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Response times in rural areas for emergency medical services, fire and rescue services and voluntary first responders during out-of-hospital cardiac arrests
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg, Sweden. (CICE)ORCID iD: 0000-0001-7479-8092
Linnaeus University, Faculty of Technology, Department of Forestry and Wood Technology. Agunnaryd Voluntary Fire Brigade, Sweden. (CICE)ORCID iD: 0000-0002-2990-3559
Lund University, Sweden;The Swedish Fire Research Foundation, Sweden;West Blekinge Fire and Rescue Service, Sweden. (CiCE)
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (CICE)ORCID iD: 0000-0001-7865-3480
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2024 (English)In: Resuscitation Plus, E-ISSN 2666-5204, Vol. 17, article id 100548Article in journal (Refereed) Published
Abstract [en]

Aim: To increase survival in out-of-hospital cardiac arrests (OHCA), great efforts are made to improve the number of voluntary first responders (VFR). However, evidence of the potential utility of such efforts is sparse, especially in rural areas. Therefore, the aim was to describe and compare response times for emergency medical services (EMS), fire and rescue services (FRS), and VFR during OHCA in relation to population density.

Methods: This observational and comparative study was based on data including positions and time stamps for VFR and response times for EMS and FRS in a region in southern Sweden.ResultsIn total, 285 OHCAs between 1 July 2020 and 31 December 2021 were analysed. VFR had the shortest median response time in comparison to EMS and FRS in all studied population densities. The overall median (Q1–Q3) time gain for VFR was 03:07 (01:39–05:41) minutes. A small proportion (19.2%) of alerted VFR accepted the assignments. This is most problematic in rural and sub-rural areas, where there were low numbers of alerted VFR. Also, FRS had shorter response time than EMS in all studied population densities except in urban areas.

Conclusion: The differences found in median response times between rural and urban areas are worrisome from an equality perspective. More focus should be placed on recruiting VFR, especially in rural areas since VFR can potentially contribute to saving more lives. Also, since FRS has a shorter response time than EMS in rural, sub-rural, and sub-urban areas, FRS should be dispatched more frequently.

Place, publisher, year, edition, pages
Elsevier, 2024. Vol. 17, article id 100548
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-126711DOI: 10.1016/j.resplu.2023.100548ISI: 001167445700001Scopus ID: 2-s2.0-85182349591OAI: oai:DiVA.org:lnu-126711DiVA, id: diva2:1827548
Available from: 2024-01-15 Created: 2024-01-15 Last updated: 2025-02-06Bibliographically approved
In thesis
1. Sharing is Caring: Early response for community safety in rural areas with a focus on exploring part-time firefighters’ work situation and family support
Open this publication in new window or tab >>Sharing is Caring: Early response for community safety in rural areas with a focus on exploring part-time firefighters’ work situation and family support
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Purpose: The overall purpose of this thesis was to explore and describe early response for community safety in rural areas with a focus on parttime firefighters’ work situation and family support.

Methods: The thesis used an inductive approach with an exploratory and descriptive design, including qualitative and quantitative research methods. Each study’s design was selected to align with its specific purpose. The five studies collectively contributed to fulfilling the overall purpose of the thesis. Descriptive and comparative statistics were employed to describe response times in out-of-hospital cardiac arrests in relation to population density for volunteer first responders, fire and rescue services, and emergency medical services (I). A literature review was conducted to synthesize literature regarding non-career firefighters, with a focus on recruitment, retention and resignation (II). The Delphi technique was applied to identify pivotal factors that influence the ability of main employers to have employees who are part-time firefighters in rural areas in Sweden (III). Interviews were conducted and analysed using latent qualitative content analysis to describe the experiences of part-time firefighters in rural areas in Sweden (IV). Interviews were conducted and analysed with the Critical Incident Technique to describe the experiences and actions of part-time firefighters’ family members in rural areas in Sweden (V).

Findings: The fire and rescue services had a significant impact on reducing response times in non-urban settings compared to the emergency medical services (I). Culture, recognition and supportive leadership in the fire and rescue services played a crucial role in job satisfaction and retention among non-career firefighters (II). Main employers to part-time firefighters wanted to contribute to preserve a fire and rescue service in the community by encouraging employees to also work as part-time firefighters (III). Part-time firefighters shared a strong commitment and motivation but balanced the service with other responsibilities in life (IV). Family members of part-time firefighters faced challenges and dealt with uncertainties but adapted their daily lives to fit with the part-time firefighters’ work situation (V). The findings revealed that various dimensions and interrelated subsystems have an impact on part-time firefighters’ work situation and support, enabling early response for community safety in rural areas. These interrelated subsystems, driven by individual efforts, support part-time firefighters serving on-call in rural areas, demonstrating a shared commitment that involves responsibility as well as the dedication of time and resources.

Conclusion: The shared commitment found among part-time firefighters, their main employers, and their family members underscores their importance in supporting part-time firefighters’ work situation. This commitment and support are essential for retaining part-time firefighters, which enhances early response efforts and ensures community safety in rural areas. Consequently, “sharing is caring” is of pivotal importance.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2024. p. 118
Series
Linnaeus University Dissertations ; 542
Keywords
caring, community safety, commitment, early response, fire and rescue service, non-career firefighters, part-time firefighters, responsibility, retention, rural areas, work-family interface
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-132622 (URN)10.15626/LUD.542.2024 (DOI)9789180822039 (ISBN)9789180822046 (ISBN)
Public defence
2024-11-07, Södra Salen, Växjö, 09:00 (Swedish)
Opponent
Supervisors
Funder
The Kamprad Family Foundation, 20202001
Available from: 2024-09-18 Created: 2024-09-18 Last updated: 2025-03-25Bibliographically approved

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Svensson, AndersNilsson, BengtBremer, AndersÅrestedt, KristoferIsraelsson, Johan

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