Clinical Research Development Centre, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Clinical Research Development Centre, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran; Health Institute, Social Development and Health Promotion Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Int Emerg Nurs. 2021 Jan;54:100954. doi: 10.1016/j.ienj.2020.100954. Epub 2020 Dec 24.
The survival rate following Cardiopulmonary Resuscitation (CPR) has been reported to be 7-26.7%. Various studies have shown that CPR failure is high in many countries. This study was aimed to explore the barriers to the success of CPR from the perspective of Iranian nurses.
Participants were 14 Iranian nurses recruited through purposive sampling. In-depth semi-structured interviews were used to collect data. Data were analyzed using qualitative content analysis.
The barriers to successful CPR were developed in three main categories and nine subcategories. Some of the barriers to CPR success were: "delayed attendance of the CPR team and start of CPR", "inadequate experience and skill of the CPR team", "poor access to special units", "insufficient and deficient CPR equipment", "poor CPR location", "critical clinical conditions of the patient", and "interference of the patient's family members.
The results showed that human and environmental factors can result in CPR failure. These barriers can be minimized by measures such as empowerment of the CPR team, and providing the necessary facilities and equipment.
心肺复苏术（CPR）后的存活率据报道为 7-26.7%。多项研究表明，许多国家的 CPR 失败率都很高。本研究旨在从伊朗护士的角度探讨 CPR 成功的障碍。
通过目的性抽样，参与者为 14 名伊朗护士。采用深入的半结构式访谈收集数据。采用定性内容分析法对数据进行分析。
成功实施 CPR 的障碍被分为三个主要类别和九个子类别。一些 CPR 成功的障碍包括：“CPR 团队的延迟到达和 CPR 的开始”、“CPR 团队经验和技能不足”、“难以进入特殊单位”、“CPR 设备不足和有缺陷”、“CPR 位置不佳”、“患者的危急临床状况”和“患者家属的干扰”。
结果表明，人为和环境因素会导致 CPR 失败。通过增强 CPR 团队的能力以及提供必要的设施和设备等措施，可以最大程度地减少这些障碍。
