دوره 12، شماره 1 - ( 6-1405 )
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Febri Ramdani W, Kurniasih Y, Nur Faizah C. From Uncertainty to Competence: Decision-Making Strategies of Volunteer Ambulance Responders in Indonesian Low-Resource Emergency Care. Health in Emergencies and Disasters Quarterly 2026; 12 (1)
URL: http://hdq.uswr.ac.ir/article-1-767-fa.html
URL: http://hdq.uswr.ac.ir/article-1-767-fa.html
From Uncertainty to Competence: Decision-Making Strategies of Volunteer Ambulance Responders in Indonesian Low-Resource Emergency Care. فصلنامه سلامت در حوادث و بلایا. 1405; 12 (1)
چکیده: (1066 مشاهده)
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.
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