Kim Eun Jung, Lee Kyeong Ryong, Lee Myung Hyun, Kim Jiyoung
College of Nursing, Eulji University, Seongnam, Korea.
J Korean Acad Nurs. 2012 Jun;42(3):361-8. doi: 10.4040/jkan.2012.42.3.361.
The purpose of this study was to analyze the cardiopulmonary resuscitation skills and teamwork of nurses in simulated cardiac arrests in the hospital.
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.
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.
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.
本研究旨在分析医院模拟心脏骤停时护士的心肺复苏技能及团队协作情况。
在首尔的一家大学医院对35个团队进行描述性研究，每个团队由3至4名注册护士组成。使用人体模型模拟器模拟心脏骤停。评估内容包括关键操作、开始关键操作所经过的时间、心脏按压质量以及团队协作，团队协作包括领导行为和团队成员之间的沟通。
在35个团队中，54%的团队识别出呼吸暂停，43%的团队确定无脉搏。80%的团队平均在108±75秒时开始按压，正确按压深度、频率和位置的平均比例分别为35%、36%和67%。37%的团队在224±67秒时进行除颤。分别有63%和69%的团队缺乏领导行为和团队成员之间的沟通。
就复苏所需的适当和及时行动而言，本研究中护士的技能不能被认为是足够的。未来的复苏教育应侧重于提高心肺复苏质量，包括针对心脏骤停第一反应者的团队表现。
