LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 2 of total 2

Search options

  1. Article ; Online: Implementing a Rapid Response Team: A Quality Improvement Project in a Low- to Middle-Income Country.

    Jamous, Sabat El / Kouatly, Iman / Irani, Joanna / Badr, Lina Kurdahi

    Dimensions of critical care nursing : DCCN

    2023  Volume 42, Issue 3, Page(s) 171–178

    Abstract: Background: The benefits of rapid response teams (RRTs) have been controversial with few studies conducted in low- to middle-income countries.: Objective: The aim of this study was to investigate the effectiveness of implementing an RRT on 4 patient ... ...

    Abstract Background: The benefits of rapid response teams (RRTs) have been controversial with few studies conducted in low- to middle-income countries.
    Objective: The aim of this study was to investigate the effectiveness of implementing an RRT on 4 patient outcomes.
    Methods: We conducted a quality improvement pre-and-post design using the Plan-Do-Study-Act model in a tertiary hospital in a low- to middle-income country. We collected data before and after implementing the RRT in 4 phases and over 4 years.
    Results: Survival to discharge after cardiac arrest was 25.0% per 1000 discharges in 2016 and increased to 50% in 2019, a 50% increase. The rate of activations per 1000 discharges was 20.45% for the code team in 2016 and 33.6% for the RRT team in 2019. Thirty-one patients who arrested were transferred to a critical care unit before implementing the RRT, and 33% of such patients were transferred after. The time it took the code team to arrive at the bedside was 3.1 minutes in 2016 and decreased to 1.7 minutes for the RRT team to arrive in 2019, a 46% decrease.
    Discussion and clinical implications: Implementing an RTT led by nurses in a low- to middle-income country increased the survival rate of patients who had a cardiac arrest by 50%. The role of nurses in improving patient outcomes and saving lives is substantial and empowers nurses to call for assistance to save patient lives who show early signs of a cardiac arrest. Hospital administrators should continue to use strategies to improve nurses' timely response to the clinical deterioration of patients and to continue to collect data to assess the effect of the RRT over time.
    MeSH term(s) Humans ; Hospital Rapid Response Team ; Quality Improvement ; Intensive Care Units ; Heart Arrest/therapy ; Patient Discharge
    Language English
    Publishing date 2023-03-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632780-1
    ISSN 1538-8646 ; 0730-4625
    ISSN (online) 1538-8646
    ISSN 0730-4625
    DOI 10.1097/DCC.0000000000000584
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.B 2895: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  2. Article ; Online: Towards better out-of-hospital cardiopulmonary resuscitation: A survey of nurses.

    Noureddine, Samar / Avedissian, Tamar / Khatib, Nina / Irani, Joanna

    Journal of clinical nursing

    2021  Volume 30, Issue 19-20, Page(s) 3036–3044

    Abstract: Objectives: To examine the knowledge, attitude and practice of nurses in Lebanon regarding out-of-hospital resuscitation, compare hospital nurses to those who work in community settings on the variables of interest, determine the nurses' willingness to ... ...

    Abstract Objectives: To examine the knowledge, attitude and practice of nurses in Lebanon regarding out-of-hospital resuscitation, compare hospital nurses to those who work in community settings on the variables of interest, determine the nurses' willingness to attempt resuscitation in the community and identify predictors of their willingness.
    Background: Only 5.5% of victims survive out-of-hospital cardiac arrest in Lebanon. There is no national guideline for cardiopulmonary resuscitation nor a policy for nurses' training in resuscitation in Lebanon for neither in-hospital nor out-of-hospital settings. However, some hospitals have their own policies.
    Methods: A cross-sectional descriptive design was used with a cluster sample of 692 working nurses. A 28-item questionnaire developed for this study was mailed to the nurses. Data were analysed with correlational and multivariable regression analyses. The STROBE checklist for observational studies was used in reporting this study.
    Results: Most nurses received cardiopulmonary resuscitation training, but 19.8% did not renew their certification in the past two years, because of limited training centres and lack of time. Only one third of the sample knew the first step to be taken in an arrest, yet 61% knew the compression-to-breath ratio. Nurses who work in community settings had significantly less frequent training in resuscitation than hospital nurses. Most nurses were willing to resuscitate in the community. In deciding to perform out-of-hospital cardiopulmonary resuscitation, the nurses were mostly influenced by their training, courage, recent practice, policy, fear of infection and hesitation to do mouth-to-mouth breathing. Receiving training, fear of being sued, religious beliefs, geographic location and believing in the importance of training laypeople in resuscitation predicted the nurses' willingness to perform resuscitation in the community.
    Conclusion: Lebanon needs a national policy on cardiopulmonary resuscitation, regular training of all nurses and a Good Samaritan law.
    Relevance to clinical practice: This study informs policy related to nurses' training in out-of-hospital resuscitation.
    MeSH term(s) Cardiopulmonary Resuscitation ; Cross-Sectional Studies ; Hospitals ; Humans ; Nurses ; Surveys and Questionnaires
    Language English
    Publishing date 2021-04-24
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.15813
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 3764: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

To top