{
  "abstract": "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.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Nursing, Faculty of Health Sciences, Univeritas Aisyiyah Yogyakarta, Yogyakarta, Indonesia.",
    "Faculty of Medicine, Univeritas Aisyiyah Yogyakarta, Yogyakarta, Indonesia.",
    "Center of Excellence for Women, Family, and Disaster Studies, Universitas Aisyiyah Yogyakarta, Yogyakarta, Yogyakarta, Indonesia."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Wawan Febri Ramdani"
    },
    {
      "affs": [
        1
      ],
      "name": "Yuni Kurniasih"
    },
    {
      "affs": [
        2
      ],
      "name": "Chintya Nur Faizah"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6e5eycrrhevvf.bib",
  "cited_by": 0,
  "doi": null,
  "fulltext_url": null,
  "id": "6e5eycrrhevvf",
  "issns": [
    "2345-4210"
  ],
  "landing_url": null,
  "language": "en",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RC86-88.9"
    ]
  ],
  "openalex": null,
  "pdf_url": "http://hdq.uswr.ac.ir/article-1-767-en.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-01",
  "publisher": "Negah Institute for Scientific Communication",
  "ris": "https://research.draconitic.com/paper/6e5eycrrhevvf.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:47:35Z",
      "native_id": "f845a39f6f1341308390847ca9bab516",
      "source": "doaj",
      "url": null
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:RC86-88.9",
      "subfield": "general"
    }
  ],
  "title": "From Uncertainty to Competence: Decision-making Strategies of Volunteer Ambulance Responders in Low-resource Indonesia",
  "title_text": "From Uncertainty to Competence: Decision-making Strategies of Volunteer Ambulance Responders in Low-resource Indonesia",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:47:35Z",
  "url": "https://research.draconitic.com/paper/6e5eycrrhevvf",
  "venue": "Health in Emergencies & Disasters Quarterly",
  "versions": []
}