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- Title
Nursing home nurses conceptualize how to care for residents with cardiac vulnerability.
- Authors
Kim, Mi So; Kim, Hyun Ju; Choi, Jung Eun; Kim, Su Jin; Chang, Sung Ok
- Abstract
ABSTRACT Background With ageing, older people face cardiovascular problems as the major cause of disability and death. Although immediate medical attention is a major factor in determining outcomes of cardiac problems, lack of personnel (i.e. registered nurse, certified nursing assistant and home care aide) in nursing homes without residing doctor limits the awareness of such problems, thus making it difficult to initiate timely and appropriate intervention. Aim The aim of this study was to conceptualize critical care for nursing home residents with cardiac vulnerability and develop practical knowledge in nursing practice. Methods Conventional content analysis was performed on date from interviews with 30 nurses from 10 nursing homes in South Korea between July and November 2010. Results The analysis revealed three major cardiac problems resulting from residents' cardiac vulnerability: angina, myocardial infarction (MI) and cardiogenic shock. Through content analysis, we extracted 6 themes and 21 subthemes for nurses' conceptualization of critical care for nursing home residents with cardiac vulnerability. In nursing homes without a residing doctor, nurses assessed the physical, functional and cognitive conditions along with the responses and symptoms of residents when emergency situations related to the cardiac problems occurred. Moreover, with a lack of infrastructures of a hospital, nurses provided critical care to the elderly by using personal practice strategies based on their personal experience in facilities along with practical knowledge of nurses while following the management principles of emergencies. Conclusions and relevance to clinical practice We found that nurses conceptualized critical nursing care for cardiac problems at nursing homes, which are different from those of general hospitals. The results of this study will provide basis for the development of care guidelines and educational materials that can be used by novice nurses or nursing students.
- Subjects
SOUTH Korea; ANGINA pectoris; CARDIOGENIC shock; CONTENT analysis; CONVALESCENCE; DO-not-resuscitate orders; GERIATRIC nursing; HOSPITAL admission &; discharge; INTERVIEWING; RESEARCH methodology; MEDICAL emergencies; MYOCARDIAL infarction; NURSING assessment; NURSING home patients; NURSING care facilities; RESEARCH; RESEARCH funding; QUALITATIVE research; JUDGMENT sampling; OLD age
- Publication
Nursing in Critical Care, 2017, Vol 22, Issue 6, p329
- ISSN
1362-1017
- Publication type
Article
- DOI
10.1111/nicc.12132