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Determining the motivations of family members to undertake cardiopulmonary resuscitation training through grounded theory.

Abstract：

AIMS:To explore the motivation of family members of patients at high risk for sudden cardiac death for undertaking cardiopulmonary resuscitation (CPR) training. BACKGROUND:Home cardiac arrests are associated with poor outcomes because few family members learn CPR. Little is known about factors that motivate family members to participate in CPR training. DESIGN:We used grounded theory to establish a theoretical framework to explore the motivational factors for learning CPR among family members. METHODS:Twelve participant observations and 42 semi-structured interviews with family members of different behaviours towards CPR training were conducted from December 2013 - November 2016. Data were analysed using constant-comparisons, situational analysis, and encoding. FINDINGS:A motivation-behaviour theoretical framework for learning CPR was constructed. We identified meeting inner needs as the core category to demonstrate motivation. Security motivation and responsibility motivation emerged as main categories, which demonstrate that seeking a sense of security and shouldering family responsibility were important considerations for family members to learn CPR. These two motivations produced high-engagement behaviours of family members to learn CPR. CONCLUSIONS:The motivations we identified-deriving from a sense of security and family responsibility-are the main reasons family members would learn CPR and, therefore, should be understood by medical professionals. Understanding these motivations may help in the formulation of customized CPR training that further meets the needs of family members. For example, motivational interventions that are integrated with a family-based CPR course can be designed to improve the participation of family members and the sustainability of the course. :目的: 探讨心脏猝死高危患者家属接受心肺复苏培训的动机。背景: 家庭内发生心脏骤停事件会引起不良结果,因为很少有家庭成员学习心肺复苏术。而激励家庭成员参加心肺复苏培训的因素还有待探索。设计: 我们使用扎根理论建立了一个理论框架,探索家庭成员学习心肺复苏的动机因素。方法: 从2013年12月至2016年11月,对心肺复苏培训有不同行为的家庭成员进行了12次参与者观察和42次半结构化访谈。使用恒定比较、情景分析和编码对数据进行分析。研究结果: 构建了学习心肺复苏的动机-行为理论框架。我们认为满足内心需求是表现出动机的核心范畴。安全动机和责任动机为主要类别,这表明寻求安全感和承担家庭责任是家庭成员学习心肺复苏的重要考虑因素,引起家庭成员学习心肺复苏的高参与度。结论: 我们发现的两个动机--安全感和家庭责任感--是家庭成员学习心肺复苏的主要原因。因此,医疗专业人员应该了解这些动机。通过了解,可能有助于定制心肺复苏培训,进一步满足家庭成员的需求。例如,结合以家庭为主的心肺复苏课程,设计动机干预措施,提高家庭成员的参与度和课程的可持续性。.

journal_name

J Adv Nurs

journal_title

Journal of advanced nursing

authors

Yue P,Zhu Z,Wang Y,Xu Y,Li J,Lamb KV,Xu Y,Wu Y

doi

10.1111/jan.13923

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

834-849

issue

eissn

0309-2402

issn

1365-2648

journal_volume

pub_type

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Determining the motivations of family members to undertake cardiopulmonary resuscitation training through grounded theory.