PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to explore the views and perceptions of Advanced Life Support (ALS) practitioners in two South African provinces on initiating, withholding, and terminating resuscitation in OHCA.
UNASSIGNED: Semi-structured one-on-one interviews were conducted with operational ALS practitioners working within the prehospital setting in the Western Cape and Free State provinces. Recorded interviews were transcribed and subjected to inductive-dominant, manifest content analysis. After familiarisation with the data, meaning units were condensed, codes were applied and collated into categories that were then assessed, reviewed, and refined repeatedly.
UNASSIGNED: A total of 18 ALS providers were interviewed. Five main categories were developed from the data analysis: 1) assessment of prognosis, 2) internal factors affecting decision-making, 3) external factors affecting decision-making, 4) system challenges, and 5) ideas for improvement. Factors influencing the assessment of prognosis were history, clinical presentation, and response to resuscitation. Internal factors affecting decision-making were driven by emotion and contemplation. External factors affecting decision-making included family, safety, and disposition. System challenges relating to bystander response and resources were identified. Ideas for improvement in training and support were brought forward.
UNASSIGNED: Many factors influence OHCA decision-making in the Western Cape and Free State provinces, and numerous system challenges have been identified. The findings of this study can be used as a frame of reference for prehospital emergency care personnel and contribute to the development of context-specific guidelines.
UNASSIGNED: Semi-structured one-on-one interviews were conducted with operational ALS practitioners working within the prehospital setting in the Western Cape and Free State provinces. Recorded interviews were transcribed and subjected to inductive-dominant, manifest content analysis. After familiarisation with the data, meaning units were condensed, codes were applied and collated into categories that were then assessed, reviewed, and refined repeatedly.
UNASSIGNED: A total of 18 ALS providers were interviewed. Five main categories were developed from the data analysis: 1) assessment of prognosis, 2) internal factors affecting decision-making, 3) external factors affecting decision-making, 4) system challenges, and 5) ideas for improvement. Factors influencing the assessment of prognosis were history, clinical presentation, and response to resuscitation. Internal factors affecting decision-making were driven by emotion and contemplation. External factors affecting decision-making included family, safety, and disposition. System challenges relating to bystander response and resources were identified. Ideas for improvement in training and support were brought forward.
UNASSIGNED: Many factors influence OHCA decision-making in the Western Cape and Free State provinces, and numerous system challenges have been identified. The findings of this study can be used as a frame of reference for prehospital emergency care personnel and contribute to the development of context-specific guidelines.
摘要：
■本研究旨在探索南非两个省的高级生命支持（ALS）从业者对启动，扣缴,终止OHCA的复苏.
■对在西开普省和自由州的院前工作的ALS操作人员进行了半结构化的一对一访谈。记录的采访被转录并接受归纳主导，清单内容分析。熟悉数据后，意味着单位被浓缩，代码被应用并整理成类别，然后进行评估，reviewed,反复提炼。
■共采访了18名ALS提供者。从数据分析中得出了五个主要类别：1)预后评估，2)影响决策的内部因素，3)影响决策的外部因素；4）系统挑战，5)改进思路。影响预后评估的因素包括病史，临床表现,以及对复苏的反应。影响决策的内部因素是由情绪和沉思驱动的。影响决策的外部因素包括家庭，安全,和性格。确定了与旁观者响应和资源有关的系统挑战。提出了改进培训和支持的想法。
■许多因素影响OHCA在西开普省和自由州的决策，并且已经确定了许多系统挑战。这项研究的结果可以用作院前急救人员的参考框架，并有助于制定特定于环境的指南。
■对在西开普省和自由州的院前工作的ALS操作人员进行了半结构化的一对一访谈。记录的采访被转录并接受归纳主导，清单内容分析。熟悉数据后，意味着单位被浓缩，代码被应用并整理成类别，然后进行评估，reviewed,反复提炼。
■共采访了18名ALS提供者。从数据分析中得出了五个主要类别：1)预后评估，2)影响决策的内部因素，3)影响决策的外部因素；4）系统挑战，5)改进思路。影响预后评估的因素包括病史，临床表现,以及对复苏的反应。影响决策的内部因素是由情绪和沉思驱动的。影响决策的外部因素包括家庭，安全,和性格。确定了与旁观者响应和资源有关的系统挑战。提出了改进培训和支持的想法。
■许多因素影响OHCA在西开普省和自由州的决策，并且已经确定了许多系统挑战。这项研究的结果可以用作院前急救人员的参考框架，并有助于制定特定于环境的指南。
