Volunteerism is a vital component of prehospital care for medical emergencies ( Whittaker et al., 2015). Out-of-hospital cardiac arrest (OHCA) is the most time-critical medical emergency ( Ong et al., 2018). Specifically, survival from OHCA is greatly reliant on the rapid provision of cardiopulmonary resuscitation (CPR) and defibrillation ( Hasselqvist-Ax et al., 2015; Myat et al., 2018). Therefore, OHCA management poses a considerable challenge for the EMS, particularly in remote or rural areas. Consequently, Voluntary First Response schemes have been established in many communities globally to improve emergency response times for OHCA patients ( Hollenberg et al., 2013; Oving et al., 2019). This intervention entails the mobilisation of volunteers, known as Community First Responders (CFRs), by the EMS or its equivalent to respond to OHCA events in their locality ( Barry et al., 2019a). Since its inception, this intervention has grown in scope such that CFRs in many regions are now dispatched to a wide range of medical emergencies, including stroke, choking, and chest pain. Furthermore, the role of CFRs is becoming increasingly complex as, in addition to basic emergency care skills (e.g. CPR), they are often required to have specialised non-clinical skills, including resource management, communication, teamwork, and conflict resolution ( Phung et al., 2018; Wilson et al., 2015).Developing an in-depth understanding of the motivation of individuals to participate in Voluntary First Response is vital to the optimisation of this intervention. The research to date indicates that a wide variety of factors can influence the motivation of individuals to join and remain engaged in Voluntary First Response schemes, including the availability of learning opportunities, feedback and recognition, psychological support, leadership, and consultation ( O’Meara et al., 2012; Phung et al., 2017; Timmons & Vernon-Evans, 2013). Therefore, the findings of this review could be used to inform in the design and organisation of these schemes, including their recruitment, retention, training, and psychological support processes. This, in turn, could have benefits for all stakeholders involved in Voluntary First Response, including the volunteers themselves, EMS personnel, and emergency physicians, as well as the patients, their family members, and their local communities.
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