Objectives: Effectively communicate results from a community exposure study to meet predetermined community priorities, maintaining ethical principles of autonomy, empowerment and justice.
Methods: The community established principles for the communications and a plan to inform study participants, community and other stakeholders of results and recommendations in a novel sequence: the "Community-First" communication model.
Results: The communications resulted in positive actions including company sponsored free bottled water, accepted by 77.6% of eligible households. Over 95% of participants in a follow-up survey had made some change to residential water supplies. Serum perfluorooctanoate levels were reduced. Government agencies acted on the results.
Conclusions: The unique communication approach generated workable solutions to the problem investigated, raised community awareness and modified behaviors. Information generated a "free market" of community-level solutions. Each major stakeholder voluntarily adopted a "precautionary principle."
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http://dx.doi.org/10.1097/JOM.0b013e3181965d9b | DOI Listing |
Scand J Trauma Resusc Emerg Med
September 2024
Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, Lincoln, UK.
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.
Health Soc Care Deliv Res
July 2024
East Midlands Ambulance Service NHS Trust, Lincoln, UK.
Background: Community First Responders are trained volunteers dispatched by ambulance services to potentially life-threatening emergencies such as cardiac arrest in the first vital minutes to provide care until highly skilled ambulance staff arrive. Community First Responder schemes were first introduced to support ambulance services in rural communities, where access to prehospital emergency care is more likely to be delayed. Evidence is lacking on their contribution to rural healthcare provision, how care is provided and how this might be improved.
View Article and Find Full Text PDFCancer Nurs
March 2024
Author Affiliations: The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW (Drs Kim and White); Cancer Care Research Unit, Faculty of Medicine and Health, The University of Sydney (Drs Kim, Patterson, and White); Sydney Local Health District (Drs Kim and White); and Community First Step (Dr Patterson), Sydney, Australia.
Background: Having a cancer diagnosis during early adulthood can be a significant challenge for an individual. Nurses' supportive communication plays a vital role during the diagnosis and treatment period to lessen psychological distress and promote coping.
Objective: This exploratory study aimed to examine (1) the experiences of emerging adults with cancer (EAs) aged between 18 and 25 years in communicating with nurses during diagnosis and treatment and (2) nurses' experiences of providing supportive communication with this patient group.
BMC Med Educ
October 2022
Community and Health Research Unit, University of Lincoln, Lincoln, UK.
Context: Medical Student First Responders (MSFRs) are volunteers who respond to emergency calls, managing patients before ambulance staff attend. The MSFR role provides opportunities to manage acutely unwell patients in the prehospital environment, not usually offered as part of formal undergraduate medical education. There are few previous studies describing activities or experiences of MSFRs or exploring the potential educational benefits.
View Article and Find Full Text PDFResusc Plus
June 2022
Department of Public Health and Caring Sciences, Caring Science, Uppsala University, Uppsala, Sweden & Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.
Aim: The aim was to illustrate how community first responders perceive out-of-hospital cardiac arrest alerts delivered via smartphone, what support they have and how they cope with potentially distressing experiences.
Method: A qualitative interview study was conducted with a volunteer sample of 14 community first responders in two regions of Sweden. The interviews were transcribed and analysed using thematic analysis with a data-driven inductive approach supported by NVivo 1.
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