Dermer Jennifer, James Steven, Palmer Christine, Christensen Martin, Craft Judy
School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast Caboolture, Caboolture, Queensland, Australia.
School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast Moreton Bay, Petrie, Queensland, Australia.
Int J Nurs Pract. 2023 Oct;29(5):e13120. doi: 10.1111/ijn.13120. Epub 2022 Dec 11.
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.
The aim of this review was to investigate factors that can affect registered nurses' experiences of performing basic life support.
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.
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.
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.
在非重症监护病房进行心肺复苏对注册护士来说是一件压力很大的事情；压力可能会对表现产生负面影响。全球范围内都有报告称在启动基本生命支持以及遵循当前基本生命支持算法方面存在延迟。
本综述的目的是调查可能影响注册护士进行基本生命支持体验的因素。
采用惠特莫尔和克纳夫的五步综合文献综述方法，本综述在CINAHL Complete（EBSCO）、Medline（Web of Science）、Scopus和PubMed数据库中检索了2000年1月至2022年6月发表的关于定性和定量的原始研究文章。
来自八个国家的九项研究符合纳入标准并在此进行评估。在本次综述中发现了与影响基本生命支持实施的因素相关的五个主题：工作人员互动问题、信心问题、对伤害和潜在诉讼的恐惧、除颤问题以及基本生命支持培训问题。
本综述揭示了注册护士在进行基本生命支持时遇到的几个问题，并突出了研究的不足。需要了解影响护士体验的因素。这将使教育能够专注于在基本生命支持培训期间考虑人为因素或非技术技能以及技术技能，以改善在医院发生心脏骤停患者的治疗结果。
