Seeking an explanation for the poor uptake of in-hospital AED programs

European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
Tom A LawsBrenton A Fiedler

Abstract

The automated external defibrillator (AED) has been adopted by emergency service personnel as a first-line intervention in the management of out-of-hospital cardiac arrest (OHCA). AED leads to more successful Advanced Cardiac Life Support; consequently, national resuscitation organisations worldwide have recommended that nurses and doctors also integrate AEDs as a component of their basic life-support response to cardiac arrest. Despite these recommendations, the implementation of AED programs within hospitals has been generally sporadic and isolated. A continuation of this situation will most likely disturb and perplex nurses and patients, as they are key stakeholders with respect to upholding recommended BLS practices. In the absence of any explanation from change agents within hospitals, this paper seeks, by way of a pilot study and a review of the literature, to identify the extent of the problem and identify factors contributing to the relatively slow uptake of this device. We argue that nurses and other first responders to in-hospital cardiac arrest (CA) have much to gain, in the context of Occupational Health Safety and Welfare (OHS and W), from ready access to AEDs. Cost factors are also considered, with initial cost of...Continue Reading

References

Jul 1, 1996·The Journal of Cardiovascular Nursing·P O'Hearn
Jan 1, 1999·Resuscitation·J Soar, U McKay
May 20, 1999·The American Journal of Nursing·M E Mancini, W Kaye
Sep 12, 2000·Circulation·W H Kaesemeyer, R W Caldwell
Oct 13, 2001·BMJ : British Medical Journal·A S Lockey, J P Nolan
Nov 29, 2001·Resuscitation·M Parr
Mar 20, 2002·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·T Laws
Dec 31, 2002·Resuscitation·Christopher J ZeitzAndrew Inglis

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Citations

May 9, 2014·Journal of Nursing Care Quality·Meredith BorakKatherine Pakieser-Reed
Oct 26, 2006·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Jouni NurmiMaaret Castrén

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