Nurses and health support workers' views on cardiopulmonary resuscitation in a hospice setting

This paper reports on a study which took place in a 15-bed hospice and provides an account of the views of registered nurses (n = 12) and health support workers (n = 10) in relation to cardiopulmonary resuscitation (CPR) within a hospice setting. The study was part of a larger ethnographic research project being conducted in the hospice when the British Medical Association/Royal College of Nursing and the Resuscitation Council UK (Resuscitation Council UK, 2001) published guidelines urging all establishments that face decisions about attempting CPR to develop local policies. The guidelines provided the impetus for the present study, the aim of which was to explore staff responses to the introduction of a CPR policy in the hospice. Semi-structured interviews were conducted on a purposive sample of hospice staff. The findings raise issues about the implementation of CPR in a context where it was felt that the patient should be allowed to die a natural death.     

不同培训模式对医务人员心肺复苏培训的效果评价

目的 分析和评价传统教师授课模式(TRAD)和视频指导自学模式(SDL)对医务人员进行心肺复苏(CPR)培训的效果.方法 85名医护人员,随机分为两组,43名采用传统教师授课模式,42名采用视频指导自学模式进行心肺复苏培训,并对培训时间、技能考核情况进行分析和评估.结果 两种培训模式的考核通过率差异无统计学意义(65.1% vs.61.9%,P>0.05);但视频指导自学模式更节约时间[(45±15)min vs.(255±15)min,P<0.05].结论 通过视频指导自学模式进行CPR培训,医务人员能有效地掌握CPR技能,有利于开展大规模的培训活动.     

医护人员心肺复苏培训方法研究进展

介绍了国内外心肺复苏（CPR）培训方法研究现状,总结了各科医护人员通用的 CPR 培训方法和儿科医护人员专用的 CPR 培训方法的特点和培训效果,为提高医护人员的复苏水平及改善病人的生命质量提供参考。     

医护人员心肺复苏培训方法研究进展

介绍了国内外心肺复苏(CPR)培训方法研究现状,总结了各科医护人员通用的CPR培训方法和儿科医护人员专用的CPR培训方法的特点和培训效果,为提高医护人员的复苏水平及改善病人的生命质量提供参考。     

A survey of opinion amongst trained nurses and junior medical staff on current practices in resuscitation

An anonymously-completed questionnaire was used to examine the opinions of trained nurses and their junior medical colleagues regarding the resuscitation of a patient following cardiac arrest. Nurses were less satisfied with their pre-qualification training and recorded lower scores on a subjective assessment of performance than did the doctors. Those nurses who had attended some post-qualification training in resuscitation were significantly more confident of their resuscitation skills. Both doctors and nurses agreed on some frequently-encountered problems such as the presence of too many people and the uncertainty of those present of the role they should assume. Doctors recorded poor initial resuscitation and the absence of equipment as common problems significantly more often than did the nurses. Nurses showed a lack of knowledge of the drugs used during a resuscitation: 30% were unsure of the function of more than half of the drugs. Nearly 20% of nurses showed a similar lack of knowledge with regard to the equipment used. Those having post-qualification training in resuscitation recorded significantly greater knowledge in these areas. Widespread support was shown for the proposed initiation of compulsory resuscitation lectures, the presence on each ward of resuscitation equipment and more clearly defined roles for those taking part in the procedure. A requirement for a full-time resuscitation officer is clearly indicated.     

A national survey of the Polish population's cardiopulmonary resuscitation knowledge.

The teaching of cardiopulmonary resuscitation (CPR) has had a positive public health impact beyond resuscitating cardiac arrest victims to include recognition of signs and symptoms and prevention of heart attacks. To study the general knowledge and degree of preparedness in the Republic of Poland, a national survey was conducted. The survey was designed to assess general knowledge and concern regarding CPR training in the Polish population. Complete demographic information was collected to determine any difference in responses in the population. The results indicate that (1) approximately 75% of the Polish population has received CPR training; (2) the majority of the surveyed population assess their CPR ability as inadequate; (3) the surveyed population believe that CPR training needs to be expanded and improved. Taking into consideration results of the CPR knowledge assessment questions it can be concluded that CPR knowledge in Poland is low and a standardized curriculum for CPR training is needed.     

A survey of ventilation strategies during cardiopulmonary resuscitation

BACKGROUND: Many controversies still exist regarding ventilator parameters during cardiopulmonary resuscitation (CPR). This study aimed to investigate the CPR ventilation strategies currently being used among physicians in Chinese tertiary hospitals.METHODS: A survey was conducted among the cardiac arrest team physicians of 500 tertiary hospitals in China in August, 2018. Surveyed data included physician and hospital information, and preferred ventilation strategy during CPR.RESULTS: A total of 438 (88%) hospitals completed the survey, including hospitals from all 31 Chinese mainland provinces. About 41.1% of respondents chose delayed or no ventilation during CPR, with delayed ventilations all starting within 12 minutes. Of all the respondents who provided ventilation, 83.0% chose to strictly follow the 30:2 strategy, while 17.0% chose ventilations concurrently with uninterrupted compressions. Only 38.3% respondents chose to intubate after initiating CPR, while 61.7% chose to intubate immediately when resuscitation began. During bag-valve-mask ventilation, only 51.4% of respondents delivered a frequency of 10 breaths per minute. In terms of ventilator settings, the majority of respondents chose volume control (VC) mode (75.2%), tidal volume of 6-7 mL/kg (72.1%), PEEP of 0-5 cmH₂O (69.9%), and an FiO₂ of 100% (66.9%). However, 62.0% of respondents had mistriggers after setting the ventilator, and 51.8% had high pressure alarms.CONCLUSION: There is a great amount of variability in CPR ventilation strategies among cardiac arrest team physicians in Chinese tertiary hospitals. Guidelines are needed with specific recommendations on ventilation during CPR.     

乡村医务人员对护理知识需求的调查分析

目的:了解乡村医务人员对护理知识的需求情况。方法:采用自制问卷对116名乡村医务人员进行调查。结果:58.62％的乡村医务人员身兼诊疗及护理工作;91.38％的乡村医务人员认为护理知识对自己的工作很重要;目前需要学习的护理知识首位是社区慢性病病人的护理知识(65.52％),其次是各种注射技术(34.48％);学习途径以各种学习班的讲课、讲座为主(79.31％)。结论:护理知识与技能对乡村医务人员的工作非常重要,乡村医务人员对护理知识需求迫切;应加强乡村医务人员护理知识与技能的系统培训和指导。     

护理人员对分级护理的认知调查

分级护理制度明确规定了各等级护理的病情依据和临床护理要求[1] ,是医院护理管理的一项重要内容 ,在临床护理过程中病人的分级护理质量是等级医院评审的一项指标。为了了解分级护理制度的执行情况 ,对临床护士有关分级护理认知情况进行调查 ,分析存在的问题 ,提出改进措施。1　对象与方法1.1　调查对象　浙江省衢州市 6所二级综合性医院 ,其中二甲医院 1所 ,二乙医院 5所。调查病区护士 2 74人 ,其中中专及其以下学历 15 7人 ,占 5 7.3 0 % ,大专学历 117人 ,占 42 .70 % ;初级职称 192人 ,占 70 .0 7% ,中级职称 82人 ,占 2 9.93 %。1.2　…     

The acceptability of an information leaflet explaining cardiopulmonary resuscitation policy in the hospice setting: a qualitative study exploring patients' views

BACKGROUND: Guidelines advise that patients receiving palliative care should be given realistic information about cardiopulmonary resuscitation (CPR) and encouraged to participate in decisions about this. For many patients attending a hospice, CPR is unlikely to be successful because of advanced disease. It is difficult to predict which patients would like to discuss CPR and whether such discussion might cause distress. AIM: This research set out to determine the acceptability and understanding of a patient information leaflet about CPR given to inpatients and day-unit patients in one hospice, and to seek patients' views on communication about resuscitation. METHODS: Semi-structured interviews were carried out with five hospice inpatients and one day-unit patient and analysed using interpretative phenomenological analysis for emergent themes. Results and conclusions: The leaflet was acceptable to the participants but was interpreted in the context of their understanding of their illness and prognosis. The leaflet alone is not a reliable method of communicating resuscitation policy and should be followed up by the opportunity to ask questions, if the patient wishes. Many factors influence patient choices about CPR. Realistic information about prognosis and about the risks and harms of CPR would allow patients to make a better-informed decision. However, if a patient prefers not to talk about their prognosis and end-of-life issues, then this should be respected.     

绍兴市医务人员心肺复苏技能掌握现状的研究

目的 通过对临床一线医护人员心肺复苏技能(CPR)考核结果分析,提出CPR再教育培训的必要性.方法 根据浙江省院内心肺复苏技能考核评价标准和2005年国际心肺复苏指南,制订徒手心肺复苏考核评分标准,对绍兴市13家医院65名夜间一线值班医护人员行现场心肺复苏模拟考试,对各类医院间合格率和急救与非急救专业间正确率进行比较.结果 平均合格率为55.9%;三级综合性医院优于三级专科医院;急救专业医护人员的技能掌握优于非急救专业,但两者对知识更新掌握无差异.结论 应尽快建立规范化CPR培训机构,明确CPR强化训练的必要性,开展智能化心肺复苏教育新模式,积极培养急救复苏专业性队伍.     

心肺复苏的研究进展及护理

心肺复苏（cardiopulmonary resuscitation,CPR）是对心跳、呼吸骤停病人采用人工方法建立和恢复循环、呼吸功能,同时积极保护大脑,最终使大脑功能完全恢复的一系列急救措施,是护理人员配合抢救治疗中必须掌握的技术之一。心肺复苏（cardiopulmonary resuscitation,CPR）发展至今已经有40多年的历史。2005年11月28日美国心脏协会（American HeartAs sociation,AHA）在《循环》、《复苏》杂志上同时颁布了《国际心肺复苏指南2005》。     

本院护理人员论文发表情况的调查分析

目的了解中医院护理人员护理论文发表的现状,分析存在的问题并寻求对策。方法对本院2008~2012年护理人员发表护理论文的期刊级别及作者学历、职称、工龄、年龄等情况进行回顾性分析。结果本院2008~2012年发表护理论文在数量呈上升趋势,护理论文内容以中医护理技术所占比例最大(29.12%),药械监控方面的护理论文较少。发表在不同期刊级别的作者年龄、职称、工龄及学历比较,差异具有统计学意义(均P0.05)。结论护理人员撰写论文的意识、能力需要培训和提高。实施激励政策,调动护理人员科研积极性,对提高护理人员科研意识和水平具有积极的意义。     

A survey of nurses' views on indicators for continuing competence in nursing.

The study, commissioned by the Australian Nursing Council Inc. (ANCI), sought to develop an approach to the maintenance of continuing competence in nursing broadly acceptable to nurses in all States and Territories and included the conduct of a postal survey of registered nurses (RNs) throughout Australia. An options booklet and accompanying questionnaire were posted to a random sample of 2 % of RNs from all Sates and the Northern Territory in Australia. The sample consisted of 4,133 RNs and 1,005 completed questionnaires were returned representing a 24.3% response rate. Data were analysed using SPSSX. The results suggest that respondents most favoured the introduction of a signed declaration of competence for all nurses seeking annual relicensing and the conduct of random competency audits by nursing regulatory authorities.     

萨博心肺复苏与徒手心肺复苏临床效果的对比观察

目的比较萨博心肺复苏与徒手心肺复苏的临床效果。方法按照随机分组方法收集符合观察条件的病例222例,分别施行萨博辅助胸外心脏按压复苏(萨博复苏组,n=113)和徒手胸外心脏按压复苏(徒手复苏组,n=109),对比观察两组首次复苏时间、复苏首阶段(≤30 min)平均自主心律存续时间、由复苏首阶段复苏成功进入高级生命支持病例率、超长复苏(复苏30 min)率和复苏出院率。结果 1萨博复苏组平均首次复苏时间10.8±4.1 min,少于徒手复苏组15.6±5.6 min(P0.05);2在复苏初始≤30 min,萨博复苏组复苏后自主心律存续时间7.1±1.8 min明显长于徒手复苏组3.1±1.6 min(P0.01);3在复苏初始≤30 min成功复苏进入高级生命支持的比率,萨博复苏组28.31%明显高于徒手复苏组17.43%(P0.05);4在实施超长复苏方面,萨博复苏组超长复苏率(43.36%)明显高于徒手复苏组(17.31%)(P0.01)。5在出院率方面,萨博复苏组和徒手复苏组分别为7.96%和6.42%,两组间无显著差异(P0.05)。结论除出院率外,萨博器械辅助心肺复苏在首次复苏时间、复苏首阶段≤30 min平均自主心律存续时间、≤30 min内成功复苏进入高级生命支持病例率、超长复苏率方均明显优于徒手心肺复苏,值得临床推广应用。     

A survey of theatre nurse's knowledge and ability in cardiopulmonary resuscitation. Part II--Main study.

The survey was carried out in the operating department of a London teaching hospital. The operating department consists of eight theatres complete with adjoining recovery area and a Theatre Sterilising Services Unit.