1
|
Dermer J, James S, Palmer C, Craft J, Christensen M. Exploring nurses' experiences of performing basic life support in hospital wards: An inductive thematic analysis. Nurse Educ Pract 2024; 76:103929. [PMID: 38461591 DOI: 10.1016/j.nepr.2024.103929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 02/05/2024] [Accepted: 02/22/2024] [Indexed: 03/12/2024]
Abstract
AIM The aim of this study was to undertake an in-depth exploration of the lived experiences of in-hospital, non-intensive care, ward-based nurses' experiences of real-life CPR events. BACKGROUND There is growing evidence suggesting that may nurses not be able to successfully perform in a cardiac arrest situation. Reasons include a lack of clear leadership at the arrest, performance anxiety, role confusion and knowledge and skill degradation over time. METHODS In-depth semi-structured interviews were conducted with fifteen ward-based hospital nurses from three hospitals. Interviews were recorded, transcribed verbatim and inductive thematic analysis was completed using NVivo 12 software. FINDINGS Four main themes emerged from data. The main themes are: (1) Not Being able to Perform When it Matters, (2) Working Really Well as a Team, (3) Reflecting on the Experience: The Good, the Bad & the Ugly and (4) Learning to get it Right for Next Time CONCLUSION: Performing BLS is a stressful and anxiety-provoking experience for ward-based nurses. Anxiety levels appear to decrease slightly only when nurses have had at least one previous real-life experience with resuscitation. Current BLS education does not prepare nurses for the complexities of resuscitation. Future BLS education should focus on in-depth scenarios, including interdisciplinary team training and with greater frequency than the current yearly mandatory sessions. Listening to the lived experiences of nurses who have performed BLS has given much needed insight into approaches that educators can use to improve BLS education delivery.
Collapse
Affiliation(s)
- J Dermer
- School of Nursing, Midwifery & Paramedicine, University of the Sunshine Coast, Australia
| | - S James
- School of Nursing, Midwifery & Paramedicine, University of the Sunshine Coast, Australia
| | - C Palmer
- School of Nursing, Midwifery & Paramedicine, University of the Sunshine Coast, Australia
| | - J Craft
- School of Nursing, Midwifery & Paramedicine, University of the Sunshine Coast, Australia
| | - M Christensen
- School of Nursing, Midwifery & Paramedicine, University of the Sunshine Coast, Australia; School of Nursing, Hong Kong Polytechnic University, Hong Kong; Interdisciplinary Centre for Qualitative Research, Hong Kong Polytechnic University, Hong Kong.
| |
Collapse
|
2
|
Choi MJ, Kim KJ. Effects of team-based mixed reality simulation program in emergency situations. PLoS One 2024; 19:e0299832. [PMID: 38422080 PMCID: PMC10903827 DOI: 10.1371/journal.pone.0299832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Accepted: 02/15/2024] [Indexed: 03/02/2024] Open
Abstract
BACKGROUND This study aimed to demonstrate the effectiveness of a team-based mixed reality simulation program about emergencies. METHOD A nonequivalent control group pretest-posttest design was utilized. We recruited 32 nurses for the experimental group and 32 for the control group, resulting in a total of 61 nurses ultimately included as subjects for analysis. This mixed reality program is designed to facilitate responses in cardiopulmonary resuscitation situations simultaneously using four HoloLens. With shared content visible to all four trainees, the participants could engage in simulation while freely communicating. The experimental group engaged in cardiopulmonary resuscitation emergency simulation while wearing the HoloLens, while the control group was provided with written CPR materials. RESULTS There were significant increases in the experimental group's critical thinking (p < .001), learning transfer motivation (p = .006), communication confidence (p = .033), and learning immersion (p < .001) compared to the control group. CONCLUSION The program developed in this study presents an effective educational strategy that can enhance nurses' emergency competencies and leverage the practicality of mixed reality.
Collapse
Affiliation(s)
- Moon-Ji Choi
- Department of Nursing, Kyungil University, Gyeongsan, South Korea
| | - Kyeng-Jin Kim
- College of Nursing, Kyungpook National University, Daegu, South Korea
| |
Collapse
|
3
|
Dermer J, James S, Palmer C, Christensen M, Craft J. Factors affecting ward nurses' basic life support experiences: An integrative literature review. Int J Nurs Pract 2023; 29:e13120. [PMID: 36502807 DOI: 10.1111/ijn.13120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Revised: 08/25/2022] [Accepted: 11/19/2022] [Indexed: 12/14/2022]
Abstract
BACKGROUND Performing cardiopulmonary resuscitation in non-critical care hospital wards is a stressful event for the registered nurse; stress may negatively affect performance. Delays in initiating basic life support and following current basic life support algorithms have been reported globally. AIM The aim of this review was to investigate factors that can affect registered nurses' experiences of performing basic life support. METHODS Using the five-step integrative literature review method from Whittemore and Knafl, this review searched articles published between January 2000 and June 2022 for qualitative and quantitative primary studies from the databases CINAHL Complete (EBSCO), Medline (Web of Science), Scopus and PubMed. RESULTS Nine studies from eight countries met the inclusion criteria and were appraised here. Five themes relating to factors affecting the performance of basic life support were found during this review: staff interaction issues, confidence concerns, fear of harm and potential litigation, defibrillation concerns and basic life support training issues. CONCLUSIONS This review revealed several concerns experienced by registered nurses in performing basic life support and highlights a lack of research. Factors affecting nurses' experiences need to be understood. This will allow education to focus on consideration of human factors, or non-technical skills during basic life support training, as well as technical skills, to improve outcomes for patients experiencing an in-hospital cardiopulmonary arrest.
Collapse
Affiliation(s)
- Jennifer Dermer
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast Caboolture, Caboolture, Queensland, Australia
| | - Steven James
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast Moreton Bay, Petrie, Queensland, Australia
| | - Christine Palmer
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast Caboolture, Caboolture, Queensland, Australia
| | - Martin Christensen
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong
| | - Judy Craft
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast Caboolture, Caboolture, Queensland, Australia
| |
Collapse
|
4
|
Amoako-Mensah E, Achempim-Ansong G, Gbordzoe NI, Adofo CE, Sarfo JO. Perceptions of nurses regarding quality of adult cardiopulmonary resuscitation in Ghana: a qualitative study. BMC Nurs 2023; 22:220. [PMID: 37370085 DOI: 10.1186/s12912-023-01388-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 06/19/2023] [Indexed: 06/29/2023] Open
Abstract
OBJECTIVES Cardiopulmonary resuscitation (CPR) is a necessary life-saving emergency intervention for patients with cardiac arrest and other medical conditions. The study's primary objective was to qualitatively explore nurses' perceptions of the quality of adult cardiopulmonary resuscitation in Ghana. METHODS An exploratory descriptive qualitative study was conducted among 13 purposively sampled nurses in Ghana. We collected thirteen face-to-face and telephone interviews using a semi-structured interview guide. Data were transcribed verbatim and analysed using the thematic analysis approach recommended by Braun and Clarke. RESULTS Data analysis revealed that nurses were filled with positive emotions when patients regained consciousness following resuscitation. When the otherwise happens, they tend to become tortured psychologically and filled with negative emotions. Besides, environmental factors such as the time of initiating CPR following a cardiac arrest, the availability and appropriateness of equipment and medications, workplace ergonomics, and institutional regulations affected the quality of resuscitation practices of nurses. Participants perceived that attitudes of condemnation, prejudice, apathy and skills deficiency also impacted the quality of resuscitation practices. Significant aspects of self-reported behavioural competence that affected resuscitation were knowledge and skills of CPR, confidence in initiating CPR, and the need for effort maximisation. CONCLUSION This study revealed several non-medical factors that influenced the resuscitation practices of nurses from their perspective. Nurses need to maximise their effort toward seeking further education in speciality areas such as emergency nursing and critical care nursing to guide their CPR practices and other newly emerging evidence-based protocols.
Collapse
|
5
|
Silverplats J, Strömsöe A, Äng B, Södersved Källestedt ML. Attitudes towards cardiopulmonary resuscitation situations and associations with potential influencing factors—A survey among in-hospital healthcare professionals. PLoS One 2022; 17:e0271686. [PMID: 35839233 PMCID: PMC9286263 DOI: 10.1371/journal.pone.0271686] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Accepted: 07/05/2022] [Indexed: 11/23/2022] Open
Abstract
Introduction Attitudes towards cardiopulmonary resuscitation (CPR) among in-hospital healthcare professionals (HCPs) are poorly understood. The aim of this study was to evaluate attitudes towards CPR situations among in-hospital HCPs and assess associations with potential influencing factors. Materials and methods A questionnaire was distributed to 3,085 HCPs in 2009 and 2,970 HCPs in 2015–2016. The associations of influencing factors were analyzed using binary logistic regression. Results In the event of a possible cardiac arrest situation, 61% of the HCPs would feel confident in their CPR knowledge, 86% would know what to do, and 60% would be able to take command if necessary. In the latest real-life CPR situation, 30% had been worried about making mistakes or causing complications, 57% had been stressed, and 27% had been anxious. A short time since the latest real-life CPR performance and a high number of previous real-life CPR performances were associated with lower odds of worrying about making mistakes/causing complications, lower odds of feeling stressed or anxious, and higher odds of feeling calm. Regardless of previous real-life CPR experience, there were differences in attitudes between groups of professions, where physicians showed increased odds of worrying about making mistakes/causing complications and nurses showed increased odds of stress. Working on a non-monitored ward meant increased odds of stress and worrying about making mistakes/causing complications. Twelve months or more having passed since the latest CPR training course was associated with increased odds of anxiety. Conclusions Despite HCPs’ generally positive attitudes towards performing CPR in the event of a possible cardiac arrest situation, feelings of stress and anxiety were common in real-life CPR situations. Regular CPR training among all HCPs is a key factor to maintain competence and reduce anxiety. The possible effects of attitudes on performing CPR need to be studied further.
Collapse
Affiliation(s)
- Jennie Silverplats
- School of Health and Welfare, Dalarna University, Falun, Sweden
- Department of Anaesthesiology and Intensive Care, Region Dalarna, Mora Hospital, Mora, Sweden
- * E-mail:
| | - Anneli Strömsöe
- School of Health and Welfare, Dalarna University, Falun, Sweden
- Center for Clinical Research Dalarna, Uppsala University, Falun, Sweden
- Department of Prehospital Care, Region Dalarna, Falun, Sweden
| | - Björn Äng
- School of Health and Welfare, Dalarna University, Falun, Sweden
- Center for Clinical Research Dalarna, Uppsala University, Falun, Sweden
- Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | | |
Collapse
|
6
|
Olsson A, Sjöberg F, Salzmann-Erikson M. Follow the protocol and kickstart the heart-Intensive care nurses' reflections on being part of rescue situations in interdisciplinary teams. Nurs Open 2021; 8:3325-3333. [PMID: 34431610 PMCID: PMC8510712 DOI: 10.1002/nop2.1050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 05/20/2021] [Accepted: 07/19/2021] [Indexed: 11/09/2022] Open
Abstract
Aim To describe intensive care nurses' reflections on being part of interdisciplinary emergency teams involved in in‐hospital cardiopulmonary resuscitation. Design A qualitative descriptive design. Methods: Eighteen intensive care nurses from two regions and three hospitals in Sweden were interviewed. The data were analysed with General Inductive Analysis. Results The work for intensive care nurses in the emergency team was reflected in three phases: prevention, intervention and mitigation—referred as before, during and after the CPR situation. Conclusions The findings describe the complexity of being an intensive care nurse in an interdisciplinary emergency team, which entails managing advanced care with limited and unknown resources in a non‐familiar environment. The present findings have important clinical implications concerning the value of having debriefing sessions to reflect on and to talk about obstacles to and prerequisites for performing successful resuscitation.
Collapse
Affiliation(s)
- Annakarin Olsson
- Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden
| | - Fredric Sjöberg
- Unit of Anaesthesiology and Intensive Care, Södersjukhuset, Karolinska University Hospital, Stockholm, Sweden
| | - Martin Salzmann-Erikson
- Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden
| |
Collapse
|
7
|
van den Bos-Boon A, van Dijk M, Adema J, Gischler S, van der Starre C. Professional Assessment Tool for Team Improvement: An assessment tool for paediatric intensive care unit nurses' technical and nontechnical skills. Aust Crit Care 2021; 35:159-166. [PMID: 34167890 DOI: 10.1016/j.aucc.2021.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 02/19/2021] [Accepted: 03/06/2021] [Indexed: 10/21/2022] Open
Abstract
BACKGROUND Cardiorespiratory arrests are rare in paediatric intensive care units, yet intensive care nurses must be able to initiate resuscitation before medical assistance is available. For resuscitation to be successful, instant decision-making, team communication, and the coordinating role of the first responsible nurse are crucial. In-house resuscitation training for nurses includes technical and nontechnical skills. OBJECTIVES The aim of this study was to develop a valid, reliable, and feasible assessment instrument, called the Professional Assessment Tool for Team Improvement, for the first responsible nurse's technical and nontechnical skills. METHODS Instrument development followed the COnsensus-based Standards for the selection of health Measurement Instruments guidelines and professionals' expertise. To establish content validity, experts reached consensus via group discussions about the content and the operationalisation of this team role. The instrument was tested using two resuscitation assessment scenarios. Inter-rater reliability was established by assessing 71 nurses in live scenario sessions and videotaped sessions, using intraclass correlation coefficients and Cohen's kappa. Internal consistency for the total instrument was established using Cronbach's alpha. Construct validity was assessed by examining the associations between raters' assessments and nurses' self-assessment scores. RESULTS The final instrument included 12 items, divided into four categories: Team role, Teamwork and communication, Technical skills, and Reporting. Intraclass correlation coefficients were good in both live and videotaped sessions (0.78-0.87). Cronbach's alpha was stable around 0.84. Feasibility was approved (assessment time reduced by >30%). CONCLUSIONS The Professional Assessment Tool for Team Improvement appears to be a promising valid and reliable instrument to assess both technical and nontechnical skills of the first responsible paediatric intensive care unit nurse. The ability of the instrument to detect change over time (i.e., improvement of skills after training) needs to be established.
Collapse
Affiliation(s)
- Ada van den Bos-Boon
- Pediatric Intensive Care Unit and Department of Pediatric Surgery, Erasmus University Medical Centre-Sophia Children's Hospital, Rotterdam, the Netherlands.
| | - Monique van Dijk
- Pediatric Intensive Care Unit and Department of Pediatric Surgery, Erasmus University Medical Centre-Sophia Children's Hospital, Rotterdam, the Netherlands
| | - Jan Adema
- Cito, Institute for Educational Testing, Arnhem, the Netherlands
| | - Saskia Gischler
- Pediatric Intensive Care Unit and Department of Pediatric Surgery, Erasmus University Medical Centre-Sophia Children's Hospital, Rotterdam, the Netherlands
| | - Cynthia van der Starre
- Pediatric Intensive Care Unit and Department of Pediatric Surgery, Erasmus University Medical Centre-Sophia Children's Hospital, Rotterdam, the Netherlands; Neonatal Intensive Care Unit, Erasmus University Medical Centre-Sophia Children's Hospital, Rotterdam, the Netherlands
| |
Collapse
|
8
|
Noureddine S, Avedissian T, Khatib N, Irani J. Towards better out-of-hospital cardiopulmonary resuscitation: A survey of nurses. J Clin Nurs 2021; 30:3036-3044. [PMID: 33896056 DOI: 10.1111/jocn.15813] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Revised: 02/24/2021] [Accepted: 04/06/2021] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To examine the knowledge, attitude and practice of nurses in Lebanon regarding out-of-hospital resuscitation, compare hospital nurses to those who work in community settings on the variables of interest, determine the nurses' willingness to attempt resuscitation in the community and identify predictors of their willingness. BACKGROUND Only 5.5% of victims survive out-of-hospital cardiac arrest in Lebanon. There is no national guideline for cardiopulmonary resuscitation nor a policy for nurses' training in resuscitation in Lebanon for neither in-hospital nor out-of-hospital settings. However, some hospitals have their own policies. METHODS A cross-sectional descriptive design was used with a cluster sample of 692 working nurses. A 28-item questionnaire developed for this study was mailed to the nurses. Data were analysed with correlational and multivariable regression analyses. The STROBE checklist for observational studies was used in reporting this study. RESULTS Most nurses received cardiopulmonary resuscitation training, but 19.8% did not renew their certification in the past two years, because of limited training centres and lack of time. Only one third of the sample knew the first step to be taken in an arrest, yet 61% knew the compression-to-breath ratio. Nurses who work in community settings had significantly less frequent training in resuscitation than hospital nurses. Most nurses were willing to resuscitate in the community. In deciding to perform out-of-hospital cardiopulmonary resuscitation, the nurses were mostly influenced by their training, courage, recent practice, policy, fear of infection and hesitation to do mouth-to-mouth breathing. Receiving training, fear of being sued, religious beliefs, geographic location and believing in the importance of training laypeople in resuscitation predicted the nurses' willingness to perform resuscitation in the community. CONCLUSION Lebanon needs a national policy on cardiopulmonary resuscitation, regular training of all nurses and a Good Samaritan law. RELEVANCE TO CLINICAL PRACTICE This study informs policy related to nurses' training in out-of-hospital resuscitation.
Collapse
Affiliation(s)
- Samar Noureddine
- Hariri School of Nursing, American University of Beirut, Beirut, Lebanon
| | - Tamar Avedissian
- Hariri School of Nursing, American University of Beirut, Beirut, Lebanon
| | - Nina Khatib
- Life Support Center, American University of Beirut Medical Center, Beirut, Lebanon
| | - Joanna Irani
- Life Support Center, American University of Beirut Medical Center, Beirut, Lebanon
| |
Collapse
|
9
|
Vorster ID, Beningfield S. Evaluation of self-reported confidence amongst radiology staff in initiating basic life support across hospitals in the Cape Town Metropole West region. SA J Radiol 2019; 23:1720. [PMID: 31824739 PMCID: PMC6890570 DOI: 10.4102/sajr.v23i1.1720] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Accepted: 08/05/2019] [Indexed: 11/01/2022] Open
Abstract
Background The immediate response to cardiac arrest is regarded as the most time-critical intervention. First responders for cardiac arrests in imaging departments are often radiology staff. The study aim was to determine radiology staff members' confidence in initiating basic life support. Objectives The objectives of this study included determining the general confidence levels regarding identifying cardiac arrest and initiation of basic life support (BLS) amongst Radiology staff within the studied sites, as well as to identify potential areas of uncertainty. Another objective included identifying what would contribute to increasing levels of confidence and competence in identifying cardiac arrest and initiating BLS. Method A multi-centre cross-sectional survey was conducted using peer-validated, anonymous questionnaires. Questionnaires were distributed to radiology staff working in public sector hospitals within the Cape Town Metropole West. Due to the limited subject pool, a convenience sample was collected. Data were therefore statistically analysed using only summary statistics (mean, standard deviation, proportions, and so on), and detailed comparisons were not made. Results We disseminated 200 questionnaires, and 74 were completed (37%). There were no incomplete questionnaires or exclusions from the final sample. Using a 10-point Likert scale, the mean ability to recognise cardiac arrest was 6.45 (SD ± 2.7), securing an airway 4.86 (SD ± 2.9), and providing rescue breaths and initiating cardiac compressions 6.14 (SD ± 2.9). Only two (2.7%) of the participants had completed a basic life support course in the past year; 11 (14.8%) had never completed any basic life support course and 28 (37.8%) had never completed any life support or critical care course. Radiologists, radiology trainees and nurses had the greatest confidence in providing rescue breaths and initiating cardiac compressions from all the groups. Conclusion The study demonstrated a substantial lack of confidence in providing basic life support in the participating hospital imaging departments' staff. The participants indicated that regular training and improved support systems would increase confidence levels and improve skills.
Collapse
Affiliation(s)
- Isak D Vorster
- Department of Diagnostic Radiology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Steve Beningfield
- Division of Radiology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| |
Collapse
|
10
|
Chesham B, Dawber C. The "All of Us" study - Non-clinical staff members' experience of performing cardiopulmonary resuscitation in acute care settings. Australas Emerg Care 2019; 22:243-248. [PMID: 31405626 DOI: 10.1016/j.auec.2019.04.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 04/15/2019] [Accepted: 04/23/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND A multitude of Australian hospitals use non-clinical staff to assist with chest compressions and ancillary duties during cardiopulmonary resuscitation. Whilst few studies have focused on psychological implications for non-clinical staff, research into other groups indicates that a lack of attention to psychological support may adversely impact individual wellbeing, team functioning and clinical performance. The aim of this study was to explore how non-clinical workers were psychologically affected during cardiopulmonary resuscitation and factors that might mitigate adverse psychological effects. METHODS This study utilised a qualitative descriptive methodology involving semi-structured, face to face interviews to investigate the experiences of non-clinical staff involved in cardiopulmonary resuscitation. Data was collected using semi-structured interviews and a validated Post Traumatic Stress rating scale. RESULTS The study found that all 12 participants had experienced critical incident stress symptoms following their involvement in resuscitation attempts, though only one had ongoing evidence of Post Traumatic Stress Disorder. Participants felt that they needed more psychological preparation and that post-incident debriefs had been helpful but inconsistently provided and facilitated. Peer support was seen as the most significant factor in mitigating the psychological impact of critical incidents. CONCLUSION This study shows that the development and formalisation of peer support networks for non-clinical health staff warrants serious consideration. The study also indicates that non-clinical members of resuscitation teams may benefit from more psychological preparation and support with self-care.
Collapse
Affiliation(s)
- Bradley Chesham
- Emergency Department, Sunshine Coast Hospital and Health Service, 6 Doherty Street, Birtinya, QLD 4575, Australia
| | - Christopher Dawber
- Ma Mental Health Nursing, Consultation Liaison - Mental Health and Addiction Services, Sunshine Coast Hospital and Health Service, 6 Doherty Street, Birtinya, QLD 4575, Australia
| |
Collapse
|
11
|
Onan A, Simsek N. Interprofessional education and social interaction: The use of automated external defibrillators in team-based basic life support. Health Informatics J 2019; 25:139-148. [DOI: 10.1177/1460458217704252] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Automated external defibrillators are pervasive computing devices designed for the treatment and management of acute sudden cardiac arrest. This study aims to explain users’ actual use behavior in teams formed by different professions taken after a short time span of interaction with automated external defibrillator. Before the intervention, all the participants were certified with the American Heart Association Basic Life Support for healthcare providers. A statistically significant difference was revealed in mean individual automated external defibrillator technical skills between uniprofessional and interprofessional groups. The technical automated external defibrillator team scores were greater for groups with interprofessional than for those with uniprofessional education. The nontechnical automated external defibrillator skills of interprofessional and uniprofessional teams revealed differences in advantage of interprofessional teams. Students positively accept automated external defibrillators if well-defined and validated training opportunities to use them expertly are available. Uniprofessional teams were successfully supported by their members and, thereby, used automated external defibrillator effectively. Furthermore, the interprofessional approach resulted in as much effective teamwork as the uniprofessional approach.
Collapse
|
12
|
Pareek M, Parmar V, Badheka J, Lodh N. Study of the impact of training of registered nurses in cardiopulmonary resuscitation in a tertiary care centre on patient mortality. Indian J Anaesth 2018; 62:381-384. [PMID: 29910497 PMCID: PMC5971628 DOI: 10.4103/ija.ija_17_18] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background and Aims: Nurses should have cardiopulmonary resuscitation (CPR) knowledge and skills to be able to implement effective interventions during in-hospital cardiac arrest. The aim of this descriptive study was to assess mortality impact after nurses' CPR training with pre-CPR training data at our institute. Methods: Training regarding CPR was given to nurses, and CPR mortality 1-year before basic life support (BLS) and advanced cardiac life support (ACLS) training were collected and compared with post-training 1-year CPR mortality. Results: A total of 632 adult patients suffering in-hospital cardiac arrest over the study period. CPR was attempted in 294 patients during the pre-BLS/ACLS training period and in 338 patients in the post-BLS/ACLS training period. In the pre-BLS/ACLS training period, 58 patients (19.7%) had return of spontaneous circulation (ROSC), while during the post-BLS/ACLS training period, 102 patients (30.1%) had ROSC (P = 0.003). Sixteen of the 58 patients (27.5%) who achieved ROSC during the pre-BLS/ACLS training period survived to hospital discharge, compared 54 out of 102 patients (52.9%) in the post-BLS/ACLS training period (P < 0.0001). There was no significant association between either the age or sex with the outcomes in the study. Conclusion: Training nurses in cardiopulmonary resuscitation resulted in a significant improvement in survival to hospital discharge after in-hospital cardiac arrest.
Collapse
Affiliation(s)
- Mayureshkumar Pareek
- Department of Anaesthesiology, P. D. U. Government Medical College, Rajkot, Gujarat, India
| | - Vandana Parmar
- Department of Anaesthesiology, P. D. U. Government Medical College, Rajkot, Gujarat, India
| | - Jigisha Badheka
- Department of Anaesthesiology, P. D. U. Government Medical College, Rajkot, Gujarat, India
| | - Nirmalyo Lodh
- Department of Anaesthesiology, P. D. U. Government Medical College, Rajkot, Gujarat, India
| |
Collapse
|
13
|
Lee MR, Cha C. Emergency department nurses' experience of performing CPR in South Korea. Int Emerg Nurs 2017; 38:29-33. [PMID: 29050836 DOI: 10.1016/j.ienj.2017.09.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2017] [Revised: 08/16/2017] [Accepted: 09/25/2017] [Indexed: 11/28/2022]
Abstract
BACKGROUND Emergency Department (ED) nurses often confront unexpected cardiopulmonary resuscitation (CPR) with little information about the patients. METHODS This qualitative study explored the experience of performing CPR among ED nurses. Data collection took place between May and June 2016 using an online advertisement to recruit 17 ED nurses. Each participant was interviewed for 40-90min. Interviews were recorded and transcribed verbatim. Data analysis was conducted using a conventional content-analysis method. RESULTS Four themes emerged: Pressure from the urgency of the CPR, becoming sharp tempered in addressing personnel during CPR, keeping psychological conflicts of CPR patient care to oneself, and growing as an ED nurse through CPR. CONCLUSION ED nurses had anxiety about CPR, regardless of their ability to perform CPR. They also suffered psychologically afterward. ED nurses could benefit from education that promotes their competencies for CPR and support systems to alleviate their psychological distress.
Collapse
|
14
|
Abolfotouh MA, Alnasser MA, Berhanu AN, Al-Turaif DA, Alfayez AI. Impact of basic life-support training on the attitudes of health-care workers toward cardiopulmonary resuscitation and defibrillation. BMC Health Serv Res 2017; 17:674. [PMID: 28938914 PMCID: PMC5610457 DOI: 10.1186/s12913-017-2621-5] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Accepted: 09/14/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Cardiopulmonary resuscitation (CPR) increases the probability of survival of a person with cardiac arrest. Repeating training helps staff retain knowledge in CPR and in use of automated external defibrillators (AEDs). Retention of knowledge and skills during and after training in CPR is difficult and requires systematic training with appropriate methodology. The aim of this study was to determine the effect of basic life-support (BLS) training on the attitudes of health-care providers toward initiating CPR and on use of AEDs, and to investigate the factors that influence these attitudes. METHODS A quasi-experimental study was conducted in two groups: health-care providers who had just attended a BLS-AED course (post-BLS group, n = 321), and those who had not (pre-BLS group, n = 421). All participants had previously received BLS training. Both groups were given a validated questionnaire to evaluate the status of life-support education and certification, attitudes toward use of CPR and AED and concerns regarding use of CPR and AED. Multiple linear regression analyses were applied to identify significant predictors of the attitude and concern scores. RESULTS Overall positive attitudes were seen in 53.4% of pre-BLS respondents and 64.8% of post-BLS respondents (χ2 = 9.66, p = 0.002). Positive attitude was significantly predicted by the recent completion of BLS training (β = 5.15, p < 0.001), the number of previous BLS training courses (β = 2.10, p = 0.008) and previous exposure to cardiac-arrest cases (β = 3.44, p = 0.018), as well as by low concern scores, (β = -0.09, p < 0.001). Physicians had significantly lower concern scores than nurses (β = -10.45, p = 0.001). Concern scores decreased as the duration of work experience increased (t = 2.19, p = 0.029). CONCLUSIONS Repeated educational programs can improve attitudes toward CPR performance and the use of AEDs. Training that addressed the concerns of health-care workers could further improve these attitudes.
Collapse
Affiliation(s)
- Mostafa A Abolfotouh
- King Abdullah International Medical Research Center, King Saud bin-Abdulaziz University for Health Sciences (KSBAU-HS), Riyadh, Saudi Arabia.
| | - Manal A Alnasser
- Postgraduate Training Center, Deanship of postgraduate Education & Academic Affairs, KSAU-HS, Riyadh, Saudi Arabia
| | - Alamin N Berhanu
- Postgraduate Training Center, Deanship of postgraduate Education & Academic Affairs, KSAU-HS, Riyadh, Saudi Arabia
| | - Deema A Al-Turaif
- King Abdullah International Medical Research Center, King Saud bin-Abdulaziz University for Health Sciences (KSBAU-HS), Riyadh, Saudi Arabia
| | | |
Collapse
|
15
|
In-hospital cardiac arrest – Incidence, outcome and healthcare professionals’ knowledge and attitudes towards cardiopulmonary resuscitation – A pilot study. Resuscitation 2017. [DOI: 10.1016/j.resuscitation.2017.08.163] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
|
16
|
Lin HL, Lin MH, Ho CC, Fu CH, Koo M. Psychometric properties of the Chinese version of the attitudes towards cardiopulmonary resuscitation with defibrillation (ACPRD-C) among female hospital nurses in Taiwan. Int Emerg Nurs 2017; 33:7-13. [DOI: 10.1016/j.ienj.2017.02.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2016] [Revised: 02/07/2017] [Accepted: 02/10/2017] [Indexed: 11/26/2022]
|
17
|
Public location and male gender, but not the duration of resuscitation attempt, predict cardiopulmonary resuscitation related injuries in out-of-hospital cardiac arrest. Resuscitation 2016. [DOI: 10.1016/j.resuscitation.2016.07.207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|
18
|
Mäkinen M, Castrén M, Nurmi J, Niemi-Murola L. Trainers' Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training. Emerg Med Int 2016; 2016:3701468. [PMID: 27144027 PMCID: PMC4837270 DOI: 10.1155/2016/3701468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2015] [Accepted: 03/20/2016] [Indexed: 11/17/2022] Open
Abstract
Objectives. Studies have shown that healthcare personnel hesitate to perform defibrillation due to individual or organisational attitudes. We aimed to assess trainers' attitudes towards cardiopulmonary resuscitation and defibrillation (CPR-D), Current Care Guidelines, and associated training. Methods. A questionnaire was distributed to CPR trainers attending seminars in Finland (N = 185) focusing on the updated national Current Care Guidelines 2011. The questions were answered using Likert scale (1 = totally disagree, 7 = totally agree). Factor loading of the questionnaire was made using maximum likelihood analysis and varimax rotation. Seven scales were constructed (Hesitation, Nurse's Role, Nontechnical Skill, Usefulness, Restrictions, Personal, and Organisation). Cronbach's alphas were 0.92-0.51. Statistics were Student's t-test, ANOVA, stepwise regression analysis, and Pearson Correlation. Results. The questionnaire was returned by 124/185, 67% CPR trainers, of whom two-thirds felt that their undergraduate training in CPR-D had not been adequate. Satisfaction with undergraduate defibrillation training correlated with the Nontechnical Skills scale (p < 0.01). Participants scoring high on Hesitation scale (p < 0.01) were less confident about their Nurse's Role (p < 0.01) and Nontechnical Skills (p < 0.01). Conclusion. Quality of undergraduate education affects the work of CPR trainers and some feel uncertain of defibrillation. The train-the-trainers courses and undergraduate medical education should focus more on practical scenarios with defibrillators and nontechnical skills.
Collapse
Affiliation(s)
- M. Mäkinen
- Department of Anaesthesia and Intensive Care Medicine, Helsinki University Hospital, HUS, Stenbäckinkatu 9, 00029 Helsinki, Finland
- Department of Clinical Science and Education and Section of Emergency Medicine, Karolinska Institutet, Södersjukhuset, Solnavägen 1, 17177 Stockholm, Sweden
| | - M. Castrén
- Department of Clinical Science and Education and Section of Emergency Medicine, Karolinska Institutet, Södersjukhuset, Solnavägen 1, 17177 Stockholm, Sweden
- Department of Emergency Medicine, Helsinki University Hospital, HUS, Stenbäckinkatu 9, 00029 Helsinki, Finland
- Faculty of Medicine, University of Helsinki, Haartmaninkatu 8, 6300014 Helsinki, Finland
| | - J. Nurmi
- Department of Anaesthesia and Intensive Care Medicine, Helsinki University Hospital, HUS, Stenbäckinkatu 9, 00029 Helsinki, Finland
| | - L. Niemi-Murola
- Department of Anaesthesia and Intensive Care Medicine, Helsinki University Hospital, HUS, Stenbäckinkatu 9, 00029 Helsinki, Finland
- Department of Clinical Science and Education and Section of Emergency Medicine, Karolinska Institutet, Södersjukhuset, Solnavägen 1, 17177 Stockholm, Sweden
| |
Collapse
|
19
|
Jeejeebhoy FM, Zelop CM, Lipman S, Carvalho B, Joglar J, Mhyre JM, Katz VL, Lapinsky SE, Einav S, Warnes CA, Page RL, Griffin RE, Jain A, Dainty KN, Arafeh J, Windrim R, Koren G, Callaway CW. Cardiac Arrest in Pregnancy. Circulation 2015; 132:1747-73. [DOI: 10.1161/cir.0000000000000300] [Citation(s) in RCA: 217] [Impact Index Per Article: 24.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
This is the first scientific statement from the American Heart Association on maternal resuscitation. This document will provide readers with up-to-date and comprehensive information, guidelines, and recommendations for all aspects of maternal resuscitation. Maternal resuscitation is an acute event that involves many subspecialties and allied health providers; this document will be relevant to all healthcare providers who are involved in resuscitation and specifically maternal resuscitation.
Collapse
|
20
|
Sjöberg F, Schönning E, Salzmann-Erikson M. Nurses' experiences of performing cardiopulmonary resuscitation in intensive care units: a qualitative study. J Clin Nurs 2015; 24:2522-8. [DOI: 10.1111/jocn.12844] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/07/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Fredric Sjöberg
- Faculty of Health and Occupational Studies; University of Gävle; Gävle Sweden
| | - Emil Schönning
- Faculty of Health and Occupational Studies; University of Gävle; Gävle Sweden
| | | |
Collapse
|
21
|
Mäkinen M, Niemi-Murola L, Ponzer S, Kurola J, Aune S, Kurland L, Castrén M. Healthcare professionals hesitate to perform CPR for fear of harming the patient. Resuscitation 2014; 85:e181-2. [PMID: 25179430 DOI: 10.1016/j.resuscitation.2014.08.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2014] [Accepted: 08/21/2014] [Indexed: 10/24/2022]
Affiliation(s)
- M Mäkinen
- Department of Anaesthesia and Intensive Care Medicine, Helsinki University Hospital, Finland; Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Sweden.
| | - L Niemi-Murola
- Department of Anaesthesia and Intensive Care Medicine, Helsinki University Hospital, Finland; Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Sweden
| | - S Ponzer
- Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Sweden
| | - J Kurola
- Centre for Prehospital Emergency Care, Kuopio University Hospital, Kuopio, Finland
| | - S Aune
- Division of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - L Kurland
- Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Sweden
| | - M Castrén
- Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Sweden; Helsinki University Hospital, Helsinki, Finland
| |
Collapse
|
22
|
Abstract
Early defibrillation is an essential step in the "chain of survival" for patients with in-hospital cardiac arrest. To increase the rate of early defibrillation by nurse first responders in noncritical care areas, our institution employed a quality resuscitation consultant, implemented nursing education programs, and standardized equipment and practices. Automated external defibrillator application by nurse first responders prior to advanced cardiac life support team arrival has improved from 15% in 2011 to 76% in 2013 (P < .001).
Collapse
|
23
|
Tschan F, Semmer NK, Hunziker S, Kolbe M, Jenni N, Marsch SU. Leadership in different resuscitation situations. TRENDS IN ANAESTHESIA AND CRITICAL CARE 2014. [DOI: 10.1016/j.tacc.2013.12.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
24
|
Long-term intended and unintended experiences after Advanced Life Support training. Resuscitation 2013; 84:373-7. [DOI: 10.1016/j.resuscitation.2012.07.030] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2012] [Revised: 07/13/2012] [Accepted: 07/20/2012] [Indexed: 11/24/2022]
|
25
|
Kim EJ, Lee KR, Lee MH, Kim J. [Nurses' cardiopulmonary resuscitation performance during the first 5 minutes in in-situ simulated cardiac arrest]. J Korean Acad Nurs 2012; 42:361-8. [PMID: 22854548 DOI: 10.4040/jkan.2012.42.3.361] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
PURPOSE The purpose of this study was to analyze the cardiopulmonary resuscitation skills and teamwork of nurses in simulated cardiac arrests in the hospital. METHODS A descriptive study was conducted with 35 teams of 3 to 4 registered nurses each in a university hospital located in Seoul. A mannequin simulator was used to enact simulated cardiac arrest. Assessment included critical actions, time elapsed to initiation of critical actions, quality of cardiac compression, and teamwork which comprised leadership behavior and communication among team members. RESULTS Among the 35 teams, 54% recognized apnea, 43% determined pulselessness. Eighty percent of the teams compressed at an average elapsed time of 108±75 seconds with 35%, 36%, and 67% mean rates of correct compression depth, rate, and placement, respectively. Thirty-seven percent of the teams defibrillated at 224±67 seconds. Leadership behavior and communication among team members were absent in 63% and 69% of the teams, respectively. CONCLUSION The skills of the nurses in this study cannot be considered adequate in terms of appropriate and timely actions required for resuscitation. Future resuscitation education should focus on improving the quality of cardiopulmonary resuscitation including team performance targeting the first responders of cardiac arrest.
Collapse
Affiliation(s)
- Eun Jung Kim
- College of Nursing, Eulji University, Seongnam, Korea
| | | | | | | |
Collapse
|
26
|
Norris EM, Lockey AS. Human factors in resuscitation teaching. Resuscitation 2011; 83:423-7. [PMID: 22120456 DOI: 10.1016/j.resuscitation.2011.11.001] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2011] [Revised: 10/30/2011] [Accepted: 11/02/2011] [Indexed: 02/07/2023]
Abstract
INTRODUCTION There is an increasing interest in human factors within the healthcare environment reflecting the understanding of their impact on safety. The aim of this paper is to explore how human factors might be taught on resuscitation courses, and improve course outcomes in terms of improved mortality and morbidity for patients. The delivery of human factors training is important and this review explores the work that has been delivered already and areas for future research and teaching. METHOD Medline was searched using MESH terms Resuscitation as a Major concept and Patient or Leadership as core terms. The abstracts were read and 25 full length articles reviewed. RESULTS Critical incident reporting has shown four recurring problems: lack of organisation at an arrest, lack of equipment, non functioning equipment, and obstructions preventing good care. Of these, the first relates directly to the concept of human factors. Team dynamics for both team membership and leadership, management of stress, conflict and the role of debriefing are highlighted. Possible strategies for teaching them are discussed. CONCLUSIONS Four strategies for improving human factors training are discussed: team dynamics (including team membership and leadership behaviour), the influence of stress, debriefing, and conflict within teams. This review illustrates how human factor training might be integrated further into life support training without jeopardising the core content and lengthening the courses.
Collapse
Affiliation(s)
- Elizabeth M Norris
- Grandes Maisons Road, St Sampson's Medical Practice, Guernsey, Channel Islands GY2 4JS, United Kingdom.
| | | |
Collapse
|
27
|
Stewart JA. Focused nurse-defibrillation training: a simple and cost-effective strategy to improve survival from in-hospital cardiac arrest. Scand J Trauma Resusc Emerg Med 2010; 18:42. [PMID: 20670421 PMCID: PMC2924258 DOI: 10.1186/1757-7241-18-42] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2010] [Accepted: 07/29/2010] [Indexed: 12/21/2022] Open
Abstract
Time to first defibrillation is widely accepted to correlate closely with survival and recovery of neurological function after cardiac arrest due to ventricular fibrillation or ventricular tachycardia. Focused training of a cadre of nurses to defibrillate on their own initiative may significantly decrease time to first defibrillation in cases of in-hospital cardiac arrest outside of critical care units. Such a program may be the best single strategy to improve in-hospital survival, simply and at reasonable cost.
Collapse
|