Academic Journal
EMS dispatchers' perceptions of the implementation of video streaming: facilitators and barriers - a qualitative interview study.
| Τίτλος: | EMS dispatchers' perceptions of the implementation of video streaming: facilitators and barriers - a qualitative interview study. |
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| Συγγραφείς: | Meisner-Jensen M; Department of Research & Development, Prehospital Emergency Medical Services, Central Denmark Region, Aarhus, Denmark., Vaeggemose U; Department of Research & Development, Prehospital Emergency Medical Services, Central Denmark Region, Aarhus, Denmark.; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark., Bohnstedt-Pedersen N; Department of Research & Development, Prehospital Emergency Medical Services, Central Denmark Region, Aarhus, Denmark., Linderoth G; Copenhagen Emergency Medical Services, University of Copenhagen, Copenhagen, Denmark.; Department of Anesthesia and Intensive Care, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark., Gude MF; Department of Research & Development, Prehospital Emergency Medical Services, Central Denmark Region, Aarhus, Denmark. martgude@rm.dk.; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark. martgude@rm.dk. |
| Πηγή: | BMC emergency medicine [BMC Emerg Med] 2026 Mar 16; Vol. 26 (1). Date of Electronic Publication: 2026 Mar 16. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968543 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-227X (Electronic) Linking ISSN: 1471227X NLM ISO Abbreviation: BMC Emerg Med Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| Ιατρικοί όροι (MeSH): | Emergency Medical Dispatcher*/psychology , Emergency Medical Dispatch*/methods , Video Recording* , Attitude of Health Personnel* , Emergency Medical Service Communication Systems*, Humans ; Denmark ; Qualitative Research ; Interviews as Topic ; Male ; Female |
| Περίληψη: | BACKGROUND: In Denmark, emergency medical dispatchers (EMS) handle emergency calls and determine response type and urgency. Technological advances have made video streaming during calls increasingly feasible, allowing dispatchers to receive visual information directly from the scene. Although video has shown potential to enhance patient assessment and dispatch precision, adoption in Emergency Medical Dispatch Centers (EMDCs) has proven difficult. Video was introduced at the EMDC in the Capital Region of Denmark in 2018, the first center in the country to use it in unselected emergency calls. This study explores EMS dispatchers’ perceptions of the implementation of video streaming, focusing on barriers and facilitators to successful adoption. METHODS: In June and July 2020, individual semi-structured interviews were conducted with eleven EMDC employees in the Capital Region of Denmark. Interviews were transcribed verbatim and analyzed thematically using a reflexive approach involving multiple researchers to enhance interpretive validity. RESULTS: Five themes emerged as central to the implementation process: the technology, ownership of the implementation, dispatcher involvement, the impact of video on daily practice, and continuous training and support. Each theme included both facilitators and barriers. CONCLUSIONS: EMS dispatchers generally viewed video as a valuable tool for patient assessment, but actual use remained low. Established routines and habits were disrupted, adding stress to an already demanding working environment, which may have resulted in certain implementation elements being missed—particularly in developing commitment to change, involving users, providing ongoing training and feedback, and consistently striving to consolidate gains. Moreover, the reliability and functionality of the technology itself, along with visible organizational commitment, seemed lacking. The perceptions of EMS dispatchers play a pivotal role, as hesitation toward video use can considerably influence adoption and sustained utilization in emergency medical dispatch. |
| Competing Interests: | Declarations. Ethics approval and consent to participate: The study was conducted in accordance with Danish legislation on interview-based research and did not require approval from a regional research ethics committee, as no patient data were collected or stored. All participants provided informed consent, and participation was voluntary, including consent to the recording and anonymized use of their statements for research purposes. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. |
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| Contributed Indexing: | Keywords: Change management; Emergency medical dispatch; Emergency medical service communication systems; Emergency medical services; Implementation science; Qualitative research; Telemedicine; User perspective; Video streaming |
| Entry Date(s): | Date Created: 20260317 Date Completed: 20260628 Latest Revision: 20260821 |
| Update Code: | 20260913 |
| PubMed Central ID: | PMC13104305 |
| DOI: | 10.1186/s12873-026-01531-w |
| PMID: | 41840515 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1471-227X |
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| DOI: | 10.1186/s12873-026-01531-w |