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Patel, G, Botan, V 
ORCID: https://orcid.org/0000-0003-1583-3913, Phung, V-H, Trueman, I, Hosseini, MP, Smith, MD, Ørner, R, Pattinson, J, Asghar, Z, Rowan, E, Spaight, R, Mortimer, C, Brewster, A, Mountain, P, Miller, J, Brown, M and Siriwardena, AN,
2024.
Consensus on innovations and future directions of community first responder schemes in United Kingdom: a national nominal group technique study.
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 32: 99.
ISSN 1757-7241
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Abstract
Aim: We aimed to achieve consensus among NHS and community stakeholders to identify and prioritise innovations in Community First Responder (CFR) schemes.
Methods: We conducted a mixed-methods study, adopting a modified nominal group technique with participants from ambulance services, CFR schemes and community stakeholders. The 1-day consensus workshop consisted of four sessions: introduction of innovations derived from primary research; round-robin discussions to generate new ideas; discussion and ranking of innovations; feedback of ranking, re-ranking and concluding statements. Innovations were ranked on a 5-point Likert scale and descriptive statistics of median and interquartile range calculated. Discussions were recorded, transcribed, and analysed thematically.
Results: The innovations found were classified into two categories: process innovations and technological innovations. The process innovations included six types of innovations: roles, governance, training, policies and protocols, recruitment, and awareness. The technological innovations included three aspects: information and communication; transport; and health technology. The descriptive statistics revealed that innovations such as counselling and support for CFRs (median: 5 IQR 5,5), peer support [5 (4,5)], and enhanced communication with control room [5 (4,5)] were essential priorities. Contrastingly, innovations such as the provision of dual CFR crew [1.5 (1,3)], CFR responsibilities in patient transport to hospital [1 (1,2)], and CFR access to emergency blue light [1 (1,1.5)] were deemed non-priorities.
Conclusions: This article established consensus on innovations in the CFR schemes and their ranking for improving the provision of care delivered by CFRs in communities. The consensus-building process also informed policy- and decision-makers on the potential future change agenda for CFR schemes.
| Item Type: | Journal article |
|---|---|
| Publication Title: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Creators: | Patel, G., Botan, V., Phung, V.-H., Trueman, I., Hosseini, M.P., Smith, M.D., Ørner, R., Pattinson, J., Asghar, Z., Rowan, E., Spaight, R., Mortimer, C., Brewster, A., Mountain, P., Miller, J., Brown, M. and Siriwardena, A.N. |
| Publisher: | Springer Science and Business Media LLC |
| Date: | 2024 |
| Volume: | 32 |
| ISSN: | 1757-7241 |
| Identifiers: | Number Type 10.1186/s13049-024-01254-6 DOI 2391028 Other |
| Rights: | © The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
| Divisions: | Schools > School of Social Sciences |
| Record created by: | Laura Borcherds |
| Date Added: | 03 Mar 2025 15:17 |
| Last Modified: | 03 Mar 2025 15:17 |
| URI: | https://irep.ntu.ac.uk/id/eprint/53165 |
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