Najafi Mozhdeh, Yadollahi Safoura, Maghami Mahboobeh, Azizi-Fini Ismail
Trauma Nursing Research Center, Department of Critical Care Nursing and Emergency, Kashan University of Medical Sciences, Kashan, Iran.
Department of Biostatistics and Epidemiology, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC Nurs. 2024 Mar 15;23(1):181. doi: 10.1186/s12912-024-01853-9.
Nurse motivation can have a significant impact on the quality of cardiopulmonary resuscitation and the patients' survival. Therefore, the present study aimed to examine nurses' motivation for performing cardiopulmonary resuscitation.
This cross-sectional study focused on 217 nurses in a teaching hospital in Iran, in 2023. A random sample of nurses was selected from four hospital departments (emergency, critical care, medical, and surgery). These nurses completed the demographic information and motivation for cardiopulmonary resuscitation questionnaires. The data were analyzed using Mann-Whitney, Spearman coefficients, and Kruskal-Wallis and multiple linear regression tests.
The mean score of the dimension of the feeling of achievement (4.10 ± 0.50) was high in the nurses' motivation for performing cardiopulmonary resuscitation. There were more motivational factors in the emergency department compared to the other departments in terms of the feeling of achievement, high chance of success, low chances of success, recognition and appreciation, perceived importance, and beliefs (p < 0.05). The nurses who had participated in cardiopulmonary resuscitation workshops and had a bachelor's degree had a higher mean score in the dimension of perceived importance (p < 0.05). The correlation coefficient showed that there was a significant negative correlation between the nurses' frequency of participation in cardiopulmonary resuscitation and their motivation scores in the dimensions of the feeling of achievement(r=-0.170), low chances of success(r=-0.183), perceived importance (r = -0.302), and beliefs (r = -0.250; p < 0.05). The department variable predicted the motivation score in the dimensions of feeling of achievement, high chance of success, low chance of success, perceived importance, and beliefs. The sex variable predicted the motivation score in the dimensions of facilitator of resuscitation and high chance of success. Besides, the variable of years of membership in the CPR team predicted the motivation score in the feeling of achievement and high chance of success (p < 0.05).
Nurses would be more motivated to perform a quality cardiopulmonary resuscitation if they had a feeling of success. The nurses' motivation was affected by certain factors such as their department, sex, education level, years of membership in CPR team, number of participation in CPR, and participation in educational workshops.
护士的积极性会对心肺复苏质量及患者存活率产生重大影响。因此，本研究旨在探究护士进行心肺复苏的动机。
这项横断面研究聚焦于2023年伊朗一家教学医院的217名护士。从四个医院科室（急诊科、重症监护室、内科和外科）随机抽取护士样本。这些护士完成了人口统计学信息及心肺复苏动机问卷。数据采用曼-惠特尼检验、斯皮尔曼系数、克鲁斯卡尔-沃利斯检验和多元线性回归分析。
护士进行心肺复苏动机中，成就感维度的平均得分较高（4.10±0.50）。在成就感、高成功几率、低成功几率、认可与赞赏、感知重要性及信念方面，急诊科的激励因素比其他科室更多（p<0.05）。参加过心肺复苏工作坊且拥有本科学历的护士在感知重要性维度的平均得分更高（p<0.05）。相关系数表明，护士参与心肺复苏的频率与他们在成就感（r=-0.170）、低成功几率（r=-0.183）、感知重要性（r=-0.302）及信念（r=-0.250；p<0.05）维度的动机得分之间存在显著负相关。科室变量可预测成就感、高成功几率、低成功几率、感知重要性及信念维度的动机得分。性别变量可预测复苏促进者及高成功几率维度的动机得分。此外，心肺复苏团队成员年限变量可预测成就感及高成功几率维度的动机得分（p<0.05）。
如果护士有成功感，他们会更积极地进行高质量心肺复苏。护士的动机受某些因素影响，如科室、性别、教育水平、心肺复苏团队成员年限、心肺复苏参与次数及参加教育工作坊情况。
