Challenges and disparities in nurses' response to cardiopulmonary arrest: a comprehensive analysis of practices and training in the hospital context

The increase in cardiovascular diseases in Brazil, with high costs and morbidity/mortality rates, highlights cardiac arrest (CA) as a critical situation. In the hospital environment, nurses face ethical and legal dilemmas in this emergency. This study aims to understand the main challenges faced by...

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Detalles Bibliográficos
Autores: Silva, Erivelton Bezerra da, Silva, João Paulo Malta da
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Institución:Editora JRG
Repositorio:Revista JRG de Estudos Acadêmicos
Idioma:portugués
OAI Identifier:oai:ojs2.revistajrg.com:article/869
Acceso en línea:http://revistajrg.com/index.php/jrg/article/view/869
Access Level:acceso abierto
Palabra clave:Enfermeiros
Cardiopatias
Pacientes
Papel
Taquicardia Ventricular
Nurses
Heart Diseases
Patients
Role
Ventricular Tachycardia
Descripción
Sumario:The increase in cardiovascular diseases in Brazil, with high costs and morbidity/mortality rates, highlights cardiac arrest (CA) as a critical situation. In the hospital environment, nurses face ethical and legal dilemmas in this emergency. This study aims to understand the main challenges faced by nurses in this context and describe the challenges faced by nurses in the daily hospital routine during cardiac arrest. An integrative literature review was conducted, searching databases such as Scielo, Medline, and Google Scholar. Articles published between 2018 and 2023 related to CA, nurses, basic life support, and training were selected. The evaluation of articles considered relevance, methodological quality, and contribution to research. Based on authors such as Silva et al. (2020), it was evident that active teaching strategies can enhance nursing knowledge development. However, other studies (Guskuma et al., 2019; Santiago et al., 2020) pointed out significant deficits, indicating the need for improvement in practices. Comparative analysis between studies revealed discrepâncias. Lopes (2021) demonstrated satisfactory levels of knowledge among nursing team professionals, while others like Benetti et al. (2021) emphasized theoretical and practical shortcomings, impacting the quality of care. Specific training, such as the Avance Cardiovascular Life Support (ACLS) course, was associated with better performance (Lopes, 2021). This study revealed disparities in knowledge and practice among nurses during CA. Additionally, active teaching strategies, specific training, and realistic simulations were identified as effective. The heterogeneity in results highlights the need for personalized approaches. Continuous training, aligned with the American Heart Association guidelines, is crucial. Hospital environments that promote technical-scientific education, team integration, and constant updates are essential to improve nurses' response in CA situations, positively impacting survival rates.