The experience of community first responders in co-producing rural health care: in the liminal gap between citizen and professional

Roberts, A., Nimegeer, A. , Farmer, J. and Heaney, D. J. (2014) The experience of community first responders in co-producing rural health care: in the liminal gap between citizen and professional. BMC Health Services Research, 14(1), p. 460. (doi: 10.1186/1472-6963-14-460) (PMID:25326796) (PMCID:PMC4283089)

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Background: The involvement of community first responders (CFRs) in medical emergencies in Scotland, and particularly in remote and rural areas, has expanded rapidly in recent years in response to geographical and organisational challenges of emergency medical service access. In 2013 there were over 120 active or developing schemes in a wide variety of settings. Community first responders are volunteers trained in First Person on the Scene (FPOS) first aid, administered prior to the arrival of an ambulance. Although there is limited literature which describes the role of first response, little academic literature has been published about the complexities of their specific role in both the community and organisational contexts. Methods: Here we reflect on data from two mixed-methods studies into the role of CFRs in Scotland. Results: We highlight findings that explore the liminal and complex role of the first responder as both ‘practitioner’ and community member, and how this contributes to a sense of communitas within the study areas. The rural context encompasses additional complexity in relation to the role of emergency care volunteer, having the highest levels of volunteering and this paper questions assumptions that rural areas, are more accepting of volunteerism. Conclusions: Complexities arising from the experience of blurred voluntary/practitioner boundaries emerge as a key feature of voluntary participation in medical emergencies in this setting.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Nimegeer, Dr Amy
Authors: Roberts, A., Nimegeer, A., Farmer, J., and Heaney, D. J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:BMC Health Services Research
Publisher:BioMed Central
Copyright Holders:Copyright © 2014 The Authors
First Published:First published in BMC Health Services Research 14(1):460
Publisher Policy:Reproduced under a Creative Commons License

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