Estudio cualitativo sobre las experiencias y emociones de los técnicos y enfermeras de emergencias extrahospitalarias tras la realización de maniobras de reanimación cardiopulmonar con resultado de muerte / A qualitative study about experiences and emotions of emergency medical technicians and out-of-hospital emergency nurses after performing cardiopulmonary resuscitation resulting in death

Objetivo: Explorar las experiencias, emociones y estrategias de afrontamiento de las enfermeras y técnicos de emergencias extrahospitalarias tras la realización de maniobras de resucitación con resultado de muerte. Método: Estudio de análisis de contenido cualitativo. Participaron 7 técnicos en emergencias y 6 enfermeras seleccionados mediante muestreo no probabilístico entre los trabajadores del ámbito de las emergencias sanitarias del País Vasco. Se realizaron reuniones hasta saturación de la información, lográndose tras realizar 6 entrevistas individuales y un grupo focal. Se procedió a la transcripción de las reuniones y se realizó un análisis de contenido de las entrevistas de forma manual e inductiva. Principales resultados: Tras una reanimación fallida afloran diversas reacciones a corto y a largo plazo. Pueden ser negativas, como la tristeza o la incertidumbre, o positivas, como la sensación de certeza con respecto a haber hecho todo lo posible por salvar la vida del paciente. El estrés emocional aumenta a la hora de interactuar con la familia del fallecido o cuando el paciente es un niño, pero los profesionales no contemplan técnicas de afrontamiento más allá de compartir sus emociones con los compañeros de trabajo. Conclusiones: La muerte tras una reanimación cardiopulmonar fallida puede suponer una experiencia traumática para los reanimadores. Convivir en contacto con el sufrimiento ajeno es un elemento generador de estrés emocional con implicaciones directas sobre la vida profesional y personal de los trabajadores de emergencias. A pesar de ello, las estrategias de afrontamiento estructuradas no son habituales en este colectivo profesional

Objective: To explore the experiences, emotions and coping skills among emergency medical technicians and emergency nurses after performing out-of-hospital cardiopulmonary resuscitation manoeuvres resulting in death. Method: An exploratory qualitative research was performed. Seven emergency medical technicians and six emergency nurses were selected by non-probability sampling among emergency medical system workers. The meetings took place up to information saturation, achieved after six individual interviews and a focal group. The meetings were then transcribed and a manual and inductive analysis of the contents performed. Main results: After a failed resuscitation several short and long-term reactions appear. They can be negatives, such as sadness or uncertainty, or positives, such as the feeling of having done everything possible to save the patient's life. Emotional stress increases when ambulance staff have to talk with the deceased's family or when the patient is a child. The workers don’t know of a coping strategy other than talking about their emotions with their colleagues. Conclusions: Death after a failed resuscitation can be viewed as a traumatic experience for rescuers. Being in contact with the suffering of others is an emotional, stress-generating factor with direct repercussions on the working and personal lives of emergency staff. Nevertheless, structured coping techniques are not common among those professionals

A qualitative study about experiences and emotions of emergency medical technicians and out-of-hospital emergency nurses after performing cardiopulmonary resuscitation resulting in death. / Estudio cualitativo sobre las experiencias y emociones de los técnicos y enfermeras de emergencias extrahospitalarias tras la realización de maniobras de reanimación cardiopulmonar con resultado de muerte.

OBJECTIVE: To explore the experiences, emotions and coping skills among emergency medical technicians and emergency nurses after performing out-of-hospital cardiopulmonary resuscitation manoeuvres resulting in death. METHOD: An exploratory qualitative research was performed. Seven emergency medical technicians and six emergency nurses were selected by non-probability sampling among emergency medical system workers. The meetings took place up to information saturation, achieved after six individual interviews and a focal group. The meetings were then transcribed and a manual and inductive analysis of the contents performed. MAIN RESULTS: After a failed resuscitation several short and long-term reactions appear. They can be negatives, such as sadness or uncertainty, or positives, such as the feeling of having done everything possible to save the patient's life. Emotional stress increases when ambulance staff have to talk with the deceased's family or when the patient is a child. The workers don't know of a coping strategy other than talking about their emotions with their colleagues. CONCLUSIONS: Death after a failed resuscitation can be viewed as a traumatic experience for rescuers. Being in contact with the suffering of others is an emotional, stress-generating factor with direct repercussions on the working and personal lives of emergency staff. Nevertheless, structured coping techniques are not common among those professionals.

Conocimientos y actitudes de los ciudadanos del País Vasco sobre la resucitación cardiopulmonar y los desfibriladores externos automatizados / Knowledge and attitudes of citizens in the Basque Country (Spain) towards cardiopulmonary resuscitation and automatic external defibrillators

OBJETIVO: Explorar la formación, la capacitación autopercibida y las actitudes de la población del País Vasco sobre la resucitación cardiopulmonar y el uso de desfibriladores automatizados. DISEÑO: Encuesta heteroadministrada a pie de calle. ÁMBITO: Capitales de provincia del País Vasco. PARTICIPANTES: Seiscientas cinco personas de entre 15 y 64 años, seleccionadas mediante muestreo aleatorio estratificado por edad. VARIABLES DE INTERÉS PRINCIPALES: Nivel de formación recibida, capacitación autopercibida y percepciones y actitudes para identificar y asistir a una persona en parada cardiorrespiratoria. RESULTADOS: El 56,4% de los encuestados eran mujeres, el 61,8% en situación laboral activa y el 48,3% poseía estudios superiores. El 37% refirió haberse formado en técnicas de resucitación, pero solo un 20,2% consideraba encontrarse capacitado para aplicarlas. Las personas que trabajan en la administración pública mostraron una probabilidad casi 4 veces mayor de estar formadas en desfibrilación que quienes trabajan en otros sectores (OR 3,7; p < 0,001), mientras que aquellos con estudios elementales/sin estudios presentaron una probabilidad casi 3 veces mayor que el resto de no haberse formado en resucitación cardiopulmonar (OR 2,7; p = 0,001). El 94,7% consideraba «bastante/muy importante» que la población fuese capaz de realizar una resucitación, pero el 55% declaró que no sabría identificar una parada cardiaca si la presenciase y el 40,3% no sabría reconocer un desfibrilador de acceso público. CONCLUSIONES: La ciudadanía del País Vasco considera importante saber identificar y tratar precozmente a una persona en parada cardiorrespiratoria, pero los conocimientos generales sobre resucitación cardiopulmonar y desfibrilación son pobres

AIM: To explore the training, ability and attitudes towards cardiopulmonary resuscitation and the use of automatic defibrillators among the population of the Basque Country (Spain). DESIGN: A face-to-face survey. SCOPE: Capital cities of the Basque Country. PARTICIPANTS: A total of 605 people between 15-64 years of age were randomly selected. MAIN VARIABLES OF INTEREST: Information about the knowledge, perceptions and self-perceived ability to identify and assist cardiopulmonary arrest was requested. RESULTS: A total of 56.4% of the responders were women, 61.8% were occupationally active, and 48.3% had higher education. Thirty-seven percent of the responders claimed to be trained in resuscitation techniques, but only 20.2% considered themselves able to apply such techniques. Public servants were almost 4 times more likely of being trained in defibrillation compared to the rest of workers (OR 3.7; P < .001), while people with elementary studies or no studies were almost 3 times more likely of not being trained in cardiopulmonary resuscitation, in comparison with the rest (OR 2.7; P = .001). A total of 94.7% of the responders considered it «quite or very important» for the general population to be able to apply resuscitation, though 55% considered themselves unable to identify an eye witnessed cardiac arrest, and 40.3% would not recognize a public-access defibrillator. CONCLUSIONS: Citizens of the Basque Country consider the early identification and treatment of cardiorespiratory arrest victims to be important, though their knowledge in cardiopulmonary resuscitation and defibrillation is limited

[Knowledge and attitudes of citizens in the Basque Country (Spain) towards cardiopulmonary resuscitation and automatic external defibrillators]. / Conocimientos y actitudes de los ciudadanos del País Vasco sobre la resucitación cardiopulmonar y los desfibriladores externos automatizados.

AIM: To explore the training, ability and attitudes towards cardiopulmonary resuscitation and the use of automatic defibrillators among the population of the Basque Country (Spain). DESIGN: A face-to-face survey. SCOPE: Capital cities of the Basque Country. PARTICIPANTS: A total of 605 people between 15-64 years of age were randomly selected. MAIN VARIABLES OF INTEREST: Information about the knowledge, perceptions and self-perceived ability to identify and assist cardiopulmonary arrest was requested. RESULTS: A total of 56.4% of the responders were women, 61.8% were occupationally active, and 48.3% had higher education. Thirty-seven percent of the responders claimed to be trained in resuscitation techniques, but only 20.2% considered themselves able to apply such techniques. Public servants were almost 4 times more likely of being trained in defibrillation compared to the rest of workers (OR 3.7; P<.001), while people with elementary studies or no studies were almost 3 times more likely of not being trained in cardiopulmonary resuscitation, in comparison with the rest (OR 2.7; P=.001). A total of 94.7% of the responders considered it "quite or very important" for the general population to be able to apply resuscitation, though 55% considered themselves unable to identify an eye witnessed cardiac arrest, and 40.3% would not recognize a public-access defibrillator. CONCLUSIONS: Citizens of the Basque Country consider the early identification and treatment of cardiorespiratory arrest victims to be important, though their knowledge in cardiopulmonary resuscitation and defibrillation is limited.