What are the attitudes of coronary care nurses towards the introduction of nurse-initiated thrombolysis?

This study explores nurses' attitudes to the introduction of nurse-initiated thrombolysis, within a large district coronary care unit. A qualitative survey was used to elicit attitudes from all ENB 124 qualified members of staff presently employed within the unit. Concerns expressed by the nursing staff, prior to introduction of this practice, are described. Four key themes emerging from the data are explored; framework for practice; scope for advanced practice; decision-making policy; personal attributes. With the increased introduction of nurse-initiated thrombolysis, further research within this area is advocated.

Should relatives be invited to witness a resuscitation attempt? A review of the literature

This review of the literature focuses upon the somewhat controversial question of whether relatives should be invited to witness the resuscitation of a family member. The pioneering study undertaken at the Foote Hospital, Michigan is explored, as is much of the anecdotal case study material available. The review focuses around three main areas: Allowing the relatives into the resuscitation room. Success of the encounter. The effects upon the relatives who witness the event. It is clear from this review that opinion about the presence of relatives in the resuscitation room remains inconclusive, with an apparently equal balance of both positive and negative family responses during the resuscitation attempt. However, whilst there is some evidence regarding short term effects on relatives who actually choose to witness a resuscitation attempt, there is little evidence to suggest what the long-term effects are likely to be. This is an aspect of resuscitation that certainly merits further exploration.