Caring for the invisible and forgotten: a qualitative document analysis and experience-based co-design project to improve the care of families experiencing out-of-hospital cardiac arrest
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Published:2023-02-13
Issue:3
Volume:25
Page:233-243
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ISSN:1481-8035
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Container-title:Canadian Journal of Emergency Medicine
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language:en
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Short-container-title:Can J Emerg Med
Author:
Loch Tess, Drennan Ian R., Buick Jason E., Mercier Danielle, Brindley Peter G., MacKenzie Mark, Kroll Thilo, Frazer Kate, Douma Matthew J.ORCID, Ali Samina, Early Sheila, Ruether Kim, Flanary Kristin, Smith Katherine E., Dainty Katie N., Graham Timothy A. D., Graham Samir Z. A., Blomheart Lynn, Blommaert Jesse, Myhre Calah, MacKenzie Ella, Jarratt Louise, Smith Katherine E.,
Abstract
Abstract
Objectives
The objectives of this project were to collect and analyze clinical governance documents related to family-centred care and cardiac arrest care in Canadian EMS organizations; and to improve the family-centredness of out-of-hospital cardiac arrest care through experience-based co-design.
Methods
We conducted qualitative document analysis of Canadian EMS clinical governance documents related to family-centred and cardiac arrest care, combining elements of content and thematic analysis methods. We then used experience-based co-design to develop a family-centred out-of-hospital cardiac arrest care policy and procedure template.
Results
Thirty-five Canadian EMS organizations responded to our requests, representing service area coverage for 80% of the Canadian population. Twenty documents were obtained for review and six overarching themes were identified: addressing family in event of in-home death, importance of family, family member escort, provider discretion and family presence discouraged. Informed by our qualitative analysis we then co-designed a policy and procedure template was created that prioritizes patient care while promotes family-centredness.
Conclusions
There were few directives to support family-centred care by Canadian EMS organizations. A family-centred out-of-hospital cardiac arrest care policy and procedure template was developed using experience-based co-design to assist EMS organizations improve the family-centredness of out-of-hospital cardiac arrest care.
Funder
University College Dublin
Publisher
Springer Science and Business Media LLC
Subject
Emergency Medicine
Reference38 articles.
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