Emergency care staff experiences of lay presence during adult cardiopulmonary resuscitation: a phenomenological study

2013 ◽  
Vol 31 (6) ◽  
pp. 453-458 ◽  
Author(s):  
Wendy Marina Walker
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Emergency Care ◽  
Phenomenological Study ◽  
Care Staff ◽  
Staff Experiences

scholarly journals Organizational Support Experiences of Care Home and Home Care Staff in Sweden, Italy, Germany and the United Kingdom during the COVID-19 Pandemic

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 767
Author(s):  
Connie Lethin ◽  
Andrea Kenkmann ◽  
Carlos Chiatti ◽  
Jonas Christensen ◽  
Tamara Backhouse ◽  
...  
Keyword(s):  
United Kingdom ◽  
Organizational Support ◽  
Care Home ◽  
External Support ◽  
Care Staff ◽  
Care Organization ◽  
Online Questionnaire ◽  
The United Kingdom ◽  
The Uk ◽  
Staff Experiences

The COVID-19 pandemic has affected care workers all over the globe, as older and more vulnerable people face a high risk of developing severe symptoms and dying from the virus infection. The aim of this study was to compare staff experiences of stress and anxiety as well as internal and external organizational support in Sweden, Italy, Germany, and the United Kingdom (UK) in order to determine how care staff were affected by the pandemic. A 29-item online questionnaire was used to collect data from care staff respondents: management (n = 136), nurses (n = 132), nursing assistants (n = 195), and other healthcare staff working in these organizations (n = 132). Stress and anxiety levels were highest in the UK and Germany, with Swedish staff showing the least stress. Internal and external support only partially explain the outcomes. Striking discrepancies between different staff groups’ assessment of organizational support as well as a lack of staff voice in the UK and Germany could be key factors in understanding staff’s stress levels during the pandemic. Structural, political, cultural, and economic factors play a significant role, not only factors within the care organization or in the immediate context.

scholarly journals Implementation of a National 5‐Year Plan for Prehospital Emergency Care in Singapore and Impact on Out‐of‐Hospital Cardiac Arrest Outcomes From 2011 to 2016

2020 ◽  
Vol 9 (21) ◽  
Author(s):  
Andrew Fu Wah Ho ◽  
Nurun Nisa Amatullah De Souza ◽  
Audrey L. Blewer ◽  
Win Wah ◽  
Nur Shahidah ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Emergency Care ◽  
Survival Rates ◽  
Prehospital Emergency Care ◽  
Shockable Rhythm ◽  
Automated External Defibrillation ◽  
Bystander Cardiopulmonary Resuscitation ◽  
Prehospital Emergency ◽  
Hospital Cardiac Arrest

Background Outcomes of patients from out‐of‐hospital cardiac arrest (OHCA) vary widely globally because of differences in prehospital systems of emergency care. National efforts had gone into improving OHCA outcomes in Singapore in recent years including community and prehospital initiatives. We aimed to document the impact of implementation of a national 5‐year Plan for prehospital emergency care in Singapore on OHCA outcomes from 2011 to 2016. Methods and Results Prospective, population‐based data of OHCA brought to Emergency Departments were obtained from the Pan‐Asian Resuscitation Outcomes Study cohort. The primary outcome was Utstein (bystander witnessed, shockable rhythm) survival‐to‐discharge or 30‐day postarrest. Mid‐year population estimates were used to calculate age‐standardized incidence. Multivariable logistic regression was performed to identify prehospital characteristics associated with survival‐to‐discharge across time. A total of 11 465 cases qualified for analysis. Age‐standardized incidence increased from 26.1 per 100 000 in 2011 to 39.2 per 100 000 in 2016. From 2011 to 2016, Utstein survival rates nearly doubled from 11.6% to 23.1% ( P =0.006). Overall survival rates improved from 3.6% to 6.5% ( P <0.001). Bystander cardiopulmonary resuscitation rates more than doubled from 21.9% to 56.3% and bystander automated external defibrillation rates also increased from 1.8% to 4.6%. Age ≤65 years, nonresidential location, witnessed arrest, shockable rhythm, bystander automated external defibrillation, and year 2016 were independently associated with improved survival. Conclusions Implementation of a national prehospital strategy doubled OHCA survival in Singapore from 2011 to 2016, along with corresponding increases in bystander cardiopulmonary resuscitation and bystander automated external defibrillation. This can be an implementation model for other systems trying to improve OHCA outcomes.

Moving Past the Loss: A Longitudinal Qualitative Study of Health Care Staff Experiences of Disinvestment

2020 ◽  
pp. 107755872097258
Author(s):  
Deb Mitchell ◽  
Lisa O’Brien ◽  
Anne Bardoel ◽  
Terry Haines
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Services ◽  
Management Strategies ◽  
Care Staff ◽  
Health Care Staff ◽  
Modifying Factors ◽  
Big Picture ◽  
Staff Experiences ◽  
The Impact

This longitudinal qualitative study examines staff experience of disinvestment from a service they are accustomed to providing to their patients. It took place alongside a disinvestment trial that measured the impact of the removal of weekend allied health services from acute wards at two hospitals. Data were gathered from repeated interviews and focus groups with 450 health care staff. We developed a grounded theory, which explains changes in staff perceptions over time and the key modifying factors. Staff appeared to experience disinvestment as loss; a key difference to other operational changes. Early staff experiences of disinvestment were primarily negative, but evolved with time and change-management strategies such as the provision of data, clear and persistent communication approaches, and forums where the big picture context of the disinvestment was robustly discussed. These allowed the disinvestment trial to be successfully implemented at two health services, with high compliance with the research protocol.

Emergency care staff urged to use checklist this winter

2017 ◽  
Vol 25 (7) ◽  
pp. 6-6
Author(s):  
Matthew Mckew
Keyword(s):  
Emergency Care ◽  
Care Staff

scholarly journals Competences In Cardiopulmonary Resuscitation Matters In Pregnancy

2020 ◽  
Vol 5 (5) ◽  
pp. 1-7
Author(s):  
Ana Álvarez Bartolomé ◽  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Pregnant Women ◽  
Emergency Care ◽  
Hospital Emergency ◽  
Level Of Knowledge ◽  
The Creation ◽  
In Pregnancy

To analyse the level of knowledge of out-of-hospital emergency care personnel on the management of Cardiac Arrest (CA) in pregnant women, to determine whether there are deficiencies in training and to assess the creation of a course on cardiopulmonary resuscitation in pregnant women for non-obstetric personnel.

Emergencies in older patients

2016 ◽  
Keyword(s):  
Emergency Care ◽  
Older Patients ◽  
Significant Proportion ◽  
Care Staff ◽  
Older Person ◽  
Older Population ◽  
Nursing Assessment ◽  
Care Services ◽  
Clinical Problems ◽  
Emergency Care Services

The increasingly older population has seen a change in the demographics of patients attending urgent and emergency care services over the last 10 to 20 years. It is not unusual for a significant proportion of patients to be over 80 years of age during the course of a shift. It is essential that emergency care staff have an understanding of the specific clinical problems that can present in old age. This chapter covers the nursing assessment of the older person and describes common presentations associated with the older population.

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