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KMID : 1004620070130010113
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Clinical Nursing Research
2007 Volume.13 No. 1 p.113 ~ p.125
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Development of a Nursing Protocol on CPR for Non-Traumatic Adults in Emergency Setting
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Yu Ji-Sung
Kim Ju-Won
Choi Hee-Kang
Whang Jin-Hyang
Kim Bu-Ja
Oh Hyun-Sik
Kim Yoon-Hee
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Abstract
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Purpose: The purpose of this study was to develop a useful protocol for nurses participating in cardiopulmonary
resuscitation (CPR) process for non-traumatic adult victims of cardiopulmonary arrest (CPA) in regional emergency
center.
Method: The preliminary standards of the protocol were selected by the process of referring to the known
protocols for CPR nursing activity, reviewing textbooks and published papers on CPR, and analyzing the medical
records of non-traumatic adult victims of CPA. The validity of protocol standards was measured with a questionnaire
survey developed by experts panel, consisting of 8 emergency physicians and 22 nurses, and then the standards were
revised. Throughout repeating the validating and revising process once more, the final standards were completed. The
clinical effects in applying the new protocol on CPR nursing activity were analysed with comparison on time of CPR
performance between with and without protocol use.
Results:Thirty-one standards which showed more than 80% CVI (content validity index) were selected. With applying the new protocol, such CPR nursing activities as vasoconstrictors infusion and the confirmation of endotracheal tube depth were done (maximally 46sec, totally 152.79sec) than without it.
Conclusion: New nursing protocol for CPR, developed throughout this research process would be useful for the
quality of CPR in the regional emergency center. It also can could be used as an effective educational tool for nurse
novice in CPR.
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KEYWORD
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Cardiopulmonary resuscitation, Nursing protocol
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