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复苏期间家属在场(FPDR):一项关于急救人员实施经验和看法的定性研究。

Family presence during resuscitation (FPDR): A qualitative study of implementation experiences and opinions of emergency personnel.

作者信息

Ramage Emma, Porter Joanne E, Biedermann Narelle

机构信息

Federation University Australia, School of Nursing, Midwifery and Healthcare, Gippsland Campus, Churchill, Victoria, Australia.

Federation University Australia, School of Nursing, Midwifery and Healthcare, Gippsland Campus, Churchill, Victoria, Australia.

出版信息

Australas Emerg Care. 2018 May;21(2):51-55. doi: 10.1016/j.auec.2018.05.002. Epub 2018 May 28.

DOI:10.1016/j.auec.2018.05.002
PMID:30998875
Abstract

AIM

To explore the experiences of nurses and doctors on the implementation of family presence during resuscitation (FPDR) in Victorian emergency departments.

METHODS

An interpretative qualitative study design was utilized which incorporated the open ended responses on a state wide Victorian survey of emergency department nurses and doctors. A thematic analysis of the responses was conducted involving data reduction, identification of key words, phrases and themes.

RESULTS

A total of 18 emergency departments consented to participate with a mean participant age of 41 years, made up of 91 (81) nurses and 21(19) doctors. The participants came from both metropolitan (64 (57), hospitals 300 - >500 beds) and regional (48 (43), hospitals <80 - 300 beds) health services. There were four emerging themes from the analysis; Depends on the day, impact family have on staff, organisational considerations and incorporating family centred care.

CONCLUSION

There remain a number of variables which have been identified as continuing to create barriers to implementation of family presence during resuscitation that need to be investigated further in order to ensure emergency personnel have consistency of FPDR practice.

摘要

目的

探讨维多利亚州急诊科护士和医生在实施复苏期间家属在场(FPDR)方面的经验。

方法

采用解释性定性研究设计,纳入了对维多利亚州急诊科护士和医生进行的全州范围内调查中的开放式回答。对回答进行了主题分析,包括数据简化、关键词、短语和主题的识别。

结果

共有18个急诊科同意参与,参与者平均年龄41岁,其中包括91名(81名)护士和21名(19名)医生。参与者来自大都市(64名(57名),300至>500张床位的医院)和地区(48名(43名),<80至300张床位的医院)卫生服务机构。分析得出四个新出现的主题:取决于当天情况、家属对工作人员的影响、组织方面的考虑以及纳入以家庭为中心的护理。

结论

仍有一些变量被确定为继续对复苏期间家属在场的实施造成障碍,需要进一步调查,以确保急救人员在FPDR实践中保持一致。

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Australas Emerg Care. 2018 May;21(2):51-55. doi: 10.1016/j.auec.2018.05.002. Epub 2018 May 28.
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