Survival from out-of-hospital cardiac arrest (OHCA) varies across the developed world. Although not all OHCA are recoverable, the survival rate in Scotland is lower than in comparable countries, with higher average survival rates of 7.9% in England and 9% across Europe. The purpose of this paper is to explore the barriers, facilitators and public attitudes to administering bystander cardiopulmonary resuscitation (CPR) which could inform future policy and initiatives to improve the rate of bystander CPR. Data was collected via a cross-sectional general population survey of 1027 adults in Scotland. 52% of respondents had been trained in CPR. Of those who were not trained, two fifths (42%) expressed a willingness to receive CPR training. Fewer than half (49%) felt confident administering CPR, rising to 82% if they were talked through it by a call handler. Multivariate analyses identified that people in social grade C2DE were less likely than those in social grade ABC1 to be CPR trained and less confident to administer CPR if talked through by a call handler. The older a person was, the less likely they were to be CPR trained, show willingness to be CPR trained or be confident to administer bystander CPR with or without instruction from an emergency call handler. These findings are particularly relevant considering that most OHCA happen in the homes of older people. In a developed country such as Scotland with widely available CPR training, only half of the adult population reported feeling confident about administering bystander CPR. Further efforts tailored specifically for people who are older, unemployed and have a lower social grade are required to increase knowledge, confidence and uptake of training in bystander CPR.
The UK and Ireland incidence of KD has increased and is more frequently seen in winter and rural areas. Delayed IVIG treatment is associated with CAA, suggesting earlier and adjunctive primary treatment might reduce complications to prevent CAA, particularly in the very young.
PurposeThe paper refers to the drivers of social entrepreneurship and critically explores the notion that it is prompted by a personal mission to enable some social or ideologically motivated altruism. It refers to Shapero's Entrepreneurial Event Theory and the adaptation of it for social entrepreneurship in Mair and Noboa (2006) and develops these so that both agency and context may be considered.Design/methodology/approachFieldwork comprised a qualitative sample of 12 life-story narratives of social entrepreneurs in Central Scotland. The location was chosen because of its reputation for support of social entrepreneurship, and the qualitative methodology allowed for a depth of inspection and analysis of complex and situational experiences.FindingsFindings include observation of altruism but there are other drivers, including the appeal of the social entrepreneurship business model. Context emerges as a critical feature of social entrepreneurship too, including spurs for altruism and the human, financial and social capitals, skills and experiences of social entrepreneurs.Originality/valueThe paper finds that the social entrepreneurship process involves both agency and context and is complex, and for some, reflects a strategic approach similar to commercial entrepreneurship. The paper also proposes further adaptation to Entrepreneurial Event Theory to capture this complexity of the social entrepreneurship process.
This three-stage qualitative paper explores the motivations and experiences of gray entrepreneurship through age-related lenses outlined in behavioral psychology literature. In contrast to economic approaches that presuppose financial drivers, findings reveal that intrinsic drivers such as achievement, fulfillment, and relationships had primacy among the participants in this research. Entrepreneurship enabled the older people in this study to construct their social environments in a way that maximizes the potential for positive affect, and minimizes the potential for negative affect, both in and out of work.
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