"Who Does the Operating Room Resuscitation?" Experiences of Operating Room Nurses and Anesthesia Technicians Regarding Intraoperative Cardiopulmonary Resuscitation: A Qualitative Study.

IF 2 4区 医学 Q2 NURSING
Ozlem Sahin Akboga, Esra Ozbudak Arıca, Rukıye Hobek Akarsu, Betul Unsal
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引用次数: 0

Abstract

Purpose: This study aimed to determine the opinions, experiences, and recommendations of operating room (OR) nurses and anesthesia technicians in intraoperative cardiopulmonary resuscitation (IO-CPR) management.

Design: A qualitative design was used in the present study.

Methods: This study was conducted using in-depth interviews with OR nurses (n = 8) and anesthesia technicians (n = 7) working in the OR unit of a tertiary hospital in Türkiye. The analysis and synthesis of the data were conducted through the use of an inductive thematic approach.

Findings: As a result of the data analysis, three main and eight subthemes were identified: (1) information insufficiency (insufficient knowledge about the patient and the surgical process, the management of the IO-CPR process), (2) roles related to the IO-CPR management process (not being involved in process management, conveniences, and challenges), and (3) recommendations for IO-CPR management (preoperative evaluation, intraoperative monitoring, and training and cooperation of the OR team).

Conclusions: The OR nurses did not actively participate in the process of IO-CPR management and only observed the general condition of the patient during the CPR management process. Anesthesia technicians played an active role in the management of IO-CPR and often took the lead in coordinating the actions of the OR team. A comprehensive review of the roles and responsibilities of OR nurses during intraoperative cardiac arrest is warranted, with the aim of informing appropriate structural and procedural revisions to enhance team performance and patient outcomes.

“谁做手术室复苏?”手术室护士和麻醉技术人员术中心肺复苏经验的定性研究。
目的:本研究旨在了解手术室(OR)护士和麻醉技术人员对术中心肺复苏(IO-CPR)管理的看法、经验和建议。设计:本研究采用定性设计。方法:对云南省某三级医院手术室护士(n = 8)和麻醉技术人员(n = 7)进行深度访谈。数据的分析和综合是通过使用归纳专题方法进行的。结果:通过数据分析,确定了三个主要主题和八个副主题:(1)信息不足(对患者和手术过程的了解不足,IO-CPR过程的管理),(2)与IO-CPR管理过程相关的角色(不参与过程管理,便利和挑战),以及(3)IO-CPR管理的建议(术前评估,术中监测,以及手术室团队的培训和合作)。结论:手术室护士没有积极参与IO-CPR管理过程,在CPR管理过程中仅观察患者的一般情况。麻醉技术人员在IO-CPR的管理中发挥了积极的作用,经常带头协调手术室团队的行动。有必要对术中心脏骤停期间手术室护士的角色和职责进行全面审查,目的是告知适当的结构和程序修改,以提高团队绩效和患者预后。
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来源期刊
CiteScore
2.20
自引率
17.60%
发文量
279
审稿时长
90 days
期刊介绍: The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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