What the curtains do not shield: A phenomenological exploration of patient-witnessed resuscitation in hospital. Part 2: Healthcare professionals' experiences

Aims: To explore healthcare professionals' experiences of patient-witnessed resuscitation in hospital. Design: Descriptive phenomenology. Methods: Healthcare professionals involved in hospital resuscitation activities were recruited from medical, intensive care, resuscitation and education depa...

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Main Authors: Fiori, M., Coombs, M., Endacott, R., Cutello, C.A., Latour, Jos
Format: Journal Article
Language:English
Published: WILEY 2022
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/94031
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author Fiori, M.
Coombs, M.
Endacott, R.
Cutello, C.A.
Latour, Jos
author_facet Fiori, M.
Coombs, M.
Endacott, R.
Cutello, C.A.
Latour, Jos
author_sort Fiori, M.
building Curtin Institutional Repository
collection Online Access
description Aims: To explore healthcare professionals' experiences of patient-witnessed resuscitation in hospital. Design: Descriptive phenomenology. Methods: Healthcare professionals involved in hospital resuscitation activities were recruited from medical, intensive care, resuscitation and education departments in a university hospital in England. Data were collected through face-to-face and focus group interviews, between August 2018 and January 2019. Data were analysed using Giorgi's phenomenological approach. Results: Nine registered nurses, four healthcare assistants and seven doctors participated in four individual interviews and three focus groups. Findings were related to three themes: (1) Protecting patients from witnessing resuscitation: healthcare professionals used curtains to shield patients during resuscitation, but this was ineffective. Thus, they experienced challenges in explaining resuscitation events to the other patients and communicating sensitively. (2) Emotional impact of resuscitation: healthcare professionals recognized that witnessing resuscitation impacted patients, but they also felt emotionally affected from performing resuscitation and needed coping strategies and support. (3) Supporting patients who witnessed resuscitation: healthcare professionals recognized the importance of patients' well-being, but they felt unable to provide effective and timely support while providing life-saving care. Conclusion: Healthcare professionals involved in hospital resuscitation require specific support, guidance and education to care effectively for patients witnessing resuscitation. Improving communication, implementing regular debriefing for staff, and allocating a dedicated professional to support patients witnessing resuscitation must be addressed to improve clinical practice. Impact: The WATCH study uncovers patients' and healthcare professionals' experiences of patient-witnessed resuscitation, a phenomenon still overlooked in nursing research and practice. The main findings highlight that, in common with patients, healthcare professionals are subject to the emotional impact of resuscitation events and encounter challenges in supporting patients who witness resuscitation. Embedding the recommendations from this research into clinical guidelines will impact the clinical practice of healthcare professionals involved in hospital resuscitation and the quality and timeliness of care delivered to patients.
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spelling curtin-20.500.11937-940312024-01-24T00:53:15Z What the curtains do not shield: A phenomenological exploration of patient-witnessed resuscitation in hospital. Part 2: Healthcare professionals' experiences Fiori, M. Coombs, M. Endacott, R. Cutello, C.A. Latour, Jos Science & Technology Life Sciences & Biomedicine Nursing cardiac arrest cardiopulmonary resuscitation emergency treatment health personnel hospitals interviews nurses patients qualitative research resuscitation FAMILY PRESENCE BARRIERS Science & Technology Life Sciences & Biomedicine Nursing cardiac arrest cardiopulmonary resuscitation emergency treatment health personnel hospitals interviews nurses patients qualitative research resuscitation FAMILY PRESENCE BARRIERS cardiac arrest cardiopulmonary resuscitation emergency treatment health personnel hospitals interviews nurses patients qualitative research resuscitation Attitude of Health Personnel Communication Health Personnel Hospitals Humans Qualitative Research Resuscitation Humans Resuscitation Attitude of Health Personnel Communication Qualitative Research Health Personnel Hospitals Aims: To explore healthcare professionals' experiences of patient-witnessed resuscitation in hospital. Design: Descriptive phenomenology. Methods: Healthcare professionals involved in hospital resuscitation activities were recruited from medical, intensive care, resuscitation and education departments in a university hospital in England. Data were collected through face-to-face and focus group interviews, between August 2018 and January 2019. Data were analysed using Giorgi's phenomenological approach. Results: Nine registered nurses, four healthcare assistants and seven doctors participated in four individual interviews and three focus groups. Findings were related to three themes: (1) Protecting patients from witnessing resuscitation: healthcare professionals used curtains to shield patients during resuscitation, but this was ineffective. Thus, they experienced challenges in explaining resuscitation events to the other patients and communicating sensitively. (2) Emotional impact of resuscitation: healthcare professionals recognized that witnessing resuscitation impacted patients, but they also felt emotionally affected from performing resuscitation and needed coping strategies and support. (3) Supporting patients who witnessed resuscitation: healthcare professionals recognized the importance of patients' well-being, but they felt unable to provide effective and timely support while providing life-saving care. Conclusion: Healthcare professionals involved in hospital resuscitation require specific support, guidance and education to care effectively for patients witnessing resuscitation. Improving communication, implementing regular debriefing for staff, and allocating a dedicated professional to support patients witnessing resuscitation must be addressed to improve clinical practice. Impact: The WATCH study uncovers patients' and healthcare professionals' experiences of patient-witnessed resuscitation, a phenomenon still overlooked in nursing research and practice. The main findings highlight that, in common with patients, healthcare professionals are subject to the emotional impact of resuscitation events and encounter challenges in supporting patients who witness resuscitation. Embedding the recommendations from this research into clinical guidelines will impact the clinical practice of healthcare professionals involved in hospital resuscitation and the quality and timeliness of care delivered to patients. 2022 Journal Article http://hdl.handle.net/20.500.11937/94031 10.1111/jan.15219 English http://creativecommons.org/licenses/by/4.0/ WILEY fulltext
spellingShingle Science & Technology
Life Sciences & Biomedicine
Nursing
cardiac arrest
cardiopulmonary resuscitation
emergency treatment
health personnel
hospitals
interviews
nurses
patients
qualitative research
resuscitation
FAMILY PRESENCE
BARRIERS
Science & Technology
Life Sciences & Biomedicine
Nursing
cardiac arrest
cardiopulmonary resuscitation
emergency treatment
health personnel
hospitals
interviews
nurses
patients
qualitative research
resuscitation
FAMILY PRESENCE
BARRIERS
cardiac arrest
cardiopulmonary resuscitation
emergency treatment
health personnel
hospitals
interviews
nurses
patients
qualitative research
resuscitation
Attitude of Health Personnel
Communication
Health Personnel
Hospitals
Humans
Qualitative Research
Resuscitation
Humans
Resuscitation
Attitude of Health Personnel
Communication
Qualitative Research
Health Personnel
Hospitals
Fiori, M.
Coombs, M.
Endacott, R.
Cutello, C.A.
Latour, Jos
What the curtains do not shield: A phenomenological exploration of patient-witnessed resuscitation in hospital. Part 2: Healthcare professionals' experiences
title What the curtains do not shield: A phenomenological exploration of patient-witnessed resuscitation in hospital. Part 2: Healthcare professionals' experiences
title_full What the curtains do not shield: A phenomenological exploration of patient-witnessed resuscitation in hospital. Part 2: Healthcare professionals' experiences
title_fullStr What the curtains do not shield: A phenomenological exploration of patient-witnessed resuscitation in hospital. Part 2: Healthcare professionals' experiences
title_full_unstemmed What the curtains do not shield: A phenomenological exploration of patient-witnessed resuscitation in hospital. Part 2: Healthcare professionals' experiences
title_short What the curtains do not shield: A phenomenological exploration of patient-witnessed resuscitation in hospital. Part 2: Healthcare professionals' experiences
title_sort what the curtains do not shield: a phenomenological exploration of patient-witnessed resuscitation in hospital. part 2: healthcare professionals' experiences
topic Science & Technology
Life Sciences & Biomedicine
Nursing
cardiac arrest
cardiopulmonary resuscitation
emergency treatment
health personnel
hospitals
interviews
nurses
patients
qualitative research
resuscitation
FAMILY PRESENCE
BARRIERS
Science & Technology
Life Sciences & Biomedicine
Nursing
cardiac arrest
cardiopulmonary resuscitation
emergency treatment
health personnel
hospitals
interviews
nurses
patients
qualitative research
resuscitation
FAMILY PRESENCE
BARRIERS
cardiac arrest
cardiopulmonary resuscitation
emergency treatment
health personnel
hospitals
interviews
nurses
patients
qualitative research
resuscitation
Attitude of Health Personnel
Communication
Health Personnel
Hospitals
Humans
Qualitative Research
Resuscitation
Humans
Resuscitation
Attitude of Health Personnel
Communication
Qualitative Research
Health Personnel
Hospitals
url http://hdl.handle.net/20.500.11937/94031