Background Telephone-assisted CPR (t-CPR), where ambulance-service call-handlers provide instructions to callers on how to perform CPR, increases rates of CPR and survival. However, up to 1/3 of bystanders do not deliver CPR even when provided instructions. If the proportion of people who initiate CPR could be increased, lives would be saved. As a part of a larger project aimed at increasing rates of CPR, we conducted a qualitative study to identify call-handlers’ perceptions of the main barriers to CPR and what they think helps people to initiate CPR. Methods Semi-structured qualitative interviews were conducted with 30 call-handlers from seven UK ambulance services, purposively selected to ensure diversity in terms of age, gender, years of experience, geographical location, population served (size/rurality), dispatch software used (MPDS and Pathways), published outcomes for ROSC and Care Quality Commission Rating. Results Thirty call-handlers (19F, 10M, 1 non-binary; aged 22-59) participated. Participants had between 6mths and 25yrs experience and rated their confidence in providing CPR instructions between 3 and 10/10 (mean: 9). The barriers to CPR identified most commonly were the physical challenges of getting people flat on ground; the extreme emotional state of the caller and agonal breathing leading callers to believe that CPR was not required. Call-handlers described various techniques (some suggested by protocol and some not) used to encourage people to initiate/continue CPR. Data relating to the impact of pandemic-related pressures on call-handlers’ experiences of the role also emerged. Conclusions Providing t-CPR instructions is a challenging but rewarding and valued aspect of call-handlers role. By synthesising the collective experience of a representative sample of call-handlers we have identified techniques used to overcome barriers to CPR initiation, many of which are consistent with behavioural theory. Additional opportunities to use behavioural techniques have been identified and will be developed in partnership with call-handlers.

中文翻译：

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OP07 电话辅助心肺复苏的障碍：对英国呼叫处理人员的定性研究结果

背景电话辅助心肺复苏术 (t-CPR)，其中救护车服务呼叫处理程序向呼叫者提供有关如何执行心肺复苏术的说明，提高心肺复苏术和存活率。然而，即使有指示，多达 1/3 的旁观者也不会进行心肺复苏术。如果可以增加启动心肺复苏术的人的比例，就可以挽救生命。作为旨在提高 CPR 率的大型项目的一部分，我们进行了一项定性研究，以确定呼叫处理人员对 CPR 的主要障碍的看法以及他们认为有助于人们启动 CPR 的因素。方法 对来自 7 个英国救护车服务的 30 名呼叫处理人员进行半结构化定性访谈，有目的地选择以确保在年龄、性别、经验年限、地理位置、服务人口（规模/农村）方面的多样性，使用的调度软件（MPDS 和 Pathways），发布了 ROSC 和护理质量委员会评级的结果。结果 30 名呼叫处理人员（19F、10M、1 名非二进制；年龄 22-59 岁）参与。参与者有 6 个月到 25 年的经验，他们对提供 CPR 指导的信心在 3 到 10/10 之间（平均值：9）。最常见的 CPR 障碍是让人们平躺在地上的身体挑战；呼叫者的极端情绪状态和痛苦的呼吸导致呼叫者相信不需要心肺复苏术。呼叫处理程序描述了用于鼓励人们启动/继续 CPR 的各种技术（有些是协议建议的，有些不是）。与流行病相关的压力对呼叫处理人员的角色体验的影响相关的数据也出现了。结论 提供 t-CPR 指令是呼叫处理员角色的一个具有挑战性但有益且有价值的方面。通过综合具有代表性的呼叫处理员样本的集体经验，我们确定了用于克服 CPR 启动障碍的技术，其中许多与行为理论一致。已经确定了使用行为技术的其他机会，并将与呼叫处理程序合作开发。