The professional and personal debriefing needs of ward based nurses after involvement in a cardiac arrest: An explorative qualitative pilot study
The professional and personal debriefing needs of ward based nurses after involvement in a cardiac arrest: An explorative qualitative pilot study
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DOI：
10.1016/j.iccn.2018.03.009
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发表时间：
2018-08-01
影响因子：
5.3
通讯作者：
McLean, Chris
中科院分区：
文献类型：
--
作者：
Clark, Ruth;McLean, Chris
背景资料：目前的研究表明，在临床实践中，心脏骤停后的述职人员很少，几乎没有证据表明其有效性。Objectives：本试点研究的目的是确定病房护士在心脏骤停后的述职需求，并确定参与述职的任何障碍。方法：一个探索性的定性研究进行了有目的的样本七名护士在英国医院急性成人病房工作。数据收集录音采访和分析使用framework analysis.Findings：两个关键的主题出现有关护士汇报需要后心脏骤停。护士表达了“专业需求”，以利用经验作为学习和改进实践的机会，和“个人需求”的保证和验证。护士确定的障碍，包括缺乏认识和不确定性的作用，汇报，确定时间汇报和缺乏明确的指导，从组织protocols.Conclusion：护士之间的区别“专业”和“个人需求”，可以通过汇报。报告是一个尚未开发的机会，它有可能在每次心脏骤停后被利用，以改善对病人和护士的护理。(C)2018爱思唯尔有限公司版权所有
Background: Current research demonstrates that debriefing staff post cardiac arrest in clinical practice is rare, with little evidence of effectiveness.Objectives: The aim of this pilot study was to identify the needs of ward based nurses for debriefing after involvement in a cardiac arrest and to identify any barriers to participating in debriefing.Methodology: An explorative qualitative study was undertaken with a purposive sample of seven nurses working on acute adult wards in a United Kingdom hospital. Data were collected by audio-recorded interviews and analysed using framework analysis.Findings: Two key themes emerged relating to the nurses debriefing needs post a cardiac arrest. Nurses expressed 'professional needs' to use the experience as an opportunity to learn and improve practice, and 'personal needs' for reassurance and validation. Nurses identified barriers to engaging in debriefing including lack of awareness and uncertainty about the role of a debrief, identifying time for debriefing and the lack of clear guidance from organisational protocols.Conclusion: Nurses make a distinction between 'professional' and 'personal needs' which may be met through debriefing. Debriefing is an untapped opportunity, which has the potential to be capitalised on after every cardiac arrest in order to improve care of patients and nurses. (C) 2018 Elsevier Ltd. All rights reserved.