KMID : 1221920200130030011
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Journal of Korean Critical Care Nursing 2020 Volume.13 No. 3 p.11 ~ p.23
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Factors Influencing Nurses¡¯ Attitudes towards Nurse-led Defibrillation
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Yun Hee-Je
Kim Chun-Ja
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Abstract
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Purpose : This study examined factors influencing the attitudes towards nurse-led defibrillation in the emergency department (ED) and intensive care unit (ICU).
Methods : This was a cross-sectional study. A total of 212 nurses in the ED and ICU from three general hospitals responded to the survey. Data were collected between September and October 2015 using structured questionnaires. Independent t-test, Mann-Whitney U test, one-way analysis of variance (ANOVA), Pearson¡¯s correlation coefficient, and hierarchical multiple regression were used to analyze factors affecting nurses¡¯ attitudes towards nurse-led defibrillation.
Results : The mean score of nurses¡¯ attitudes towards nurse-led defibrillation was 61.37 of a possible 91. Hierarchical multiple regression showed that nurses¡¯ attitudes towards nurse-led defibrillation were significantly affected by their experiences regarding cardiopulmonary resuscitation (p =.003), knowledge regarding electrocardiogram interpretation and defibrillation (p=.007), and tenure in ED or ICU (p=.043).
Conclusion : Results indicate that employers should set policies to support nurses in maintaining their careers in the ED or ICU and conduct systematic educational programs for them. This will increase nurses¡¯ confidence in performing defibrillation, which will lead to early defibrillation during in-hospital cardiac arrest. Consequently, it can be a strategy to increase the survival rate of cardiac arrest patients.
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KEYWORD
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Cardiopulmonary resuscitation, Resuscitation, Electric defibrillation, Nurse
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