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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

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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.

Journal of Advanced Nursing

|June 26, 2024

Summary

Rural nurses need better training for resuscitation preparedness and the post-resuscitation period. Learning from the aftermath of resuscitations can improve rural nurses

Keywords:

compassion fatigue ethnography preparedness resuscitation rural nursing training and education

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Area of Science:

Nursing
Rural Health
Emergency Care

Background:

Rural nurses face unique challenges in resuscitation preparedness and the post-resuscitation period.
Existing training may not adequately address the realities of rural emergency care.
Understanding nurses' lived experiences is crucial for improving support systems.

Purpose of the Study:

To ethnographically explore rural nurses' experiences with resuscitation preparedness.
To investigate rural nurses' experiences during the post-resuscitation period.
To identify areas for enhanced training and support for rural nurses.

Main Methods:

Ethnographic study conducted in two rural hospitals in New South Wales, Australia.
Over 240 hours of nonparticipant observation, journalling, and interviews.
Reflexive thematic analysis of collected data.

Main Results:

Nurses reported varying 'Sense of Preparedness' influenced by experience, training, and lack of warning.
The 'Aftermath' theme revealed nurses' approaches to 'Getting on with it' and 'Making sense of the resus'.
Identified gaps in training and the need for contextually relevant education.

Conclusions:

Resuscitation preparedness and post-resuscitation experiences are intricately linked to rural nurses' well-being.
The post-resuscitation period offers a valuable learning opportunity to enhance preparedness.
Improved policies and work processes are needed to better support rural nurses in resuscitation.