Advanced Life Support: Role of the Rural Registered Nurse

Jones, Jackie; Cooke, Tracy

doi:10.1111/j.1440-1584.1996.tb00191.x

Cited by 5 publications

(3 citation statements)

References 11 publications

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“…The findings of the study concur with previous studies that have found typically doctors in rural hospitals are on site for less than 24 hours a day (Jones and Cooke, 1996; H Pascoe, University of Southern Queensland, Toowoomba, unpublished thesis; Finn and Jacobs, 2003). Further, the smaller the rural hospital, the likelihood of a doctor being onsite for more than 12 hours a day decreased.…”

Section: Discussionsupporting

confidence: 90%

Nurse‐initiated defibrillation? Reality or rhetoric

Dwyer

Williams

Mummery

2007

Nursing in Critical Care

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Evidence indicates that hospital nurse-initiated defibrillation improves survival following cardiac arrest. Accordingly, hospitals are changing their policies to permit nurses to initiate defibrillation. However, if nurse-initiated defibrillation is to be successful implemented, nurses' beliefs about this practice need to be understood. Therefore, the aim of this study was to explore the attitudes of rural nurses towards defibrillation to assist in the development of nurse-initiated defibrillation programmes. This cross-sectional study examined the defibrillation beliefs of registered nurses in rural areas. A proportionally stratified sample of registered nurses (n = 436) were drawn from 51 rural acute care hospitals in Australia. Most (n = 224; 52%) of the participants were not permitted to initiate defibrillation. A one-way between-groups multivariate analysis of variance showed that nurses who were permitted to initiate defibrillation held stronger positive beliefs towards defibrillation than nurses not permitted (10,410) = 13.88, p < 0.001. Nurses not permitted were more concerned about the challenge of learning rhythms, incurring litigation and harming the patient or themselves. If it is accepted that defibrillation will become an essential part of all nurses' roles, these beliefs should be explored and integrated into educational programmes as inappropriate beliefs about defibrillation may impede implementation and skills development.

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Section: Discussionsupporting

confidence: 90%

Nurse‐initiated defibrillation? Reality or rhetoric

Dwyer

Williams

Mummery

2007

Nursing in Critical Care

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“…It is argued that ACLS is part of the contemporary nursing role (Kenward et al. 2002) and is of particular importance in rural areas (Jones & Cooke 1996). The value of early defibrillation is well‐documented (Spearpoint et al.…”

Section: Advanced Life Supportmentioning

confidence: 99%

Educating for rural nursing practice

Kenny¹,

Duckett²

2003

Journal of Advanced Nursing

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“…5 Jones and Cooke, in their paper on the role of the rural registered nurse in advanced life support, remarked: ''Often nurses voice their frustrations at being in a situation where they know what must be done but have to wait for the arrival of a medical officer to initiate known actions.'' 6 A search of the literature revealed that although a number of papers have examined the attitudes of nurses and doctors to ALS team leadership, few papers have reported data regarding prospective controlled trials on the subject. 7 8 The importance of training in ALS is apparent from Dane et al's study into the association between Advanced Cardiac Life Support (ACLS; the ALS course is similar in content and delivery to the ACLS) training and survival of patients after in-hospital cardiac arrest.…”

mentioning

confidence: 99%

To lead or not to lead? Prospective controlled study of emergency nurses' provision of advanced life support team leadership

Gilligan

Bhatarcharjee²,

Knight³

et al. 2005

Emergency Medicine Journal

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Background and objectives: In many emergency departments advanced life support (ALS) trained nurses do not assume a lead role in advanced resuscitation. This study investigated whether emergency nurses with previous ALS training provided good team leadership in a simulated cardiac arrest situation. Methods: A prospective study was conducted at five emergency departments and one nurses' association meeting. All participants went through the same scenario. Details recorded included baseline blood pressure and pulse rate, time in post, time of ALS training, and subjective stress score (1 = hardly stressed; 10 = extremely stressed). Scoring took into account scenario understanding, rhythm recognition, time to defibrillation, appropriateness of interventions, and theoretical knowledge. Results: Of 57 participants, 20 were ALS trained nurses, 19 were ALS trained emergency senior house officers (SHOs), and 18 were emergency SHOs without formal ALS training. The overall mean score for doctors without ALS training was 69.5%, compared with 72.3% for ALS trained doctors and 73.7% for ALS trained nurses. Nurses found the experience less stressful (subjective stress score 5.78/10) compared with doctors without ALS training (6.5/10). The mean time taken to defibrillate from the appearance of a shockable rhythm on the monitor by the nurses and those SHOs without ALS training was 42 and 40.8 seconds, respectively. Conclusion: ALS trained nurses performed as well as ALS trained and non ALS trained emergency SHOs in a simulated cardiac arrest situation and had greater awareness of the potentially reversible causes of cardiac arrest. Thus if a senior or middle grade doctor is not available to lead the resuscitation team, it may be appropriate for experienced nursing staff with ALS training to act as ALS team leaders rather than SHOs.

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Advanced Life Support: Role of the Rural Registered Nurse

Cited by 5 publications

References 11 publications

Nurse‐initiated defibrillation? Reality or rhetoric

Nurse‐initiated defibrillation? Reality or rhetoric

Educating for rural nursing practice

To lead or not to lead? Prospective controlled study of emergency nurses' provision of advanced life support team leadership

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