Date of Completion of Thesis/SIP

Summer 9-15-2020

Document Type

Scholarly Inquiry Paper (SIP)

Degree Name

Master of Science in Nursing (MSN)

Department

Nursing

First Advisor

Dr. Kimberly Langer

Second Advisor

Dr. David Steele

Abstract

Despite highly trained healthcare professionals being readily available to respond to In-Hospital Cardiac Arrest (IHCA), a patient experiencing an IHCA often remains a devastating event for the patient. Each year in America, 13.5% of all deaths result from sudden cardiac arrest. Even with healthcare professionals certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS), the survival rates following an IHCA are not inspiring. The median survival rate to hospital discharge of an adult experiencing IHCA is 26.4% and 49.5% for the pediatric population. Despite a continued focus on improving CPR quality from the American Heart Association (AHA), the survival to hospital discharge rates remains virtually unchanged over the past few decades, indicating that opportunity exists to better prepare medical emergency response teams. IHCA is an event requiring a synchronized and rapid response from the medical emergency response team. The purpose of this scholarly inquiry paper is to explore the existing literature on enhanced cardiac resuscitation training. An integrative literature review identified randomized controlled trials, quasi-experimental trials, and various pretest-posttest trials that provide implications and recommendations for resuscitation training advancement. This extensive literature review uncovered both background and outcome themes. Background themes included poor resuscitation outcomes, a lack of appropriate contextualization in current resuscitation training regimens, chaotic environments during an IHCA, meager execution of teamwork, and nonadherence to the guidelines put forward by the American Heart Association (AHA) and European Resuscitation Council (ERC). Through various resuscitation training implementations, the literature appraised identified superior teamwork, enhanced satisfaction and confidence of the healthcare professional, and improved CPR quality as outcomes of the multiple interventions utilized. This scholarly inquiry paper provides recommendations to advance the successful functioning of the medical emergency response team, and technical and nontechnical skills of healthcare professionals responding to IHCA. Additionally, specific implications for nursing, recommendations for the future of cardiac resuscitation training and team dynamics, and conclusions from the literature are identified. These findings support the advancement of resuscitation training, improve the function of the medical emergency response team during an IHCA, and potentially increase the survival to hospital discharge rates of patients experiencing IHCA.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.