Abbas Naboureh, Mehrdad Farrokhi, Shokoufeh Ahmadi, Mohammad Saatchi, Fereydoun Layeghi, Hamidreza Khankeh
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引用次数: 0
摘要
背景：本系统的范围审查旨在调查和描述不同国家紧急医疗服务（EMS）中实施的社区第一响应者（CFR）模型的维度。主要的焦点是确定与CFR项目相关的关键组成部分和特征。方法：本研究在多个数据库（PubMed， Scopus和Web of Science）和灰色文献来源（b谷歌Scholar，官方网站）中进行了广泛的搜索，直到2023年3月，使用与社区第一响应者相关的关键词。最初，发现了14135篇文章。除去重复和相似的题目后，共审查了37篇文章。分析内容包括培训、动机、公众意识、对急救人员的情感支持、与救护人员的协调、项目开发以及对患者预后的影响。结果：本综述揭示了全球CFR模型共有的关键维度和组成部分。值得注意的发现包括：培训的重要性、个人加入CFR小组的激励因素、公众对CFR角色的认识、对CFR的情感支持的重要性、与救护人员的有效协调、CFR项目的发展要求，以及计划实施对患者预后的影响。结论：这个系统的范围审查为全球范围内的CFR模型提供了有价值的见解，增强了对其有效性、挑战和能力的理解。其建议可以影响政策，指导未来的研究，并加强cfr对紧急医疗服务的贡献。
Addressing Challenges of Implementing Community First Responder Models based on National and International Experiences: A Systematic Scoping Review.
Background: This systematic scoping review aimed to investigate and delineate the dimensions of the Community First Responder (CFR) model implemented in emergency medical services (EMS) across different countries. The primary focus was on identifying key components and characteristics associated with CFR programs.
Methods: This study conducted an extensive search across multiple databases (PubMed, Scopus, and Web of Science) and grey literature sources (Google Scholar, official sites) until Mar 2023 using keywords related to community first responders. Initially, 14,135 articles were found. After removing duplicates and similar titles, 37 articles were reviewed. The analysis covered training, motivation, public awareness, emotional support for responders, coordination with ambulance staff, program development, and the impact on patient outcomes.
Results: This review revealed key dimensions and components common to CFR models worldwide. Notable findings included insights into the significance of training, the motivating factors for individuals joining CFR groups, public awareness regarding the role of CFRs, the importance of emotional support for CFRs, effective coordination with ambulance staff, development requirements of CFR programs, and the consequential effects of plan implementation on patient outcomes.
Conclusion: This systematic scoping review offers valuable insights into CFR models worldwide, enhancing understanding of their effectiveness, challenges, and capabilities. Its recommendations can influence policy, guide future research, and strengthen CFRs' contributions to emergency medical services.
期刊介绍：
Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above mentioned research areas.
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