Post-resuscitation talk in the intensive care unit : Living interprofessionalism-amust have!

Abstract

In the context of medical care, healthcare professionals are confronted with cardiopulmonary resuscitation, which can have long-term effects on the participants. The aim was to develop, implement, and evaluate aprotocol-supported post-resuscitation talk for practice in the intensive care unit of auniversity hospital. Within the evidence-based nursing working group, university-qualified nurses performed asystematic literature search in CareLit (hpsmedia, Hungen, Germany), the Cochrane Library (Cochrane, London, England), LIVIVO (Deutsche Zentralbibliothek für Medizin, Cologne, Germany), and PubMed/MEDLINE (U.S. National Library of Medicine, Bethesda, MD, USA) as well as using the snowball principle. Based on the results, the post-resuscitation talk and adebriefing protocol were developed and consented in amultiprofessional team. Additionally, aquestionnaire to analyze the current situation (t0) and evaluate the implementation (t1) was developed. Implementation of the post-resuscitation talk was conducted from August 2021. The t0 survey took place from June to July 2021 and for t1 from February to March 2022. In t0, fewer interprofessional reflections were carried out after resuscitations in the category always or frequently (17.5%, n = 7) than in t1 (50.0%, n = 13). The rate of initiated improvement interventions was increased (t0: 24.3%, n = 9 vs. t1: 59.1%, n = 13). The results show promotion of multiprofessional collaboration in t0 and t1, and potential for optimization in the debriefing protocol in t1. Implementation of apost-resuscitation talk in hospitals is auseful tool for the structured interprofessional follow-up of resuscitation events. The results demonstrated initial positive effects and potential for optimization.