Dutch and European guidelines recommend systematic screening for cognitive and emotional impairments in cardiac arrest survivors. We aimed to clarify opinions on cognitive screening and rehabilitation, identify barriers and facilitators for implementation in the Netherlands, and arrive at recommendations in this field. We conducted 22 semi-structured interviews with various stakeholders using the Tailored Implementation in Chronic Diseases checklist. There is broad-based acknowledgement of the relevance of cognitive impairment and a positive attitude regarding early cognitive screening among health professionals and patients. Barriers to implementation include a lack of practical recommendations on how, where and when to screen, insufficient knowledge of cognitive consequences of cardiac arrest, insufficient collaboration and knowledge sharing among different specialties within hospitals, insufficient resources, and insufficient evidence of the effectiveness of screening and therapy to justify financial compensation. Most of the identified barriers to implementation are solvable: national guidelines need practical recommendations and knowledge gaps among healthcare workers can be bridged by in-hospital collaboration. Fulfilling these requirements should be sufficient for the implementation of simple screening and tailored advice. More extensive cognitive rehabilitation therapy needs stronger evidence of efficacy in order to warrant stronger guideline recommendations and financial reimbursement.

荷兰和欧洲指南建议对心脏骤停幸存者的认知和情绪障碍进行系统筛查。我们的目的是澄清关于认知筛查和康复的意见，确定在荷兰实施的障碍和促进因素，并提出该领域的建议。我们使用慢性病定制实施清单对各个利益相关者进行了 22 次半结构化访谈。人们广泛认识到认知障碍的相关性，并且卫生专业人员和患者对早期认知筛查持积极态度。实施的障碍包括缺乏关于如何、何地和何时进行筛查的实用建议，对心脏骤停的认知后果了解不足，医院内不同专业之间的合作和知识共享不足，资源不足，以及筛查和筛查有效性的证据不足。治疗以证明经济补偿的合理性。大多数已确定的实施障碍都是可以解决的：国家指南需要实用的建议，并且可以通过院内协作来弥补医护人员之间的知识差距。满足这些要求应该足以实施简单的筛选和量身定制的建议。更广泛的认知康复治疗需要更有力的疗效证据，才能保证更有力的指南建议和财务报销。