- Email: [email protected]
Balancing staff and family presence during resuscitation
2009 CENA International Conference for Emergency Nursing ORAL PRESENTATIONS 4D — The Art and Science Balancing staff and family presence during resuscitation Trudy Dwyer Institute Health and Social Science Research, Building 18, CQ University Australia, Rockhampton, QLD, Australia E-mail address: [email protected]. Objective: When people are critically ill, patients and their family have a need to be together. Encouraging and supporting families to stay together during cardiopulmonary resuscitation benefits the patient, family and health care professionals (HCP). However, HCP attitudes are major barrier to the implementation witness resuscitation (FWR) practice. The aim of this pilot study was to determine if HCP report more positive attitudes towards FWR following participation in self-directed FWR education session. Method: A purposive sample of 29 HCP from an acute care hospital completed a pre-test survey and received a selfdirected FWR educational package. 18 of the original 28 HCP completed the education and the post-test questionnaire. Results: The majority of participants (64%) in this study had previous experience with FWR and believed that FWR should only occur if a dedicated person is present to support the family (64%). While participants had slightly more positive attitudes towards FWR following the education, the Wilcoxon signed ranked test indicated the change was not significant. Similarly, there was no difference in participants intention to invite a family member to be present at the next cardiac arrest (z = −0.264; p = 0.792), the majority of participants did not intend to invite family to be present. Conclusion: The presence or absence of a family support person potentially influenced staff attitudes towards, and intentions to facilitate FWR. The implementation of FWR education in parallel with a family support person may be the key to FWR in the health care sector. Keywords: Family witness resuscitation; Family presence
171 Balancing the art and science of aeromedical emergency nursing in the Australian Outback Kathy Arthurs Those responsible for the health service provision at a legislative level are suggesting that nurses in the future will take on a greater role which includes additional medical modalities. Like Remote Area Nurses, Flight Nurses have undertaken an extended nursing role in health care provision in Outback Australia. The extended nurse role includes the assessment, diagnosis and treatment of clients. These practices are not undertaken in isolation, as systems have been developed which provide support, policies and protocols to be utilised for routine care. In times of medical or emergency crisis nurses practising in these isolated environments are expected to adapt to facilitate appropriate care which meets the needs of the client and health service provider. If there is, as has been suggested an even greater extension of these nursing practices then what will the ramifications be on the provision of culturally appropriate, nursing and medically safe care in the future? This presentation will discuss balancing the art and sciences required to accommodate and facilitate client care in an ever changing emergency aeromedical environment. This will relate to the Central Australian environment with its geographical and cultural diversities. The service provider in this instance being the Royal Flying Doctor Service. Keywords: Emergency nursing; Cultural diversity doi:10.1016/j.aenj.2009.08.064 Where is the intersection of art and science for the advanced practice ED nurse? The nursing management of Irukandji syndrome (IS) Jennifer J. Sando 1,∗ , Kim Usher 2 , Petra Buettner 3 1
Wendy Porteous
Cairns Base Hospital, Queensland Health, PO Box 902, Cairns, Qld 4870, Australia 2 School of Nursing, Midwifery & Nutrition, James Cook University, PO Box 6811, Cairns, Qld 4870, Australia 3 School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, Qld 4811, Australia
Ballarat Health Services, PO Box 577, Ballarat, Vic 3353, Australia
E-mail address: Sando).
E-mail address: [email protected].
The ‘art’ of nursing is described by Chinn (1994) as ‘the art/act of the experience-in-the-moment’ (p. 24) while the ‘science’ of nursing is described as the acquisition of knowledge and skills across curricula as well as the theoretical knowledge of nursing (Idczak, 2007). As advanced practice nurses, the ‘science’ of nursing is evident through an expert knowledge base and an ability to critically evaluate a patient and problem-solve a plan of immediate action. The ‘art’ of the clinical episodes of care is shown through the humanness of the nurse towards a patient and the relationship that develops between patient and nurse. It also inherent in the nurse’s ability to adapt the situation to meet the person’s needs, and in their ability to organise care and make decisions based on reflection.
doi:10.1016/j.aenj.2009.08.062 Balancing the use of technology with the ‘‘art of nursing’’ in Emergency Nursing
Can emergency nurses assess and care for their patients with only nursing skills? The explosion and invasion of technology into our workplace has encouraged the use of a ‘no touch technique’ by a vast majority of emergency nurses. If you stick on some ECG dots, NIBP cuff, sat probe and stick a thermometer in their ear, you have completed a set of basic vital signs without any real patient contact. What is the next step—–microchip insertion, tattooed barcodes for scanning at triage? Is it now time to refocus emergency nursing to patient assessment using nursing skills? doi:10.1016/j.aenj.2009.08.063
Jenny [email protected]
(J.J.
171 Balancing the art and science of aeromedical emergency nursing in the Australian Outback Kathy Arthurs Those responsible for the health service provision at a legislative level are suggesting that nurses in the future will take on a greater role which includes additional medical modalities. Like Remote Area Nurses, Flight Nurses have undertaken an extended nursing role in health care provision in Outback Australia. The extended nurse role includes the assessment, diagnosis and treatment of clients. These practices are not undertaken in isolation, as systems have been developed which provide support, policies and protocols to be utilised for routine care. In times of medical or emergency crisis nurses practising in these isolated environments are expected to adapt to facilitate appropriate care which meets the needs of the client and health service provider. If there is, as has been suggested an even greater extension of these nursing practices then what will the ramifications be on the provision of culturally appropriate, nursing and medically safe care in the future? This presentation will discuss balancing the art and sciences required to accommodate and facilitate client care in an ever changing emergency aeromedical environment. This will relate to the Central Australian environment with its geographical and cultural diversities. The service provider in this instance being the Royal Flying Doctor Service. Keywords: Emergency nursing; Cultural diversity doi:10.1016/j.aenj.2009.08.064 Where is the intersection of art and science for the advanced practice ED nurse? The nursing management of Irukandji syndrome (IS) Jennifer J. Sando 1,∗ , Kim Usher 2 , Petra Buettner 3 1
Wendy Porteous
Cairns Base Hospital, Queensland Health, PO Box 902, Cairns, Qld 4870, Australia 2 School of Nursing, Midwifery & Nutrition, James Cook University, PO Box 6811, Cairns, Qld 4870, Australia 3 School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, Qld 4811, Australia
Ballarat Health Services, PO Box 577, Ballarat, Vic 3353, Australia
E-mail address: Sando).
E-mail address: [email protected].
The ‘art’ of nursing is described by Chinn (1994) as ‘the art/act of the experience-in-the-moment’ (p. 24) while the ‘science’ of nursing is described as the acquisition of knowledge and skills across curricula as well as the theoretical knowledge of nursing (Idczak, 2007). As advanced practice nurses, the ‘science’ of nursing is evident through an expert knowledge base and an ability to critically evaluate a patient and problem-solve a plan of immediate action. The ‘art’ of the clinical episodes of care is shown through the humanness of the nurse towards a patient and the relationship that develops between patient and nurse. It also inherent in the nurse’s ability to adapt the situation to meet the person’s needs, and in their ability to organise care and make decisions based on reflection.
doi:10.1016/j.aenj.2009.08.062 Balancing the use of technology with the ‘‘art of nursing’’ in Emergency Nursing
Can emergency nurses assess and care for their patients with only nursing skills? The explosion and invasion of technology into our workplace has encouraged the use of a ‘no touch technique’ by a vast majority of emergency nurses. If you stick on some ECG dots, NIBP cuff, sat probe and stick a thermometer in their ear, you have completed a set of basic vital signs without any real patient contact. What is the next step—–microchip insertion, tattooed barcodes for scanning at triage? Is it now time to refocus emergency nursing to patient assessment using nursing skills? doi:10.1016/j.aenj.2009.08.063
Jenny [email protected]
(J.J.