Variations in stakeholders' priorities and views on randomisation and funding decisions in out-of-hospital cardiac arrest: An exploratory study

von Vopelius-Feldt, Johannes; Brandling, Janet; Benger, Jonathan

Abstract

Background and aims
Prehospital critical care for out‐of‐hospital cardiac arrest (OHCA) is a complex and largely unproven intervention. During research to examine this intervention, we noted significant differences in stakeholders' views about research, randomisation, and the funding of prehospital critical care for OHCA. We aimed to answer the following questions: What are stakeholders' priorities for prehospital research? What are stakeholders' views on randomisation of prehospital critical care? How do stakeholders consider allocation of resources in prehospital care?

Methods
We undertook an explanatory qualitative framework analysis of interviews and focus group with 5 key stakeholder groups: patients and public, air ambulance charities, ambulance service commissioners, prehospital researchers, and prehospital critical care providers.

Results
We undertook 3 focus group discussions with a total of 23 participants and 8 interviews with a total of 9 participants. Despite sharing a common appreciation of the concepts of scientific enquiry, fairness, and beneficence, the 5 relevant stakeholder groups displayed divergent views of research and funding strategies regarding the intervention of prehospital critical care for the condition of OHCA. The reasons for this divergence could largely be explained through the different personal experiences and situational contexts of each stakeholder group. Many aspects of the strategies suggested by the stakeholder groups only partially aligned with principles of traditional evidence‐based medicine, but were held with strong conviction.

Discussion
Analysis of the views of 5 stakeholder groups regarding research and the funding of prehospital critical care for OHCA revealed shared values but a variety of different strategies to achieve these. This knowledge can help researchers in similar fields in the planning and presentation of their research, to maximise impact on decision making.

Citation

von Vopelius-Feldt, J., Brandling, J., & Benger, J. (2018). Variations in stakeholders' priorities and views on randomisation and funding decisions in out-of-hospital cardiac arrest: An exploratory study. Health Science Reports, 1(9), Article e78. https://doi.org/10.1002/hsr2.78

• Journal Article Type: Article
• Acceptance Date: Jun 19, 2018
• Online Publication Date: Jul 25, 2018
• Publication Date: Sep 1, 2018
• Deposit Date: Aug 17, 2018
• Publicly Available Date: Aug 17, 2018
• Journal: Health Science Reports
• Electronic ISSN: 2398-8835
• Publisher: Wiley Open Access
• Peer Reviewed: Peer Reviewed
• Volume: 1
• Issue: 9
• Article Number: e78
• DOI: https://doi.org/10.1002/hsr2.78
• Keywords: variations, stakeholders, priorities, views, randomisation, funding, out-of-hospital, cardiac arrest, exploratory study
• Public URL: https://uwe-repository.worktribe.com/output/860087
• Publisher URL: http://dx.doi.org/10.1002/hsr2.78
• Related Public URLs: http://creativecommons.org/licenses/by/4.0/