Faculty of Health Sciences, University of Maribor, 2000 Maribor, Slovenia.
Slovene Center for Suicide Research, Andrej Marušič Institute, University of Primorska, 6000 Koper, Slovenia.
Medicina (Kaunas). 2024 Jan 24;60(2):196. doi: 10.3390/medicina60020196.
Resuscitation is one of the most stressful tasks in emergency medicine. The participation of nurses in this procedure can have specific effects on them. In this research, we wanted to find out what these effects are. A qualitative approach by conducting semi-structured interviews was used, and a thematic data analysis of the recorded interviews was carried out. The collected data were transcribed verbatim, with no corrections to the audio recordings. The computer program ATLAS.ti 22 was used for the qualitative data analysis. Eleven male registered nurses were interviewed, with an average of 18.5 years of experience working in a prehospital environment (max. 32/min. 9). A total of 404 min of recordings were analyzed, and 789 codes were found, which were combined into 36 patterns and 11 themes. As the most stressful situations, the interviewees pointed out the resuscitation of a child, familiar persons, conflicts with the environment, conflicts within the resuscitation team, nonfunctioning or insufficient equipment, complications during resuscitation, and resuscitating a person only for training. As positive effects, the interviewees cited successful resuscitations or their awareness that, despite an unsuccessful resuscitation, they did everything they could. Participation in these interventions has a specific positive or negative impact on the performers. The interviewees shared the opinion that they can cope effectively with the adverse or stressful effects of resuscitation. Yet, despite everything, they allow the possibility of subconscious influences of this intervention on themselves.
复苏是急诊医学中最具压力的任务之一。护士参与这项程序可能会对他们产生特定的影响。在这项研究中,我们想了解这些影响是什么。我们采用了定性方法,通过进行半结构化访谈,对记录的访谈进行了主题数据分析。收集的数据进行了逐字转录,对录音没有进行任何校正。使用计算机程序 ATLAS.ti 22 对定性数据进行了分析。我们采访了 11 名男性注册护士,他们平均在院前环境中工作了 18.5 年(最长 32 分钟,最短 9 分钟)。共分析了 404 分钟的录音,发现了 789 个代码,这些代码被组合成 36 个模式和 11 个主题。受访者指出,最具压力的情况包括对儿童、熟人、与环境的冲突、复苏团队内部的冲突、设备故障或不足、复苏过程中的并发症以及仅为培训而进行复苏。作为积极的影响,受访者提到了成功的复苏或他们意识到,尽管复苏不成功,但他们已经尽了一切努力。参与这些干预措施对执行者有特定的积极或消极影响。受访者认为,他们可以有效地应对复苏的不利或压力影响。然而,尽管如此,他们允许这种干预对自己产生潜意识影响的可能性。