Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Factors Influencing Nurses' Attitudes towards Nurse-led Defibrillation

간호사에 의한 제세동 시행에 대한 간호사 태도의 영향요인

  • Yun, Hee Je (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Chun-Ja (College of Nursing.the Research Institute of Nursing Science, Ajou University)
  • 윤희제 (서울대학교병원 간호부) ;
  • 김춘자 (아주대학교 간호대학.간호과학연구소)
  • Received : 2020.08.11
  • Accepted : 2020.09.23
  • Published : 2020.10.31
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Abstract

Purpose : This study examined factors influencing the attitudes towards nurse-led defibrillation in the emergency department (ED) and intensive care unit (ICU). Methods : This was a cross-sectional study. A total of 212 nurses in the ED and ICU from three general hospitals responded to the survey. Data were collected between September and October 2015 using structured questionnaires. Independent t-test, Mann-Whitney U test, one-way analysis of variance (ANOVA), Pearson's correlation coefficient, and hierarchical multiple regression were used to analyze factors affecting nurses' attitudes towards nurse-led defibrillation. Results : The mean score of nurses' attitudes towards nurse-led defibrillation was 61.37 of a possible 91. Hierarchical multiple regression showed that nurses' attitudes towards nurse-led defibrillation were significantly affected by their experiences regarding cardiopulmonary resuscitation (p=.003), knowledge regarding electrocardiogram interpretation and defibrillation (p=.007), and tenure in ED or ICU (p=.043). Conclusion : Results indicate that employers should set policies to support nurses in maintaining their careers in the ED or ICU and conduct systematic educational programs for them. This will increase nurses' confidence in performing defibrillation, which will lead to early defibrillation during in-hospital cardiac arrest. Consequently, it can be a strategy to increase the survival rate of cardiac arrest patients.

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References

  1. Cave, D. M., Gazmuri, R. J., Otto, C. W., Nadkarni, V. M., Cheng, A., Brooks, S. C., . . . Hazinski, M. F. (2010). Part 7: CPR techniques and devices: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 122(18 suppl 3), S720-S728. https://doi.org/10.1161/CIRCULATIONAHA.110.970970
  2. Chan, W. K., Kung, N. N. S., Ma, M. C., Ng, W. P., Chan, S., & Lau, F. L. (1998). Emergency defibrillation performed by coronary nursing staff: A pilot report. Hong Kong Medical Journal, 4(1), 47-51.
  3. Chun, S. H., Oh, Y. H., & Kim, S. S. (2011). Cardiopulmonary resuscitation learning experience, knowledge, and performance in newly graduated nurses. Journal of Korean Academy of Fundamentals of Nursing, 18(2), 201-209.
  4. Coady, E. M. (1999). A strategy for nurse defibrillation in general wards. Resuscitation, 42(3), 183-186. https://doi.org/10.1016/S0300-9572(99)00111-2
  5. Dwyer, T., Williams, L. M., & Mummery, K. (2007). Nurse‐initiated defibrillation? Reality or rhetoric. Nursing in Critical Care, 12(6), 270-277. https://doi.org/10.1111/j.1478-5153.2007.00236.x
  6. Finn, J. (1996). The role of nurses in cardiopulmonary resuscitation and defibrillation. Collegian, 3(3), 31-34. https://doi.org/10.1016/S1322-7696(08)60178-X
  7. Han, H. H. (2016). A study of convergence on frequency of performance, self-confidence, performance assessment scores of core nursing skills of nursing students. Journal of Digital Convergence, 14(8), 355-362. https://doi.org/10.14400/JDC.2016.14.8.355
  8. Heng, K., & Wee, F. C. (2017). Seventeen years of life support courses for nurses: Where are we now? Singapore Medical Journal, 58(7), 453-455. https://doi.org/10.11622/smedj.2017061
  9. Holmberg, M., Holmberg, S., & Herlitz, J. (2000). Incidence, duration and survival of ventricular fibrillation in out-of-hospital cardiac arrest patients in Sweden. Resuscitation, 44(1), 7-17. https://doi.org/10.1016/S0300-9572(99)00155-0
  10. Jeong, C. W., Lee, M. J., Lim, S. H., Yang, H. M., Lim, H. S., Kim, H. H., . . . Chae, M. K. (2019). Survival of in-hospital cardiac arrest patients before and after the implementation of the act on decisions on life-sustaining treatment: The well-dying law. Journal of The Korean Society of Emergency Medicine, 30(5), 379-384.
  11. Jones, P. S., Lee, J. W., Phillips, L. R., Zhang, X. E., & Jaceldo, K. B. (2001). An adaptation of Brislin's translation model for cross-cultural research. Nursing Research, 50(5), 300-304. https://doi.org/10.1097/00006199-200109000-00008
  12. Kallestedt, M. L. S., Berglund, A., Herlitz, J., Leppert, J., & Enlund, M. (2012). The impact of CPR and AED training on healthcare professionals' selfperceived attitudes to performing resuscitation. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 20(1), 26. https://doi.org/10.1186/1757-7241-20-26
  13. Kim, J. Y., Jun, S. S., Kim, D. H., & Choi, S. S. (2008). Knowledge and attitude toward BLS and provided CPR education among nurses at general wards in Pusan. Journal of Korean Academy of Fundamentals of Nursing, 15(2), 143-152.
  14. Kim, K. N. (2018). Factors influencing performance ability of CPR in Nurses. Asia-pacific Journal of Multimedia Services Convergent with Art Humanities and Sociology, 8(10), 821-830.
  15. Kim, M. Y., & Kim, S. H. (2019). Effect of rapid cycle deliberate practice advanced life support simulation education on nurse's performance, confidence, and satisfaction. Journal of the Korea Academia-Industrial Cooperation Society, 20(11), 44-55. https://doi.org/10.5762/KAIS.2019.20.11.44
  16. Kim, S. S., & Kim, B. J. (2006). Outcomes of inhospital cardiopulmonary resuscitation according to the in-hospital utstein style in a general hospital. Clinical Nursing Research, 11(2), 177-192.
  17. Lee, H. D., & Jung, S. Y. (2018). Factors related to confidence to perform CPR for nurses. The Korean Data & Information Science Society, 29(2), 377-389. https://doi.org/10.7465/jkdi.2018.29.2.377
  18. Link, M. S., Berkow, L. C., Kudenchuk, P. J., Halperin, H. R., Hess, E. P., Moitra, V. K., . . . White, R. D. (2015). Part 7: Adult advanced cardiovascular life support: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 132(18 suppl 2), S444-S464. https://doi.org/10.1161/CIR.0000000000000261
  19. Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382-385.
  20. Makinen, M., Niemi-Murola, L., Kaila, M., & Castren, M. (2009). Nurses' attitudes towards resuscitation and national resuscitation guidelines-nurses hesitate to start CPR-D. Resuscitation, 80(12), 1399-1404. https://doi.org/10.1016/j.resuscitation.2009.08.025
  21. McRae, M. E., Chan, A., Hulett, R., Lee, A. J., & Coleman, B. (2017). The effectiveness of and satisfaction with high-fidelity simulation to teach cardiac surgical resuscitation skills to nurses. Intensive and Critical Care Nursing, 40, 64-69. https://doi.org/10.1016/j.iccn.2016.11.001
  22. Murphy, M., & Fitzsimons, D. (2004). Does attendance at an immediate life support course influence nurses' skill deployment during cardiac arrest? Resuscitation, 62(1), 49-54. https://doi.org/10.1016/j.resuscitation.2004.01.033
  23. Sodhi, K., Singla, M. K., & Shrivastava, A. (2011). Impact of advanced cardiac life support training program on the outcome of cardiopulmonary resuscitation in a tertiary care hospital. Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine, 15(4), 209-212. https://doi.org/10.4103/0972-5229.92070
  24. Stewart, J. A. (2010). Focused nurse-defibrillation training: A simple and cost-effective strategy to improve survival from in-hospital cardiac arrest. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 18(1), 1-4. https://doi.org/10.1186/1757-7241-18-42
  25. Tintinalli, J. E., & Stapczynski, J. S. (2011). Tintinalli's emergency medicine: A comprehensive study guide (7th ed.). New York: McGraw-Hill.
  26. Vincelette, C., Lavoie, S., Fortin, O., & Quiroz-Martinez, H. (2018). Intensive care unit nurses' knowledge, skills and attitudes regarding three resuscitation procedures: A cross-sectional survey. Canadian Journal of Critical Care Nursing, 29(4), 29-35.
  27. Vincelette, C., Quiroz-Martinez, H., Fortin, O., & Lavoie, S. (2018). Timely recognition of ventricular fibrillation and initiation of cardiopulmonary resuscitation by intensive care unit nurses: A highfidelity simulation observational study. Clinical Simulation in Nursing, 23, 1-9. https://doi.org/10.1016/j.ecns.2018.07.005
  28. Vincelette, C., Quiroz-Martinez, H., Gosselin, E., & Lavoie, S. (2019). Preliminary development and validation of the nurse cardiopulmonary resuscitation survey (NCRS) among intensive care unit nurses. Critical Care Nursing, 30(1), 24-31.
  29. Warwick, J. P., Mackie, K., & Spencer, I. (1995). Towards early defibrillation-a nurse training programme in the use of automated external defibrillators. Resuscitation, 30(3), 231-235. https://doi.org/10.1016/0300-9572(95)00895-0
  30. Zafari, A. M., Zarter, S. K., Heggen, V., Wilson, P., Taylor, R. A., Reddy, K., . . . Dudley, S. C. (2004). A program encouraging early defibrillation results in improved in-hospital resuscitation efficacy. Journal of the American College of Cardiology, 44(4), 846-852. https://doi.org/10.1016/j.jacc.2004.04.054