背景:维多利亚州政府主导的自愿计划,澳大利亚“体育俱乐部和设施除颤器计划”于2015年至2019年开展,广泛旨在增加对自动体外除颤器(AED)的使用,以及更多接受过医疗紧急情况管理培训的社区成员。这项研究旨在了解参与的体育俱乐部/设施是否已成功地将AED和医疗计划与其他俱乐部/设施安全实践相结合。方案交付后12个月。
方法:这是维多利亚州14个体育俱乐部/设施的定性案例研究,2017年的澳大利亚,在Reach的支持下,有效性,收养,实施,维护(RE-AIM)框架。我们对设施进行了观察性审计(为了找到AED的位置,标牌和其他相关位置特定因素)和半结构化,与俱乐部/设施代表进行面对面采访。面试问题旨在确定是否以及如何相关,授权的应急管理计划进行了长期调整(嵌入),这是否符合正在进行的组织使命(积极参与),以及在初始实施后6个月是否仍在进行(可持续性)。使用定性描述性方法对数据进行评估。对于报告,审核的描述性摘要与访谈数据相结合,以情境化和可视化运动俱乐部/设施设置和关键结果。
结果:确定的关键问题是AED的可访问性和可见性,标识不足和挑战确定访问和存储的有效位置。大多数受访者报告了AED,并接受了培训,但没有采取进一步的措施进行安全规划或与俱乐部/设施实践整合。还提出了一些关于保持最新培训和确保对AED进行必要的例行检查的挑战。
结论:这项研究确定了社区体育俱乐部/设施在实施AED和医疗计划计划方面的几个挑战,包括在哪里存储AED,如何让社区知道它的存在,以及如何将变化与其他俱乐部/设施实践相结合。
BACKGROUND: A voluntary State Government-led programme in Victoria, Australia \'Defibrillators for Sporting Clubs and Facilities Program\' ran from 2015 to 2019, broadly aimed at increasing access to automated external defibrillators (AEDs), together with a greater number of community members trained for management of medical emergencies. This study aimed to understand whether participating sport clubs/facilities had successfully integrated an AED and medical planning with other club/facility safety practices, 12 months after delivery of the programme.
METHODS: This was a qualitative
case study of 14 sport clubs/facilities in Victoria, Australia in 2017, underpinned by the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework. We conducted observational audits of facilities (to locate AED placement, signage and other relevant location-specific factors) and semi-structured, face-to-face interviews with representatives of the clubs/facilities. Interview questions were designed to determine if and how the related, mandated emergency management programme was adapted for the long term (embedding), whether this aligned to ongoing organisational mission (active engagement), and whether or not it was still ongoing 6 months postinitial implementation (sustainability). Data were evaluated using qualitative descriptive methodology. For reporting, descriptive summaries of the audit were combined with interview data to contextualise and visualise the sport club/facility setting and key results.
RESULTS: Key issues identified were accessibility and visibility of the AED, with inadequate signage and challenges identifying an efficient location for access and storage. Most interviewees reported the AED and training were received with no further actions taken towards safety planning or integration with club/facility practice. Several challenges regarding remaining up to date with training and ensuring required routine checks of the AED take place were also raised.
CONCLUSIONS: This study identified several challenges for community sport clubs/facilities in the implementation of an AED and medical planning programme, including where to store the AED, how to make its presence known to the community and how to integrate changes alongside other club/facility practices.