dc.contributor.author |
Anderson, Natalie Elizabeth |
|
dc.contributor.author |
Slark, Julia |
|
dc.contributor.author |
Gott, Merryn |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2022-04-26T01:34:29Z |
|
dc.date.available |
2022-04-26T01:34:29Z |
|
dc.date.issued |
2020-3 |
|
dc.identifier.issn |
1755-599X |
|
dc.identifier.uri |
https://hdl.handle.net/2292/58776 |
|
dc.description.abstract |
<h4>Background</h4>Many ambulance personnel can withhold or terminate resuscitation on-scene, but these decisions are emotionally, ethically and cognitively challenging. Although there is a wealth of research examining training and performance of life-saving resuscitation efforts, there is little published research examining how ambulance personnel are prepared and supported for situations where resuscitation is unsuccessful, unwanted or unwarranted.<h4>Aim</h4>To identify and describe existing preparation and support mechanisms for ambulance personnel enacting decisions to terminate resuscitation and manage patient death in the field.<h4>Method</h4>Focus groups were held with senior ambulance personnel working in clinical education and peer support roles.<h4>Results</h4>Participants believed professional and personal exposure to death and dying and positive social modelling by mentors were essential preparation for ambulance personnel terminating resuscitation and managing patient death. Ambulance personnel responded to patient death idiosyncratically. Key supports included on-scene or phone back-up during the event and informal peer and managerial support after the event.<h4>Conclusion</h4>Clinical and life experience is highly-valued by ambulance personnel who provide training and support. However, novice ambulance personnel may benefit from greater awareness and rehearsal of skills associated with terminating resuscitation and managing the scene of a patient death. Organisations need to acknowledge idiosyncratic staff needs and offer a variety of support mechanisms both during and after the event. |
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dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Elsevier BV |
|
dc.relation.ispartofseries |
International emergency nursing |
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dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.subject |
Humans |
|
dc.subject |
Medical Futility |
|
dc.subject |
Cardiopulmonary Resuscitation |
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dc.subject |
Focus Groups |
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dc.subject |
Attitude to Death |
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dc.subject |
Decision Making |
|
dc.subject |
Ambulances |
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dc.subject |
Adult |
|
dc.subject |
Middle Aged |
|
dc.subject |
Emergency Medical Technicians |
|
dc.subject |
New Zealand |
|
dc.subject |
Female |
|
dc.subject |
Male |
|
dc.subject |
Out-of-Hospital Cardiac Arrest |
|
dc.subject |
Attitude to death |
|
dc.subject |
Death |
|
dc.subject |
Education |
|
dc.subject |
Emergency medical services |
|
dc.subject |
Medical futility |
|
dc.subject |
Out-of-hospital cardiac arrest |
|
dc.subject |
Paramedics |
|
dc.subject |
Resuscitation decisions |
|
dc.subject |
Adult |
|
dc.subject |
Ambulances |
|
dc.subject |
Attitude to Death |
|
dc.subject |
Cardiopulmonary Resuscitation |
|
dc.subject |
Decision Making |
|
dc.subject |
Emergency Medical Technicians |
|
dc.subject |
Female |
|
dc.subject |
Focus Groups |
|
dc.subject |
Humans |
|
dc.subject |
Male |
|
dc.subject |
Medical Futility |
|
dc.subject |
Middle Aged |
|
dc.subject |
New Zealand |
|
dc.subject |
Out-of-Hospital Cardiac Arrest |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Nursing |
|
dc.subject |
Attitude to death |
|
dc.subject |
Death |
|
dc.subject |
Education |
|
dc.subject |
Emergency medical services |
|
dc.subject |
Out-of-hospital cardiac arrest |
|
dc.subject |
Medical futility |
|
dc.subject |
Paramedics |
|
dc.subject |
Resuscitation decisions |
|
dc.subject |
HOSPITAL CARDIAC-ARREST |
|
dc.subject |
EMERGENCY MEDICAL TECHNICIANS |
|
dc.subject |
PSYCHOLOGICAL DISTRESS |
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dc.subject |
FIELD TERMINATION |
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dc.subject |
LIFE-SUPPORT |
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dc.subject |
EXPERIENCES |
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dc.subject |
PARAMEDICS |
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dc.subject |
PRONOUNCEMENT |
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dc.subject |
OPPORTUNITIES |
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dc.subject |
COMPETENCE |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
Health services & systems |
|
dc.subject |
7.3 Management and decision making |
|
dc.subject |
1110 Nursing |
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dc.title |
When resuscitation doesn't work: A qualitative study examining ambulance personnel preparation and support for termination of resuscitation and patient death. |
|
dc.type |
Journal Article |
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dc.identifier.doi |
10.1016/j.ienj.2019.100827 |
|
pubs.begin-page |
100827 |
|
pubs.volume |
49 |
|
dc.date.updated |
2022-03-14T01:44:39Z |
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dc.rights.holder |
Copyright: The author |
en |
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/32046949 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Journal Article |
|
pubs.elements-id |
795494 |
|
dc.identifier.eissn |
1878-013X |
|
dc.identifier.pii |
S1755-599X(19)30118-1 |
|
pubs.number |
100827 |
|