Case Study on Exploration of Paediatric Cardiopulmonary Resuscitation among Involved Team Members in Paediatric Intensive Care Unit Institute Jantung Negara, Malaysia
DOI:
https://doi.org/10.31674/mjn.2024.v16i02.027Abstract
Background: Paediatric in-hospital resuscitations also occur frequently and are associated with high morbidity and mortality. Objectives: To explore the Paediatric Intensive Care Unit (PICU) CPR current practices in PICU of Institute Jantung Negara (IJN) Malaysia. Methods: The research employed a qualitative approach, utilising case study research design. The data collection process involved in-depth interviews and reviewing the Resuscitation Feedback Form. Purposive sampling was used to select two cases consisting of 14 participants. The study participants comprised a cardiologist, one anaesthetist, and twelve nurses. The data collected were transcribed and entered into NVivo software to facilitate theme development. Subsequently, thematic analysis was conducted to analyse the data. Results: The research yielded significant findings for improving practices related to Cardiopulmonary Resuscitation (CPR) in the Paediatric Intensive Care Unit (PICU). These findings are organised into four main themes: routine procedures, resuscitation techniques, team dynamics, and individual contributions. Participants emphasised the importance of establishing a cohesive team to enhance the efficiency of resuscitation efforts. They identified challenges of lack of confidence, skills, and knowledge as significant barriers to effective CPR in the PICU. Conclusion: The findings of this study indicate that the participants expressed satisfaction with the current practices of PICU CPR. However, the research also highlights the need for enhancements in various areas, including routine procedures, resuscitation techniques, and team and individual factors. Furthermore, it was suggested that additional training be conducted on the resuscitation process to enhance the preparedness of the medical team.
Keywords:
Cardiopulmonary Resuscitation, Feedback, Nurses, Pediatric Intensive Care UnitDownloads
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