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Background <p>Remote Guidance for Emergency Calls (RGEC) is the main link between the public and emergency medical services, yet the specific competencies of emergency department medical staff in providing these instructions remain underexplored. This study aimed to evaluate RGEC capacities and experiences among medical staff and identify its key determinants through a mixed-methods design.</p> Methods <p>A mixed-methods design was conducted. A total of 405 medical staff from 23 healthcare institutions completed a cross-sectional survey by cluster sampling. We employ Nurses’ Clinical Communication Competency (NCCC), Chinese Version of the Critical Thinking Disposition Inventory (CTDI-CV), and Remote Guidance for Emergency Calls Capability (RGECC). Quantitative data were analyzed using multivariate stepwise regression. Semi-structured interviews were conducted with 13 participants, followed by content analysis.</p> Results <p>Participants had a mean age of 34.97 ± 7.56 years, and 69.14% were female. The full-score rates for RGECC (2.96%), NCCC (17.28%), and CTDI-CV (4.69%) were low. Factors associated with RGEC included clinical communication competency, critical thinking, providing proactive pre-hospital RGEC, pre-hospital RGEC experience, professional title, and total employment duration (<i>p</i> &lt; 0.05). Two themes were revealed: (1) Remote emergency rescue challenges (bystander barriers, rescue passivity, and a lack of experience in remote rescue guidance), and (2) Strategies for promoting RGEC (improving emotional management, enhancing public first aid capabilities, standardizing first-aid guidance protocols, and strengthening specialized training for remote guidance).</p> Conclusion <p>The RGECC of emergency department staff in China still requires improvement. A comprehensive, multi-pronged strategy must be adopted, focusing on strengthening emotional management, standardizing operational procedures, providing training, and conducting public first aid education.</p> Trial registration <p>Chinese Clinical Trial Register: ChiCTR2600120316; reg. date: March 12, 2026.</p>

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Remote guidance for emergency calls capability and associated factors among emergency department medical staff in China: a mixed methods study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月31日

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  • Lixiang Chen,
  • Jinghan Li,
  • Fengying Huang,
  • Xiongwei Chen,
  • Lifen Liu,
  • Liangying Chen,
  • Yuting Yang

摘要

Background

Remote Guidance for Emergency Calls (RGEC) is the main link between the public and emergency medical services, yet the specific competencies of emergency department medical staff in providing these instructions remain underexplored. This study aimed to evaluate RGEC capacities and experiences among medical staff and identify its key determinants through a mixed-methods design.

Methods

A mixed-methods design was conducted. A total of 405 medical staff from 23 healthcare institutions completed a cross-sectional survey by cluster sampling. We employ Nurses’ Clinical Communication Competency (NCCC), Chinese Version of the Critical Thinking Disposition Inventory (CTDI-CV), and Remote Guidance for Emergency Calls Capability (RGECC). Quantitative data were analyzed using multivariate stepwise regression. Semi-structured interviews were conducted with 13 participants, followed by content analysis.

Results

Participants had a mean age of 34.97 ± 7.56 years, and 69.14% were female. The full-score rates for RGECC (2.96%), NCCC (17.28%), and CTDI-CV (4.69%) were low. Factors associated with RGEC included clinical communication competency, critical thinking, providing proactive pre-hospital RGEC, pre-hospital RGEC experience, professional title, and total employment duration (p < 0.05). Two themes were revealed: (1) Remote emergency rescue challenges (bystander barriers, rescue passivity, and a lack of experience in remote rescue guidance), and (2) Strategies for promoting RGEC (improving emotional management, enhancing public first aid capabilities, standardizing first-aid guidance protocols, and strengthening specialized training for remote guidance).

Conclusion

The RGECC of emergency department staff in China still requires improvement. A comprehensive, multi-pronged strategy must be adopted, focusing on strengthening emotional management, standardizing operational procedures, providing training, and conducting public first aid education.

Trial registration

Chinese Clinical Trial Register: ChiCTR2600120316; reg. date: March 12, 2026.