Aim: To describe obstacles and ideas for improvement for the delivery of cardiopulmonary resuscitation and basic life support to wheelchair users.

Design: A descriptive qualitative study underpinned by constructivism was conducted.

Methods: Semi structured interviews were completed with 26 participants from three cohorts: formal and informal carers, wheelchair users and healthcare professionals. Data were collected via online and in person interviews between February and June 2024. All participants were located in Australia, with the exception of one who was located in the United Kingdom. Data were analysed using thematic analysis.

Results: Two major themes were identified: (1) obstacles to providing cardiopulmonary resuscitation and basic life support to a wheelchair user and (2) aspirations for improving cardiopulmonary resuscitation and basic life support for wheelchair users.

Conclusion: Participants shared ideas for how to improve emergency care for wheelchair users, highlighting a need for further research, testing and development of an education intervention.

Implications for the profession and/or patient care: Improving knowledge about providing emergency care to a wheelchair user could improve outcomes, save lives and reduce the life expectancy gap experienced by people with disability.

Impact: Approximately 2% of the global population use a wheelchair. Wheelchair use complicates the delivery of cardiopulmonary resuscitation and basic life support. There are currently no guidelines informing emergency care for wheelchair users available globally. Recognition of common symptoms of distress exhibited by wheelchair users, and options for the delivery of practical emergency care are required for wheelchair users.

Reporting method: The paper adheres to the EQUATOR reporting guidelines utilising the SRQR checklist.

Patient or public contribution: Patients and the public were the driving force in recognising the gap in knowledge regarding the delivery of CPR to wheelchair users. Questions from patients and the public shaped the aims and methodological choices for this study.

Keywords: basic life support; cardiopulmonary resuscitation; disability; nursing; wheelchair.

© 2025 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.

目标： 描述为轮椅使用者提供心肺复苏和基础生命支持时遇到的障碍及改进的想法。

设计： 一项基于建构主义的描述性质性研究被开展。

方法： 与来自三个群体（正式和非正式护理人员、轮椅使用者以及医疗保健专业人员）的26名参与者进行了半结构化访谈。数据通过在线和面对面的方式在2024年2月至6月期间收集，所有参与者均位于澳大利亚，唯一的例外是一位来自英国的参与者。数据分析采用主题分析方法。

结果： 确定了两个主要的主题：（1）向轮椅使用者提供心肺复苏和基础生命支持时遇到的障碍；（2）提高针对轮椅使用者的心肺复苏和基础生命支持水平的愿望。

结论： 参与者分享了如何改善面向轮椅使用者应急护理的想法，强调进一步的研究、测试和发展教育干预措施的需求。

对专业或患者护理的影响： 提高为轮椅使用者提供紧急救护的知识可以改善结果，挽救生命，并减少残疾人群体中经历的生命预期差距。

影响： 全球约有2%的人口使用轮椅。使用轮椅会增加心肺复苏和基础生命支持的难度。目前全球范围内没有针对轮椅使用者紧急护理的指南可供参考。识别轮椅使用者常见的痛苦症状以及提供实用应急救护的方法是需要解决的问题。

报告方法： 该论文遵循EQUATOR报告准则，使用SRQR检查表。

患者或公众贡献： 患者和公众在识别为轮椅使用者提供CPR的知识缺口方面起到了主导作用。来自患者和公众的问题影响了本研究的目标及方法选择。

关键词： 基础生命支持；心肺复苏；残疾；护理；轮椅。