Date of Award

2015

Publisher

North Dakota State University

Document Type

Dissertation

Degree Awarded

Doctor of Nursing Practice (DNP)

Program

Nursing

Department

School of Nursing

College

Health Professions

Faculty Advisor

Barnacle, Mykell

Description

Cardiac arrest is a major public health problem affecting thousands of individuals each year in both out-of-hospital and in-hospital settings (Sutton, Nadkarni, & Abella, 2012). In 2012 nearly 383,000 out-of-hospital sudden cardiac arrests occurred and approximately 209,000 cardiac arrests occurred within a hospital (American Heart Association, 2012). Survival rates from cardiac arrest are improving, however overall rates of survival are still low (American Heart Association, 2012). The purpose of this project was to enhance the teamwork, knowledge, and technical skills of all individuals involved in cardiopulmonary resuscitations at the project site. Expectations of the project were to (1) enhance cardiopulmonary resuscitation knowledge by providing evidencebased resources to team members, (2) clearly delineate roles of team members during resuscitations, and (3) develop a continuing education plan that will ensure the maintenance of quality cardiac resuscitations. A survey to assess the needs of the cardiac resuscitation team members was distributed to all providers at the project site as well as all staff registered nurses, pharmacists, respiratory therapists, nurse anesthetists, and hospital unit coordinators. The survey results identified the nurses’ perception that the providers lack leadership skills during resuscitations. Many survey responses noted confusion about the role of each individual during resuscitations. Nurses felt lack of confidence in knowledge of medications, as well as mixing and titration of medications. Based on feedback from the survey, six mock resuscitation/simulations were facilitated utilizing four scenarios that were developed. Following each mock resuscitation/simulation, a debriefing occurred utilizing a debriefing tool. A post mock resuscitation survey was administered at the completion of the project. Eleven surveys were returned. Results of the project were overall positive. Evidence based resources were developed and utilized by providers and nursing during both mock and actual resuscitations. Posters were developed and placed in the emergency department that clearly delineated each participant’s role. A continuing education plan based upon feedback from a post resuscitation survey was developed. The continuing education plan includes having mock resuscitations/simulations once per month at various times of the day to accommodate all staff.

Rights

NDSU Policy 190.6.2

Rights Link

https://www.ndsu.edu/fileadmin/policy/190.pdf

Handle Identifier

https://hdl.handle.net/10365/27938

Download

Share

COinS