的技术。
