The experience of community first responders in co-producing rural health care: in the liminal gap between citizen and professional

详细信息    查看全文

• 作者：Anne Roberts ; Amy Nimegeer ; Jane Farmer ; David J Heaney
• 关键词：Emergency medicine ; Volunteering ; Rural health ; Community first response
• 刊名：BMC Health Services Research
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：317 KB
• 参考文献：Delivering for Remote and Rural Health: Final Report of the Remote and Rural Workstream. Scottish Government, Edinburgh
  National Strategic Framework for Rural & Remote Health.
  The Big Society, seventeenth report of session V1. House of Commons Public Administration Select Committee. The Stationery Office Limited, London
  1. Horne, M, Khan, H, Corrigan, P (2013) People Powered Health: Health for People, by People and with People. NESTA, London
  2. Skerratt, S (2013) Enhancing the analysis of rural community resilience: evidence from community land ownership. J Rural Study 31: pp. 36-46 CrossRef
  3. Boyle, D, Harris, M (2009) Discussion Paper. The Challenge of Co-Production. NESTA, London, UK
  4. Parks, RB, Baker, PC, Kiser, L, Oakerson, R, Ostrom, E, Ostrom, V, Percy, SL, Vandivort, MB, Whitaker, GP, Wilson, R (1981) Consumers as co-producers of public services: some economic and institutional considerations. Policy Stud J 9: pp. 1001-1011 CrossRef
  5. Ostrom, E (1996) Crossing the great divide: co-production, synergy and development. World Dev 24: pp. 1073-1087 CrossRef
  6. Needham, C (2007) The Reform of Public Service under New Labour: Narratives of Consumerism. Palgrave Macmillan, Basingstoke CrossRef
  7. Hofferth, SL, Iceland, J (1998) Social capital in rural and urban communities. Rural Sociol 63: pp. 574-598 CrossRef
  8. Woolvin, M (2012) Mapping the Third Sector in Rural Scotland: an Initial Review of the Literature. The Scottish Government, Edinburgh
  9. Timmons, S, Vernon-Evans, A (2013) Why do people volunteer for community first responder groups?. Emerg Med J 30: pp. e13 CrossRef
  10. Van Gennep, A (1960) (Translated by MB Vizedom and GL Caffee). Rites of passage. (Les rites de passage). The University of Chicago Press, Chicago
  11. Turner, VW (1969) The Ritual Process: Structure and Anti-structure. Routledge and Kegan Paul, London
  12. Finn, JC, Jacobs, IG, Holman, CD, Oxer, HF (2001) Outcomes of out-of-hospital cardiac arrest patients in Perth, Western Australia, 1996-999. Resuscitation 51: pp. 247-255 CrossRef
  13. Smith, LM, Davidson, PM, Halcomb, EJ, Andrew, S (2007) Can lay responder defibrillation programmes improve survival to hospital discharge following an out-of-hospital cardiac arrest?. Aust Crit Care 20: pp. 137-145 CrossRef
  14. Cummins, RO (1993) Emergency medical services and sudden cardiac arrest: The chain of survival concept. Annu Rev Public Health 14: pp. 313-333 CrossRef
  15. Nichol, G, Myron, L, Weisfeldt, MD (2006) How to reduce sudden death in the community. Dialogues Cardiovasc Med 11: pp. 221-230
  16. Hallstrom, AP, Ornato, JP (2004) Public-access defibrillation and survival after out-of-hospital cardiac arrest. N Engl J Med 351: pp. 637-646 CrossRef
  17. Davies, CS, Colquhoun, MC, Boyle, R, Chamberlain, DA (2005) A national programme for on-site defibrillation by lay people in selected high risk areas: initial results. Heart 91: pp. 1299-1302 CrossRef
  The Role and Management of Community First Responders. Findings from a National Survey of NHS Ambulance Services in England. Commission for Healthcare Audit and Inspection, London
  18. PRNewswire [http://www.prnewswire.com/news-releases/united-hatzalah-of-israels-network-of-volunteer-emergency-first-responders-catches-worlds-attention-137891473.html]
  19. Murad,
• 刊物主题：Public Health; Health Administration; Health Informatics; Nursing Management/Nursing Research;
• 出版者：BioMed Central
• ISSN：1472-6963

文摘

Background The involvement of community first responders (CFRs) in medical emergencies in Scotland, and particularly in remote and rural areas, has expanded rapidly in recent years in response to geographical and organisational challenges of emergency medical service access. In 2013 there were over 120 active or developing schemes in a wide variety of settings. Community first responders are volunteers trained in First Person on the Scene (FPOS) first aid, administered prior to the arrival of an ambulance. Although there is limited literature which describes the role of first response, little academic literature has been published about the complexities of their specific role in both the community and organisational contexts. Methods Here we reflect on data from two mixed-methods studies into the role of CFRs in Scotland. Results We highlight findings that explore the liminal and complex role of the first responder as both ‘practitioner-and community member, and how this contributes to a sense of communitas within the study areas. The rural context encompasses additional complexity in relation to the role of emergency care volunteer, having the highest levels of volunteering and this paper questions assumptions that rural areas, are more accepting of volunteerism. Conclusions Complexities arising from the experience of blurred voluntary/practitioner boundaries emerge as a key feature of voluntary participation in medical emergencies in this setting.