Estudio cualitativo sobre las experiencias y emociones de los técnicos y enfermeras de emergencias extrahospitalarias tras la realización de maniobras de reanimación cardiopulmonar con resultado de muerte

Death and dying in prehospital care: what are the experiences and issues for prehospital practitioners, families and bystanders? A scoping review

“…Feelings of failure and guilt and thoughts about what had happened to patients after they reached the hospital emergency department were a concern. Critical incidents, such as premature deaths, 50–52 suicide, 46 52–54 OHCA and failed resuscitations, 55 were especially characterised by intense emotional labour and feelings of inadequacy.…”

“…Resuscitation and OHCA were also described as particularly intense and stressful experiences, characterised by intense emotions. 55 67–71 PHPs described complex decision-making around cardiac arrests, 65 the technical abilities required alongside providing holistic care 72 and difficult processes of negotiation with coworkers, other HCPs and families. There was inadequate communication around out-of-hospital DNACPR orders.…”

“…The presence of family members and bystanders when attending death and dying calls provoked mixed reactions from PHPs, irrespective of context (eg, OHCA, EoLC). 55 71 During OHCAs, some PHPs preferred families not to be present in the room during resuscitation and described feeling pressure from families, and expressions of disquiet related to their presence. 69 Others considered that relatives could aid resuscitation by putting on hold their own feelings and emotions, thus helping PHPs focus on the condition of the patient.…”

“…A lack of sufficient training around communication and relational aspects of death and dying, palliative and EoLC, 24 25 43 58–60 79 80 OHCA and DNACPR, 67 69 73 75 death notifications 24 25 and breaking bad news 55 69 was evident in the review. PHPs identified deficits in training around DNACPR orders, 73 75 dealing with suicide, 46 52–54 managing bereavement, 71 communicating bad news and emotion work.…”

Dealing with death and dying in an intensive care unit in Paraná/ Lidando com a morte e o morrer em uma unidade de terapia intensiva do Paraná / Enfrentando la muerte y el morir en una unidad de cuidados..

“…No contexto da emergência extra-hospitalar, um estudo qualitativo realizado no país Basco, que objetivou explorar as experiências, emoções e estratégias de enfrentamento de seis enfermeiras e sete técnicos em emergência, concluiu que a ressuscitação cardiopulmonar malsucedida pode ser uma experiência traumática, que desperta tristeza ou incerteza. No entanto, também é possível experienciar uma sensação de dever cumprido, de ter feito o que estava ao seu alcance para salvar a vida do paciente, (13) assim como, relatam Cravina, Gérbera e Crisântemo.…”