2 10 11 https://repository.horizon.ac.id/files/original/09418274aaba92b51ee86cbab357458c.pdf e3ee31f3745b30a63e853c2c46870542 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 10 issue 4 2020 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.10 issue.4 2020 Barriers to the implementation of prehospital thrombolysis in the treatment of ST-segment elevation myocardial infarction in South Africa: An exploratory inquiry Subject The topic of the resource Prehospital thrombolysis Implementation Acute myocardial infarction St-segment myocardial infarction Prehospital coronary care Description An account of the resource Introduction: Evidence-based guidelines advocate percutaneous coronary intervention (PCI) as the mainstay reperfusion strategy for ST-segment elevation myocardial infarction (STEMI). However, the South African health system is not well positioned to provide PCI as a ‘mainstay strategy’. In response, the Health Professions Council of South Africa approved the use of prehospital thrombolysis (PHT) for emergency care practitioners in 2009. However, since its approval, prehospital thrombolysis has failed to reach a level of systematic uptake indicative of successful implementation. The current study aimed to explore, through a qualitative inquiry, barriers to PHT for the treatment of myocardial infarction within a South African context. Methods: A qualitative single-case study design was used where a series of semi-structured interviews were conducted involving purposefully selected participants. The case comprised a nationalised private emergency medical service, and participants were selected in view of relevant experience and knowledge. Requisite data was conceptualised through the consolidated framework for implementation research, and thematic analysis outlined the data coding procedures of the study. Results: The study identified potential barriers to the implementation of PHT. These comprised cost, logistics, inter-professional collaboration, leadership engagement, and beliefs or scepticism associated with PHT. Conclusion: A lack of strategic implementation has resulted in a poor introduction of evidenced-based pre- hospital cardiac care, affecting vulnerable populations who may have otherwise benefited from receiving this level of care. Given the time-sensitive nature of STEMI management, and severely limited access to ‘primary reperfusion’, PHT resembles not only a logical but also appealing solution in the South African context. Creator An entity primarily responsible for making the resource Andrew Lynch, Simpiwe Sobuwa, Nicholas Castle Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2020.08.001 Date A point or period of time associated with an event in the lifecycle of the resource 4 August 2020 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Jurnal Internasional Keperawatan Prehospital thrombolysis Implementation Acute myocardial infarction St-segment myocardial infarction Prehospital coronary care