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Exploring rural Nurses' preparedness and post-resuscitation experiences. An ethnographic study
Katherine Riley1, Rebekkah Middleton1, Luke Molloy1
1School of Nursing, University of Wollongong, Wollongong, New South Wales, Australia.
Aim:
The focus of this paper is to provide a detailed ethnographic exploration of rural nurses' experiences of their resuscitation preparedness and the subsequent post-resuscitation period.
Design:
An ethnographic study across two small rural hospital sites in New South Wales, Australia.
Methods:
Fieldwork was undertaken between December 2020 and March 2022 and included over 240 h of nonparticipant observation, journalling and interviews. Data were analysed using reflexive thematic analysis.
Results:
The first key theme-'Sense of Preparedness'-included three subthemes: 'Gaining experience', 'Issues with training and education' and 'Lack of warning'. The second key theme 'Aftermath' comprised two subthemes: 'Getting on with it' and 'Making sense of the resus'.
Conclusion:
This study has highlighted the intricate relationship between resuscitative preparedness and the post-resuscitation period in shaping rural nurse's experiences and their well-being. Rural nurses are asking for an authentic and contextually relevant training experience that mirrors the unique rural challenges they experience. In the absence of frequent resuscitation presentations, the post-resuscitation period should be viewed as a crucible moment that can be leveraged as a valuable learning opportunity enhancing rural nurses' sense of preparedness and the provision of quality resuscitation care.
Impact:
Having a greater level of insight into the challenges that rural nurses experience in the pre- and post-resuscitation period is critical. This insight opens the door for fortifying policies and work processes that will better support rural nurses in the resuscitation environment.
Reporting Method:
Reporting complied with COREQ criteria for qualitative research.
No Patient Or Public Contribution:
This study explored the experiences of rural nurses. No patient data were collected.
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