Babaei Keivan, Ghesmati Faezeh, Nowzari Amir Hossein, Goodarzi Afshin
School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Nursing, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran.
BMC Emerg Med. 2025 Jul 15;25(1):122. doi: 10.1186/s12873-025-01281-1.
In-hospital cardiac arrest is a critical event, and while cardiopulmonary resuscitation (CPR) is the primary intervention, human factors significantly influence its quality. Traditional quantitative studies often fail to capture the impact of resuscitation team members' operational and emotional experiences. To address this gap, this qualitative study uses a pragmatist approach to explore the factors that improve the performance of resuscitation team members in emergency departments.
A qualitative content analysis was conducted in Western Iran from January /2024 to July /2024, to explore factors improving the performance of resuscitation team members. Participants included 25 nurses and physicians from in-hospital resuscitation teams, selected through purposive sampling. Data was collected through in-depth, semi-structured interviews. Graneheim and Lundman's systematic approach was employed to analyze the data and uncover latent and manifest content.
The mean age of participants was 34 years (range 24-51 years), and most held a bachelor's degree in nursing (48%). The collected data were categorized into a theme titled " latent enhancers " and three main categories with ten subcategories. These categories and subcategories included Perceived beliefs influencing resuscitation (Positive spiritual feedback, mental simulation, and compassion), organizational catalysts (effective leadership, responsive physical space, fertility of motivation, and fruitful education), and psychological improvers (euphoria, pride in competence, and Hope in the shadow of a surprising successful resuscitation).
Rescuers' positive beliefs, effective organizational factors, and Psychological improvers were themes extracted from the experiences of rescuers in our study. Holding psychoanalysis sessions with the to create a positive attitude in rescuers towards the outcomes of resuscitation, as well as empowering resuscitation leaders through training leadership skills, considering organizational incentives for resuscitation team members, suitable physical space, and the use of operational training will be an effective and helpful measure in this regard.
Not applicable.
院内心脏骤停是一个关键事件，虽然心肺复苏（CPR）是主要干预措施，但人为因素会显著影响其质量。传统的定量研究往往无法捕捉复苏团队成员操作和情感体验的影响。为了填补这一空白，本定性研究采用实用主义方法，探索提高急诊科复苏团队成员表现的因素。
2024年1月至2024年7月在伊朗西部进行了定性内容分析，以探索提高复苏团队成员表现的因素。参与者包括25名来自院内复苏团队的护士和医生，通过目的抽样选取。数据通过深入的半结构化访谈收集。采用格兰内海姆和伦德曼的系统方法分析数据，揭示潜在和显性内容。
参与者的平均年龄为34岁（范围24 - 51岁），大多数拥有护理学学士学位（48%）。收集到的数据被归类为一个名为“潜在增强因素”的主题以及三个主要类别和十个子类别。这些类别和子类别包括影响复苏的感知信念（积极的精神反馈、心理模拟和同情心）、组织催化剂（有效的领导、响应迅速的物理空间、激励的丰富性和富有成效的教育）以及心理改善因素（兴奋、对能力的自豪和在意外成功复苏阴影下的希望）。
救援人员的积极信念、有效的组织因素和心理改善因素是我们研究中从救援人员经验中提取的主题。与救援人员进行心理分析会议，以培养他们对复苏结果的积极态度，以及通过培训领导技能增强复苏领导者的能力，考虑对复苏团队成员的组织激励、合适的物理空间以及使用操作培训，在这方面将是一项有效且有益的措施。
不适用。
