School of Nursing, Midwifery & Paramedicine, University of the Sunshine Coast, Australia.
School of Nursing, Midwifery & Paramedicine, University of the Sunshine Coast, Australia; School of Nursing, Hong Kong Polytechnic University, Hong Kong; Interdisciplinary Centre for Qualitative Research, Hong Kong Polytechnic University, Hong Kong.
Nurse Educ Pract. 2024 Mar;76:103929. doi: 10.1016/j.nepr.2024.103929. Epub 2024 Feb 26.
The aim of this study was to undertake an in-depth exploration of the lived experiences of in-hospital, non-intensive care, ward-based nurses' experiences of real-life CPR events.
There is growing evidence suggesting that may nurses not be able to successfully perform in a cardiac arrest situation. Reasons include a lack of clear leadership at the arrest, performance anxiety, role confusion and knowledge and skill degradation over time.
In-depth semi-structured interviews were conducted with fifteen ward-based hospital nurses from three hospitals. Interviews were recorded, transcribed verbatim and inductive thematic analysis was completed using NVivo 12 software.
Four main themes emerged from data. The main themes are: (1) Not Being able to Perform When it Matters, (2) Working Really Well as a Team, (3) Reflecting on the Experience: The Good, the Bad & the Ugly and (4) Learning to get it Right for Next Time CONCLUSION: Performing BLS is a stressful and anxiety-provoking experience for ward-based nurses. Anxiety levels appear to decrease slightly only when nurses have had at least one previous real-life experience with resuscitation. Current BLS education does not prepare nurses for the complexities of resuscitation. Future BLS education should focus on in-depth scenarios, including interdisciplinary team training and with greater frequency than the current yearly mandatory sessions. Listening to the lived experiences of nurses who have performed BLS has given much needed insight into approaches that educators can use to improve BLS education delivery.
本研究旨在深入探讨住院非重症监护病房护士在真实心肺复苏事件中的体验。
越来越多的证据表明，可能有护士无法在心脏骤停情况下成功进行复苏。原因包括在心脏骤停时缺乏明确的领导、表现焦虑、角色混淆以及随着时间的推移知识和技能的退化。
对来自三家医院的 15 名病房护士进行了深入的半结构化访谈。对访谈进行了录音、逐字转录，并使用 NVivo 12 软件进行了归纳主题分析。
从数据中得出了四个主要主题。主要主题是：（1）在关键时刻无法执行，（2）团队合作非常出色，（3）反思经验：好、坏和丑陋，（4）学习为下一次做好准备。结论：进行基础生命支持对病房护士来说是一种压力和焦虑的体验。只有当护士至少有过一次之前的真实复苏经验时，焦虑水平才会略有下降。目前的基础生命支持教育并没有为复苏的复杂性做好护士的准备。未来的基础生命支持教育应侧重于深入的场景，包括跨学科团队培训，并比目前每年的强制性课程更频繁地进行。倾听实施基础生命支持的护士的真实经历，为教育者提供了急需的见解，以改进基础生命支持教育的实施。
