Muthelo Livhuwani, Seimela Hendrica Mosima, Mbombi Masenyani Oupa, Malema Rambelani, Phukubye Arthur, Tladi Lerato
Department of Nursing Science, University of Limpopo, Sovenga St, Polokwane 0727, South Africa.
Department of Physiology and Environmental Health, University of Limpopo, Sovenga St, Polokwane 0727, South Africa.
Healthcare (Basel). 2023 Jan 4;11(2):158. doi: 10.3390/healthcare11020158.
To describe the challenges for optimum resuscitation processes in Emergency Departments in Limpopo Province, South Africa.
A qualitative explorative research approach was adopted to explore the resuscitation team's experiences in Emergency Departments.
Five medical doctors and twelve professional nurses were purposively sampled to participate in the study. The depth of the information obtained from the participants determined the sample size. Data collected from semi-structured individual interviews were analyzed using thematic analysis. Data quality was ensured by applying four elements: credibility, transferability, dependability, and confirmability.
The study findings indicated diverse challenges for optimum resuscitation processes that include: A general shortage of emergency personnel, the lack of material resources and the unavailability of funds for payment of national and international trauma symposiums, the poor maintenance of emergency equipment, the lack of a continuous training program and the resuscitation team receiving different instructions from various team leaders about the standardized procedures and policies of the resuscitation process. The team leaders and managers often blamed, depreciated and disregarded the resuscitation team for failed resuscitation efforts. Public contribution: The study findings are a point of reference for the emergency resuscitation team and the department of health policymakers. Trained and well-equipped emergency resuscitation teams can improve the quality of life for patients with cardiac arrest.
描述南非林波波省急诊科最佳复苏流程面临的挑战。
采用定性探索性研究方法，以探究急诊科复苏团队的经验。
有目的地抽取五名医生和十二名专业护士参与研究。从参与者那里获取信息的深度决定了样本量。对从半结构化个人访谈中收集的数据采用主题分析法进行分析。通过应用四个要素确保数据质量：可信度、可转移性、可靠性和可证实性。
研究结果表明，最佳复苏流程面临多种挑战，包括：急救人员普遍短缺、缺乏物资资源以及没有资金支付国内外创伤研讨会费用、急救设备维护不善、缺乏持续培训计划，以及复苏团队从不同团队领导那里收到关于复苏流程标准化程序和政策的不同指示。团队领导和管理人员常常因复苏努力失败而指责、贬低和忽视复苏团队。公众贡献：研究结果为急救复苏团队和卫生政策制定部门提供了参考依据。训练有素且装备精良的急救复苏团队可以提高心脏骤停患者的生活质量。
