Επίπτωση της νοσηλευτικής στελέχωσης στην έκβαση των ασθενών με καρδιοπνευμονική ανακοπή μέσα στο νοσοκομείο

Postgraduate Thesis uoadl:1311316 247 Read counter

Unit:
Κατεύθυνση Μονάδες Εντατικής Θεραπείας-Καρδιολογική Νοσηλευτική
Library of the School of Health Sciences
Deposit date:
2015-07-14
Year:
2015
Author:
Λέκκας Βασίλειος
Supervisors info:
Αγγέλη Κωνσταντίνα
Original Title:
Επίπτωση της νοσηλευτικής στελέχωσης στην έκβαση των ασθενών με καρδιοπνευμονική ανακοπή μέσα στο νοσοκομείο
Languages:
English
Summary:
ABSTRACT
Introduction: Delays in defibrillation for in-hospital cardiac arrest are
associated with lower survival, with ten percent lower probability of survival
for
each additional minute of delay. Current guidelines dictate that patients should
receive defibrillation within two minutes of recognition of a cardiac arrest.
Certain
hospital characteristics such as unmonitored units and cardiac arrests during
nights and weekends have been associated with delays in defibrillation. These
findings suggest that delayed defibrillation times may be related to the
availability
of nursing staff in the hospital at the time of arrest.
Aim: The aim of this study was to investigate the relationships between
nurse staffing, defibrillation response times, and patient level outcomes of
inhospital
cardiac arrests.
Materials and Methods: A cohort design was used. Independent variables
were registered nurse hours per patient day and time-to-defibrillation.
Dependent
variables include both survival and neurological status at discharge. Finally, a
sample of 299 patients included in the study. The data analysis was done by
statistical package SPSS 19.0.
Results: The findings indicate that there was a significant difference in mean
staffing for delayed time to defibrillation, more than 2 minutes. While
controlling for
key covariates in the model, the analyses determined that one additional hour
per
patient day of RN care results in a 28% greater odds of surviving to discharge.
The
intensive care unit was found to be a predictor of time to defibrillation,
survival, and
neurological status at discharge. Finally, there was no relationship found
between
nurse staffing and neurological status at discharge.
Conclusions: Nurse staffing measured at the time of the event was found to
predict survival. These findings are an important contribution to understanding
nurses’ contribution to quality of care and improved patient outcomes. Future
studies should include larger sample sizes and other measures of the work
environment.
Keywords:
Defibrillation, Nurse staffing, Cardiac arrest, Survival, Neurological status
Index:
Yes
Number of index pages:
0
Contains images:
Yes
Number of references:
60
Number of pages:
74
File:
File access is restricted.

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