Hsuan-Hua Chen1, Wen-Chu Chiang2, Ming-Ju Hsieh3, Chih-Hsien Lee4, Zung Fan Yuan5, Hao-Yang Lin2,3, Lee-Fang Chew3, Edward Pei-Chuan Huang3, Chih-Wei Yang3,6, Shih-Cheng Liao7, Chi-Wei Lin1, Ming-Ni Lee1, Matthew Huei-Ming Ma2,3. 1. National Dong Hwa University Department of Counseling and Clinical Psychology Hualien Taiwan. 2. National Taiwan University Hospital Yunlin Branch Department of Emergency Medicine Yunlin Taiwan. 3. National Taiwan University Hospital Department of Emergency Medicine Taipei Taiwan. 4. Chang Jung Christian University Department of Health Care Administration Tainan Taiwan. 5. Tzu Chi University Department of Physiology, School of Medicine Hualien Taiwan. 6. National Taiwan University Hospital Department of Medical Education Taipei Taiwan. 7. National Taiwan University Department of Psychiatry, College of Medicine Taipei Taiwan.
Abstract
BACKGROUND: Bystander-initiated cardiopulmonary resuscitation (CPR) and the use of automated external defibrillation (AED) is pivotal in the community chain of survival, but little is known regarding the bystander experience of performing CPR and AED, and their psychological infl uence from the incidents in the Asian community. This qualitative study was conducted to explore the experiences of lay rescuers who had performed CPR and AED in public locations in Taiwan. METHODS: Lay rescuers who had provided initial CPR and defi brillation with AED in public locations across Taiwan in 2015 were selectively recruited from Taiwan Public AED Registry for a semi-structured interview. RESULTS: Nine participants were included in the study, and event-to-interview duration was within 1 year (n = 4) and 1-2 years (n = 5). The major fi ndings from the study were: (1) the lay rescuers possessed helping traits and high motivation; (2) the lay rescuers reported certain aspects of rescue reality that differed much from prior training and expectations, including diffi culty in the depth of chest compression, and uncertainties in real emergency situations; (3) the lay rescuers gained positive personal fulfi llment in sharing their experience and receiving positive feedback from others, and were willing to help next time, although they experienced a short-term negative psychological impact from the event. CONCLUSIONS: This study provides valuable information on strategies to increase layperson CPR rates and effectiveness in CPR training. Measures should be taken to increase layperson's confi dence and situation awareness, reduce training-reality discrepancy, build up a support system to avoid negative psychological effects, and prepare lay rescuers for the next resuscitation.
BACKGROUND: Bystander-initiated cardiopulmonary resuscitation (CPR) and the use of automated external defibrillation (AED) is pivotal in the community chain of survival, but little is known regarding the bystander experience of performing CPR and AED, and their psychological infl uence from the incidents in the Asian community. This qualitative study was conducted to explore the experiences of lay rescuers who had performed CPR and AED in public locations in Taiwan. METHODS: Lay rescuers who had provided initial CPR and defi brillation with AED in public locations across Taiwan in 2015 were selectively recruited from Taiwan Public AED Registry for a semi-structured interview. RESULTS: Nine participants were included in the study, and event-to-interview duration was within 1 year (n = 4) and 1-2 years (n = 5). The major fi ndings from the study were: (1) the lay rescuers possessed helping traits and high motivation; (2) the lay rescuers reported certain aspects of rescue reality that differed much from prior training and expectations, including diffi culty in the depth of chest compression, and uncertainties in real emergency situations; (3) the lay rescuers gained positive personal fulfi llment in sharing their experience and receiving positive feedback from others, and were willing to help next time, although they experienced a short-term negative psychological impact from the event. CONCLUSIONS: This study provides valuable information on strategies to increase layperson CPR rates and effectiveness in CPR training. Measures should be taken to increase layperson's confi dence and situation awareness, reduce training-reality discrepancy, build up a support system to avoid negative psychological effects, and prepare lay rescuers for the next resuscitation.
Authors: Steven L Kronick; Michael C Kurz; Steve Lin; Dana P Edelson; Robert A Berg; John E Billi; Jose G Cabanas; David C Cone; Deborah B Diercks; James Jim Foster; Reylon A Meeks; Andrew H Travers; Michelle Welsford Journal: Circulation Date: 2015-11-03 Impact factor: 29.690
Authors: Ian Painter; Devora Eisenberg Chavez; Brooke R Ike; Mei Po Yip; Shin Ping Tu; Steven M Bradley; Thomas D Rea; Hendrika Meischke Journal: Resuscitation Date: 2014-05-23 Impact factor: 5.262