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1- Department of Nursing, Faculty of Health Sciences, Univeritas Aisyiyah Yogyakarta, Indonesia. & Universitas Aisyiyah Yogyakarta, Indonesia. , wawanramdani@unisayogya.ac.id
2- Department of Nursing, Faculty of Health Sciences, Univeritas Aisyiyah Yogyakarta, Indonesia. & Universitas Aisyiyah Yogyakarta, Indonesia.
3- Faculty of Medicine, Univeritas Aisyiyah Yogyakarta, Indonesia
2- Department of Nursing, Faculty of Health Sciences, Univeritas Aisyiyah Yogyakarta, Indonesia. & Universitas Aisyiyah Yogyakarta, Indonesia.
3- Faculty of Medicine, Univeritas Aisyiyah Yogyakarta, Indonesia
Abstract: (3 Views)
Background: Volunteer ambulance personnel play a critical role in prehospital emergency care, especially in low-resource settings. However, limited attention has been given to how they make rapid decisions under uncertain and constrained conditions.
Materials and Methods: This qualitative study employed a phenomenological approach, involving in-depth interviews with 20 experienced male volunteers aged 31-40 years with 4-7 years of emergency response experience in Yogyakarta, Indonesia. Thematic analysis was used to explore decision-making processes during emergency responses.
Results: Four main themes emerged: navigating emergencies with incomplete caller information; making rapid decisions despite limited equipment and environmental challenges; managing pressure from families and bystanders; and reflecting on confidence and identity shaped by repeated field experience. Volunteers relied on clinical intuition, teamwork, and improvisation to adapt to unpredictable situations.
Conclusion: Volunteer responders in low-resource environments demonstrate strong adaptive capacity, emotional resilience, and field-based competence in critical decision-making. These findings highlight the need for structured training, institutional support, and policy integration to enhance their role in community-based emergency systems.
Materials and Methods: This qualitative study employed a phenomenological approach, involving in-depth interviews with 20 experienced male volunteers aged 31-40 years with 4-7 years of emergency response experience in Yogyakarta, Indonesia. Thematic analysis was used to explore decision-making processes during emergency responses.
Results: Four main themes emerged: navigating emergencies with incomplete caller information; making rapid decisions despite limited equipment and environmental challenges; managing pressure from families and bystanders; and reflecting on confidence and identity shaped by repeated field experience. Volunteers relied on clinical intuition, teamwork, and improvisation to adapt to unpredictable situations.
Conclusion: Volunteer responders in low-resource environments demonstrate strong adaptive capacity, emotional resilience, and field-based competence in critical decision-making. These findings highlight the need for structured training, institutional support, and policy integration to enhance their role in community-based emergency systems.
Keywords: Volunteer ambulance personnel, prehospital care, critical decision-making, low-resource settings, qualitative research
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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