Are You Prepared to Save a Life? Nursing Students’ Experience in Advanced Life Support Practice
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Participants
2.3. Data Collection
2.4. Data Analysis
2.5. Ethical Considerations
2.6. Rigour
3. Results
3.1. Analysing Practice as a Part of the Training Process
3.1.1. Working in an Unknown Environment
“I felt a bit lost at the beginning and it was like...oh dear, what do I do now? I didn’t know where to start, I felt out of place and in a crisis situation, where you have to act quickly…”(G3-P2, female, 19 years old)
“It was all really realistic, and that helps, because you take on the role more, you really get into it, you feel as if you were actually the patient’s nurse, and it shows you how you would react… I forgot that there were people evaluating us, I just thought about doing my best, because the patient’s life depended on us.”(G1-P5, female, 20 years old)
“You know they’re watching you, but it’s not distracting, although I did feel questioned. That [feeling observed] makes you take it more seriously.”(G3-P6, female, 19 years old)
3.1.2. Acquiring Knowledge as the Key to Success
“Theory is one thing, and how you apply it is another. When it comes time to really do it, you say, what do I have to do? And that... how do I do it again?... With everything they’ve taught us about the rhythm, we still got it wrong when identifying it...”(G2-P8, female, 25 years old)
“In our practical classes, you focus on a certain intervention, for example, practice about the Ambu® is only about the Ambu®. Here [in the simulation] you focus on several different things… you see the complexity of the work [of nursing professionals] and you realise all that it entails.”(G4-P7, male, 23 years old)
“The fact that they [the professors] tell you the mistakes you have made so you know if you’ve performed well on the things you studied… that way you can learn from your mistakes... This [the debriefing] helps you see what you’ve done wrong so you can correct those mistakes and learn more than you would otherwise.”(G2-P9, female, 20 years old)
3.2. Facing Reality: Nursing Students’ Perceptions in an Emergency Situation
3.2.1. Facing Stressful Elements
“You imagine that it’s going to be easier, you don’t think that one nurse is capable of doing everything that has to be done. You have to be aware of so many things, you have a lot weighing on you… you feel a bit lost, overwhelmed, incapable, and that leads to mistakes...nothing turned out as I hoped it would, I couldn’t concentrate...my heart was pounding.”(G3-P7, female, 21 years old)
“The person is dying, so ti5,35 cmme is crucial in saving them...you feel like you can’t go any faster...so you start rushing, miss steps, you get more and more nervous...you see that time is running out...that they’re going to die.”(G6-P9, male, 20 years old)
3.2.2. Emotional Impact in Emergency Situations
“Fear just took over… we were just looking around guiltily [at each other] … we were failing.”(G3-P2, female, 19 years old)
“We felt like crying… I feel frustrated and disappointed in myself… I just kept making mistakes… I couldn’t save his life… I just wasn’t able to.”(G6-P2, female, 19 years old)
3.3. Experience as a Key Element to Integrating ALS in Care Settings
3.3.1. Discovering and Facing the Experience as a Team
“[The members of the team] we communicated well, we told each other what we were doing as we did it and any changes that occurred in the patient... agreeing on the different actions to take...we were coordinated...it went well for us.”(G6-P3, male, 22 years old)
“If you don’t communicate, it’s chaos, everyone does their own thing, which is what happened to us... we were both preparing the same material... we were wasting our time... And she [my classmate] got mad at me.”(G1-P8, female, 32 years old)
“I believe it is important that one person lead because that way we followed a specific order, we prioritised…we worked in a coordinated way and…everything was focused on saving the patient.”(G6-P2, female, 19 years old)
“I’m not used to giving my classmates orders… I’m not good at it…Not everybody can be a leader, you have to have certain qualities…know how to communicate…have experience, I mean, you have to have done it more.”(G5-P8, female, 20 years old)
“It doesn’t just depend on you, the responsibility is everyone’s [the team], so you feel supported...if you miss something, there are other people who can do it… you feel less pressure.”(G6-P6, female, 46 years old)
“You know them [your colleagues], you know what each person does best.”(G2-P7, female, 21 years old)
3.3.2. Linking and Transferring the Situation to a Real Clinical Setting
“This [the simulation] has helped us greatly improve our skills, the teamwork makes you feel more…prepared for your practice or…for your future job…I think that if we did it all again right now, we would do it…a lot better, faster…we’ve gained experience.”(G5-P7, female, 19 years old)
“… because, until you find yourself in the situation, you don’t trust yourself, you’re not aware of how much you can really do.”(G3-P5, male, 20 years old)
“I realised that the situation was just too much for me… I find it very difficult to adapt to stressful situations… I didn’t feel comfortable…I don’t know if this is my thing [referring to the nursing profession].”(G6-P7, female, 19 years old)
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Guide Questions |
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Could you tell us about your first experience of advanced life support in the hospital environment? How do you think this experience has influenced in your clinical training? Could you tell me if you have detected elements that interfere with the development of advanced life support procedures? Which have they been? Why? How have you felt acting in this emergency situation? Why? Tell me about your experience working as a team What teamwork factors have you detected that influences the adequate development of advanced life support? How do you think this experience could help you develop advanced life support in the clinical practices? What are your general impressions of the experience? Is there anything else you would like to add about this theme? |
Variable | Total (n = 54) | |
---|---|---|
n | % | |
Sex Male Female | 13 41 | 24.1 75.9 |
Age | 20.63 * | 4.42 ** |
Previous Training Basic PCR Yes No | 8 46 | 14.8 85.2 |
Units of Meaning | Subthemes | Main Themes |
---|---|---|
Out of place, contextualization of the realistic environment, abstraction of the evaluation, feeling observed. | Working in an unknown environment. | Theme 1. Analysing practice as a part of the training process. |
Theory-practice gap, integration of procedures, meaningful learning, satisfactory experience. | Acquiring knowledge as the key to success. | |
Preconceived ideas, task simultaneity, psychological pressure, time. | Facing stressful elements. | Theme 2. Facing reality: nursing students’ perceptions in an emergency situation. |
Fear, nervousness, overwhelmed, frustration. | Emotional impact in emergency situations. | |
Communication, leadership, work a team. | Discovering and facing the experience as a team. | Theme 3. Experience as a key element to integrating ALS in care settings. |
Clinical training, clinical performance, self-confidence, improved healthcare. | Linking and transferring the situation to a real clinical setting. |
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Gutiérrez-Puertas, L.; Márquez-Hernández, V.V.; Gutiérrez-Puertas, V.; Rodríguez-García, M.C.; García-Viola, A.; Aguilera-Manrique, G. Are You Prepared to Save a Life? Nursing Students’ Experience in Advanced Life Support Practice. Int. J. Environ. Res. Public Health 2021, 18, 1273. https://doi.org/10.3390/ijerph18031273
Gutiérrez-Puertas L, Márquez-Hernández VV, Gutiérrez-Puertas V, Rodríguez-García MC, García-Viola A, Aguilera-Manrique G. Are You Prepared to Save a Life? Nursing Students’ Experience in Advanced Life Support Practice. International Journal of Environmental Research and Public Health. 2021; 18(3):1273. https://doi.org/10.3390/ijerph18031273
Chicago/Turabian StyleGutiérrez-Puertas, Lorena, Verónica V. Márquez-Hernández, Vanesa Gutiérrez-Puertas, Mª Carmen Rodríguez-García, Alba García-Viola, and Gabriel Aguilera-Manrique. 2021. "Are You Prepared to Save a Life? Nursing Students’ Experience in Advanced Life Support Practice" International Journal of Environmental Research and Public Health 18, no. 3: 1273. https://doi.org/10.3390/ijerph18031273