What are ambulance crews’ experiences of using a mechanical chest compression device for out-of-hospital resuscitation? A constructivist qualitative study utilising online focus groups

Blair, Laura and Duffy, Richelle (2022) What are ambulance crews’ experiences of using a mechanical chest compression device for out-of-hospital resuscitation? A constructivist qualitative study utilising online focus groups. British Paramedic Journal, 7 (2). pp. 24-30. ISSN 1478-4726

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Official URL: https://doi.org/10.29045/14784726.2022.09.7.2.24

Abstract

Introduction: Mechanical chest compression devices (MCCDs) provide chest compressions mechanically to a person in cardiac arrest. Those chest compressions would usually be provided manually. Previous studies into the use of MCCDs have focused on the quantitative outcomes, with little emphasis on the qualitative experiences of those using MCCDs.

Purpose: To collect and report ambulance crews’ experiences of using MCCDs for out-of-hospital resuscitation attempts.

Methods: The philosophical approach was constructivist, the methodology qualitative and the data collection method online focus groups. Convenience sampling was used to recruit participants who met the inclusion criteria, which broadly were to have experience of using MCCDs for out-of-hospital resuscitation. There have been two types of MCCD used locally. Participants were included regardless of which type of device they had experience of. Similarly, participants were included whether they had active or passive experience of the devices. The focus groups were recorded, fully transcribed and then analysed using constant comparison.

Results: Four selective codes emerged. These were factors directly affecting ambulance crew members; practicalities of a resuscitation attempt; ambulance crew members’ perceptions, experiences and thoughts; negatives of MCCDs.

Conclusion: The main perceptions arising from the participants’ discussion in this work were that MCCD use could potentially provide psychological protection to ambulance crew members when reflecting on resuscitation attempts, and participants felt there is an overall reduction of cognitive load for ambulance crew members when using MCCDs for resuscitation attempts. There were particularly timely benefits expressed of MCCDs easing the physical fatigue of a resuscitation attempt when responding wearing personal protective equipment, as has been required during the COVID-19 pandemic. MCCDs were felt to be of benefit when transporting patient in cardiac arrest but differences were expressed as to whether the LUCAS-2 in particular
helps or hinders extrication of a patient.

Item Type: Article
Additional Information: Funding information: Funding for this project was provided by Stryker (Jolife AB/Stryker), Lund, Sweden, Scheelevagen 17, 223 70. This company manufactures one of the types of MCCD discussed in this study.
Uncontrolled Keywords: mechanical chest compressions, qualitative research, pre-hospital
Subjects: A300 Clinical Medicine
B700 Nursing
B800 Medical Technology
B900 Others in Subjects allied to Medicine
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Rachel Branson
Date Deposited: 08 Sep 2022 10:04
Last Modified: 08 Sep 2022 10:15
URI: https://nrl.northumbria.ac.uk/id/eprint/50062

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