CHALLENGES AND BARRIERS FACED BY NURSES IN THE CARE OF IN-HOSPITAL CARDIAC ARREST: INTEGRATIVE REVIEW
DOI:
https://doi.org/10.56238/arev8n6-015Keywords:
Heart Arrest, Emergency Nursing, Cardiopulmonary Resuscitation, Health Human Resource Evaluation, Education, NursingAbstract
Objective: To identify and analyze the main challenges and barriers faced by emergency nurses during the care of adult patients experiencing in-hospital cardiac arrest. Methods: An integrative review was conducted at Cleber Leite College, using the health descriptors “Heart Arrest”; “Emergency Nursing”; “Cardiopulmonary Resuscitation”; “Health Human Resource Evaluation” and “Education, Nursing”. Articles published between 2014 and 2024 were selected from the BVS and PubMed databases. Results: Six articles were included for the review, with three being national and three international. Conclusions: Continuing education is essential to maintain nurses' competencies in CPR, as sporadic training does not ensure skill retention in critical environments. Programs that combine theory and clinical simulation enhance knowledge, satisfaction, and self-confidence. Challenges such as lack of infrastructure and burnout negatively impact the quality of interventions, highlighting the need for institutional support.
Downloads
References
Amoako-Mensah, E. et al. Perceptions of nurses regarding quality of adult cardiopulmonary resuscitation in Ghana: a qualitative study. BMC Nurs., v. 27, n. 22, p. 1-9, 2023. DOI: https://doi.org/10.1186/s12912-023-01388-5
Benetti, H. A. et al. Desafios enfrentados pelos enfermeiros frente à parada cardiorrespiratória em um hospital de urgência e emergência. Brazilian Journal of Development, v. 7, n. 12, p. 112925-112943, 2021. DOI: https://doi.org/10.34117/bjdv7n12-191
Bukiran, A. et al. Retention of nurses' knowledge after basic life support and advanced cardiac life support training at immediate, 6-month, and 12-month post-training intervals: a longitudinal study of nurses in Turkey. J Emerg Nurs. v. 40, n. 2, p. 146-152, 2014. DOI: https://doi.org/10.1016/j.jen.2012.08.011
DiLibero, J. & Misto, K. Outcomes of In-hospital Cardiac Arrest: A Review of the Evidence. Crit. Care. Nurs. Clin. North. Am., v. 33, n. 3, p. 343-356, 2021. DOI: https://doi.org/10.1016/j.cnc.2021.05.009
El-Ashry, A.M. et al. Compassion fatigue and stress related to cardiopulmonary resuscitation: a study of critical care nurses' experiences. BMC Nurs., v. 22, n. 1, p. 1-11, 2023. DOI: https://doi.org/10.1186/s12912-023-01640-y
Ferreira, K. M. Balsanelli, A. P. & Santos, J. L. G. Nurses’ professional competencies in urgency and emergency units: A mixed-methods study. Rev. Latino-Am. Enfermagem, v, 31, p. 1-14, 2023. DOI: https://doi.org/10.1590/1518-8345.6554.3936
Guetterman, T. C. et al. Nursing roles for in-hospital cardiac arrest response: higher versus lower performing hospitals. BMJ Qual Saf, v. 28, n. 11, p. 916-924, 2019. DOI: https://doi.org/10.1136/bmjqs-2019-009487
Kochhan, S. I. et al. Cardiac arrest and resuscitation in the view of nurses in the emergency room. Rev Enferm UFPI., v. 4, n. 1, p. 54-60, 2015. Disponível em: https://www.ojs.ufpi.br/index.php/reufpi/article/view/2064/pdf. Acesso em: 18/10/2024.
Mroczinski, A. L. et al. Efeito de uma capacitação em reanimação cardiopulmonar no conhecimento, satisfação e autoconfiança na aprendizagem de enfermeiros: estudo quase-experimental. Rev. Eletr. Enferm., v. 25, n. 74071, p. 1-9, 2023. DOI: https://doi.org/10.5216/ree.v25.74071
Muthelo, L. et al. Challenges for Optimum Cardiopulmonary Resuscitation in the Emergency Departments of Limpopo Province: A Qualitative Study. Healthcare, v. 11, n. 2, p. 1-10, 2023. DOI: https://doi.org/10.3390/healthcare11020158
Silva, R. C. S. Rodrigues, J. Nunes, N. B. H. Parada cardiorrespiratória e educação continuada em Unidade de Terapia Intensiva. Rev. Ciênc. Méd., v. 25, n. 3, p. 129-134, 2016. Disponível em: https://periodicos.puc-campinas.edu.br/cienciasmedicas/article/view/3391/2487. Acesso em: 18/10/2024.
