Nurse‐initiated defibrillation? Reality or rhetoric

Abstract

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.

The immediate life support course: implementation into an undergraduate nursing programme

“…IPE affords the students the opportunity to learn from each other, work closely together and provide feedback on each other's performance. Dwyer et al (2007) advocate that given the power of peer influence, programmes and courses delivered through multi‐disciplinary learning modes have been suggested as an effective route to behavioural change. In clinical practice, the arrival of a doctor when treating a sick patient, or the arrival of the arrest team, may result in the nurse feeling that their contribution is limited.…”

Nurse-initiated defibrillation: are nurses confident enough?

“…Dwyer et al 21 stated that nurses are confident enough to initiate defibrillation if they are permitted to do so. However, most of the studies lack local data to support this practice in Hong Kong.…”

Factors Influencing Nurses&apos; Attitudes towards Nurse-led Defibrillation

“…이때 초기 발견자인 간호사에 의해 신속한 제세동이 시행된다면 심정지 발생부터 제세동 시행까지 의 시간을 단축시킬 수 있고 (Vincelette, Lavoie, Fortin, & Quiroz-Martinez, 2018a;Vincelette, Quiroz-Martinez, Fortin, & Lavoie, 2018b) (Chan et al, 1998 (Warwick, Mackie, & Spencer, 1995;Finn, 1996;Coady, 1999). Finn (1996) (Dwyer, Williams, & Mummery, 2007;Mäkinen, Niemi-Murola, Kaila, & Castrén, 2009 (Kim, Jun, Kim, & Choi, 2008;Chun, Oh, & Kim, 2011;Lee & Jung, 2018;Kim, 2018 (Kim et al, 2008;Chun et al, 2011), 임상경력 과 근무병동, 가슴 압박 시행 경험 그리고 심폐소생술 자신감 등이 수행능력과 관련 있는 것으로 보고 있다 (Lee & Jung, 2018;Kim, 2018 3) 임상적 특성, 심폐소생술 관련 특성 선행연구 (Warwick et al, 1995;Finn, 1996;Coady, 1999;Dwyer et al, 2007;Kim et al, 2008;Mäkinen et al, 2009;Chun et al, 2011;Lee & Jung, 2018;Kim, 2018;Vincelette et al, 2019;Kim & Kim, 2019) ACLS (advanced cardiac life support) or KALS (Korean advanced life support) or both; ¶ 3 items (possible score: 0-3); # 2 items (possible score: 0-2); **10 items (possible score: 0-10)…”