Amoako-Mensah Esther, Achempim-Ansong Gloria, Gbordzoe Newton Isaac, Adofo Cornelia Esson, Sarfo Jacob Owusu
Ghana College of Nurses and Midwives, Accra, Ghana.
University of Ghana, Accra, Ghana.
BMC Nurs. 2023 Jun 27;22(1):220. doi: 10.1186/s12912-023-01388-5.
Cardiopulmonary resuscitation (CPR) is a necessary life-saving emergency intervention for patients with cardiac arrest and other medical conditions. The study's primary objective was to qualitatively explore nurses' perceptions of the quality of adult cardiopulmonary resuscitation in Ghana.
An exploratory descriptive qualitative study was conducted among 13 purposively sampled nurses in Ghana. We collected thirteen face-to-face and telephone interviews using a semi-structured interview guide. Data were transcribed verbatim and analysed using the thematic analysis approach recommended by Braun and Clarke.
Data analysis revealed that nurses were filled with positive emotions when patients regained consciousness following resuscitation. When the otherwise happens, they tend to become tortured psychologically and filled with negative emotions. Besides, environmental factors such as the time of initiating CPR following a cardiac arrest, the availability and appropriateness of equipment and medications, workplace ergonomics, and institutional regulations affected the quality of resuscitation practices of nurses. Participants perceived that attitudes of condemnation, prejudice, apathy and skills deficiency also impacted the quality of resuscitation practices. Significant aspects of self-reported behavioural competence that affected resuscitation were knowledge and skills of CPR, confidence in initiating CPR, and the need for effort maximisation.
This study revealed several non-medical factors that influenced the resuscitation practices of nurses from their perspective. Nurses need to maximise their effort toward seeking further education in speciality areas such as emergency nursing and critical care nursing to guide their CPR practices and other newly emerging evidence-based protocols.
心肺复苏（CPR）是对心脏骤停和其他医疗状况患者进行的必要的救命紧急干预措施。该研究的主要目的是定性探索加纳护士对成人心肺复苏质量的看法。
在加纳对13名有目的抽样的护士进行了一项探索性描述性定性研究。我们使用半结构化访谈指南收集了13次面对面和电话访谈的数据。数据逐字转录，并使用布劳恩和克拉克推荐的主题分析方法进行分析。
数据分析显示，当患者复苏后恢复意识时，护士会充满积极情绪。反之，他们往往会在心理上受到折磨并充满负面情绪。此外，诸如心脏骤停后开始心肺复苏的时间、设备和药物的可用性及适用性、工作场所人体工程学以及机构规定等环境因素影响了护士的复苏操作质量。参与者认为谴责、偏见、冷漠的态度和技能不足也影响了复苏操作质量。自我报告的影响复苏的行为能力的重要方面包括心肺复苏的知识和技能、开始心肺复苏的信心以及努力最大化的需求。
本研究从护士的角度揭示了几个影响其复苏操作的非医学因素。护士需要尽最大努力寻求在急诊护理和重症护理等专业领域的进一步教育，以指导他们的心肺复苏操作及其他新出现的循证方案。
