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Barriers and Facilitators to Performing Cardiopulmonary Resuscitation During Treatment in Outpatient Hemodialysis Clinics: A Qualitative Study.

Publication ,  Journal Article
Hofacker, SA; Fish, LJ; Blewer, AL; Pun, PH
Published in: Nephrol Nurs J
2020

Cardiac arrest is the leading cause of death among patients receiving hemodialysis, and major deficiencies exist in hemodialysis staff-provided cardiopulmonary resuscitation (CPR). Our study aimed to identify factors influencing CPR delivery in the outpatient hemodialysis clinic. Through content analysis of in-depth interviews with 10 staff members of a hemodialysis clinic, we identified three broad themes regarding barriers and facilitators to performing CPR in the hemodialysis clinic: 1) physical and environmental challenges regarding the layout of the clinic; 2) uncertainty about optimal in-clinic CPR procedures, particularly concerning patient positioning and dealing with the hemodialysis machine; and 3) benefit of continuous improvement programs, including hemodialysis-specific protocols, hands-on training, and pre-defined team roles. Our findings call for further investigation of optimal in-clinic resuscitation procedures to inform hemodialysis clinic CPR protocols and hemodialysis staff training.

Duke Scholars

Published In

Nephrol Nurs J

ISSN

1526-744X

Publication Date

2020

Volume

47

Issue

5

Start / End Page

401 / 411

Location

United States

Related Subject Headings

  • Renal Dialysis
  • Qualitative Research
  • Humans
  • Health Services Accessibility
  • Cardiopulmonary Resuscitation
  • Ambulatory Care Facilities
  • 4205 Nursing
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
  • 1110 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
NLM

Published In

Nephrol Nurs J

ISSN

1526-744X

Publication Date

2020

Volume

47

Issue

5

Start / End Page

401 / 411

Location

United States

Related Subject Headings

  • Renal Dialysis
  • Qualitative Research
  • Humans
  • Health Services Accessibility
  • Cardiopulmonary Resuscitation
  • Ambulatory Care Facilities
  • 4205 Nursing
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
  • 1110 Nursing