An exploration of the longer-term impacts of community participation in rural health services design

Farmer, Jane; Currie, Margaret; Kenny, Amanda; Muñoz, Sarah‐Anne

doi:10.1016/j.socscimed.2015.07.021

Cited by 38 publications

(52 citation statements)

References 33 publications

(35 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Reference lists cited in original articles were examined for relevant studies not identified by the literature search.Two studies assessed drowsiness in 135 patients treated with 50% nitrous oxide or placebo [16, 18]. The pooled result of these studies showed that 3% of patients treated with nitrous oxide analgesia and 4% of patients treated with placebo experienced drowsiness, indicating that drowsiness was probably unrelated to nitrous oxide inhalation (RD 21%, 95% CI 27% to 5%, p =0.8).The incidence of hypotension in patients who were treated with nitrous oxide was lower than in patients treated with intravenous midazolam and pethidine (14%).Farmer et al (2015) [12]This article explored what happened, over the longer term, after a community participation exercise to design future rural service delivery models, and considered perceptions of why more follow-up actions did or did not happen.22 citizens in three Scottish communities (healthcare practitioners, managers and policymakers) all of whom were involved in, or knew about, the original project.In-depth interviews to capture stakeholders' views. A semi-structured topic schedule was developed to ensure a similar approach across sites.All citizen participants of community C described the first responder scheme and its establishment during or just after Remote Service Futures, facilitated by training from the Scottish Ambulance Service.…”

Section: Resultsmentioning

confidence: 99%

“…Becoming a CFR was often seen as a way of giving something back to the community by helping others [4, 10–12]. The role was also seen as a way of enhancing employability within the ambulance care sector [13].…”

Section: Resultsmentioning

confidence: 99%

“…[1, 12] In some instances, this manifested in a concern that they were not doing the right thing [1], while some felt they could and should be able to do more to help patients [16]. …”

Section: Resultsmentioning

confidence: 99%

“…CFRs felt that ongoing training was essential to enable them to progress. [12, 15]. However, retraining and keeping up to date in a timely manner was considered difficult [1, 15].…”

Section: Resultsmentioning

confidence: 99%

“…However, retraining and keeping up to date in a timely manner was considered difficult [1, 15]. CFRs expressed concerns that despite the ongoing training, this training would become less relevant if they had not been called out to patients [1, 12, 15] Furthermore, CFRs felt that provision of training demonstrated how their organisation valued the contribution they made to patient outcomes [12]. Conversely, a lack of training led to frustration among CFRs about not having the skills required to help patients [1].…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Community first responders and responder schemes in the United Kingdom: systematic scoping review

Phung

Trueman

Togher

et al. 2017

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

BackgroundCommunity First Responder (CFR) schemes support lay people to respond to medical emergencies, working closely with ambulance services. They operate widely in the UK. There has been no previous review of UK literature on these schemes. This is the first systematic scoping review of UK literature on CFR schemes, which identifies the reasons for becoming a CFR, requirements for training and feedback and confusion between the CFR role and that of ambulance service staff. This study also reveals gaps in the evidence base for CFR schemes.MethodsWe conducted a systematic scoping review of the published literature, in the English language from 2000 onwards using specific search terms in six databases. Narrative synthesis was used to analyse article content.ResultsNine articles remained from the initial search of 15,969 articles after removing duplicates, title and abstract and then full text review.People were motivated to become CFRs through an altruistic desire to help others. They generally felt rewarded by their work but recognised that the help they provided was limited by their training compared with ambulance staff. There were concerns about the possible emotional impact on CFRs responding to incidents. CFRs felt that better feedback would enhance their learning. Ongoing training and support were viewed as essential to enable CFRs to progress. They perceived that public recognition of the CFR role was low, patients sometimes confusing them with ambulance staff. Relationships with the ambulance service were sometimes ambivalent due to confusion over roles. There was support for local autonomy of CFR schemes but with greater sharing of best practice.DiscussionMost studies dated from 2005 and were descriptive rather than analytical. In the UK and Australia CFRs are usually lay volunteers equipped with basic skills for responding to medical emergencies, whereas in the US they include other emergency staff as well as lay people.ConclusionOpportunities for future research include exploring experiences and perceptions of patients who have been treated by CFRs and other stakeholders, while also evaluating the effectiveness and costs of CFR schemes.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…[1, 12] In some instances, this manifested in a concern that they were not doing the right thing [1], while some felt they could and should be able to do more to help patients [16]. …”

Section: Resultsmentioning

confidence: 99%

“…CFRs felt that ongoing training was essential to enable them to progress. [12, 15]. However, retraining and keeping up to date in a timely manner was considered difficult [1, 15].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Community first responders and responder schemes in the United Kingdom: systematic scoping review

Phung

Trueman

Togher

et al. 2017

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

show abstract

Consumers’ and health providers’ views and perceptions of partnering to improve health services design, delivery and evaluation: a co-produced qualitative evidence synthesis

Merner

Schonfeld

Virgona

et al. 2023

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Evaluating community participation: A comparison of participatory approaches in the planning and implementation of new primary health‐care services in northern Australia

Carlisle

Farmer

Taylor

et al. 2018

Health Planning & Management

Self Cite

View full text Add to dashboard Cite

Community participation is increasingly seen as a prerequisite for more acceptable and sustainable health services. It is difficult to evaluate the extent of participation in health planning and implementation of services, and there are limited tools available to assist in evaluating such processes. Our paper reports on community participation as part of the implementation of 2 primary health programs in regional north Queensland, Australia. We define community participation as collective involvement of people, including consultation, from a community of place or interest in aspects of health service development. We pragmatically evaluate and compare the extent of participation by using a framework developed by Rifkin and colleagues in 1988 and subsequently refined. Data collected from the implementation of each program were analyzed and ranked on a spidergram against 5 process indicators: needs assessment, leadership, resource mobilization, management, and organization. Community participation was found to vary across the programs but was most extensive in both programs in identifying need and potential solutions. Both programs demonstrated high levels of integration of the implementation of health programs with preexisting community structures. Involving local communities in genuine opportunities in managing the programs and mobilizing resources was more challenging. Key differences emerged in the people involved in the programs, the settings and frameworks used to facilitate implementation. We conclude that Rifkin's process indicators are a useful starting point for assessing community participation, particularly for health planners who are required to include participatory approaches when planning and implementing services. We suggest areas that require further consideration.

show abstract

An exploration of the longer-term impacts of community participation in rural health services design

Cited by 38 publications

References 33 publications

Community first responders and responder schemes in the United Kingdom: systematic scoping review

Community first responders and responder schemes in the United Kingdom: systematic scoping review

Consumers’ and health providers’ views and perceptions of partnering to improve health services design, delivery and evaluation: a co-produced qualitative evidence synthesis

Evaluating community participation: A comparison of participatory approaches in the planning and implementation of new primary health‐care services in northern Australia

Contact Info

Product

Resources

About