LIVED EXPERIENCE OF NURSES IN CARING FOR PERSONS WITH OUT-OF-HOSPITAL CARDIAC ARREST IN RURAL AREAS OF EAST JAVA INDONESIA: A PHENOMENOLOGICAL STUDY

Janes Jainurakhma, Mochamad Soleh, Ni Luh Dewi Ayu Sita, Ika Yuli Astuti


DOI: https://doi.org/10.33546/bnj.1075

Abstract


Background: Out-of-hospital cardiac arrest can occur anywhere, including in rural areas. Nurses are demanded to have skills for critical care to save lives.

Objective: This study aimed to explore lived experience of nurses in caring for persons with out-of-hospital cardiac arrest in the rural areas of East Java, Indonesia.

Methods: This study employed a phenomenological research design. Five nurses were selected from five village health posts using a purposive sampling. A semi-structure interview was used to collect data. Colaizzi’s method was used for data analysis.

Results: Four themes emerged, including (1) being fast and responsive, (2) needing a family trust, (3) feeling worried, and (4) lacking personnel and infrastructure.

Conclusion: The role of nurses in saving lives of persons with out-of-hospital cardiac arrest is very important. It is suggested for the nurses to always improve the quality of knowledge management of persons with critical conditions, provide understanding of basic life support in community, increase the trust of family in nurses, and improve the collaboration between nurses and community. The government also need to provide better emergency equipment and add health personnel in community.


Keywords


out-of-hospital cardiac arrest; Indonesia; ethics; nursing; health services

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References


Ahn, Hong Joon, Cho, Yongchul, You, Yeon Ho, Min, Jin Hong, Jeong, Won Joon, Ryu, Seung, . . . Park, Jung Soo. (2019). Effect of using a home-bed mattress on bystander chest compression during out-of-hospital cardiac arrest. Hong Kong Journal of Emergency Medicine, 1024907919856485. https://doi.org/10.1177/1024907919856485

Auricchio, Angelo, Gianquintieri, Lorenzo, Burkart, Roman, Benvenuti, Claudio, Muschietti, Sandro, Peluso, Stefano, . . . Caputo, Maria Luce. (2019). Real-life time and distance covered by lay first responders alerted by means of smartphone-application: Implications for early initiation of cardiopulmonary resuscitation and access to automatic external defibrillators. Resuscitation, 141, 182-187. https://doi.org/10.1016/j.resuscitation.2019.05.023

Dawes, Joy, Ramnarayan, Padmanabhan, & Lutman, Daniel. (2014). Stabilisation and transport of the critically ill child. Journal of the Intensive Care Society, 15(1), 34-42. https://doi.org/10.1017/cbo9780511978906.043

De Gruyter, Elaine, Saunders, Clare, Stavreski, Bill, & Jennings, Garry. (2019). Impact of reducing pre-hospital delay in response to heart attack symptoms in Australia. Heart, Lung and Circulation, 28(8), 1154-1160. https://doi.org/10.1016/j.hlc.2018.07.018

Department of Health Service. (2011). Ponkesdes. Retrieved from http://yankesdinkesmagetan

East Java Governor Regulation. (2010). Pondok kesehatan desa di Jawa Timur [Village health post in East Java]. Retrieved from East Java: http://dokumjdih.jatimprov.go.id/upload/1597/PERGUB_4_2010.pdf

Firstiana, Merry Januar, Ratnawati, Retty, & Lestari, Retno. (2017). Fenomenologi: Pengalaman caring perawat pada pasien trauma dengan kondisi kritis (P1) di IGD RSUD Tarakan-Kalimantan Utara [Phenomenology: Experience of caring nurses in traumatic patients with critical conditions (P1) in the Emergency Room of Tarakan-North Kalimantan Regional Hospital]. Jurnal Ilmu Keperawatan, 5(1), 42-56. https://doi.org/10.21776/ub.jik.2017.005.01.6

Herawati, Tri Mulia, & Faradilla, Sarah. (2017). Peran perawat terhadap kecemasan keluarga pasien yang dirawat di unit perawatan intensif rumah sakit [The role of nurses in family anxiety patients treated in the intensive care unit of the hospital]. Jurnal Ilmiah Kesehatan, 9(1), 103-107.

Hidayah, N., & Amin, M. K. . (2017). PKU bagi Emergency Rescue Team (ERT) untuk mengatasi kondisi gawat darurat melalui Basic Life Support (BLS ) [PKU for Emergency Rescue Team (ERT) to overcome emergency conditions through Basic Life Support (BLS)]. The 6th University Research Colloquium, 2017, 31–38.

Izzah, Nur, Waluyo, Agung, Irawaty, Dewi, & Mansyur, Mochtarudin. (2018). The improvement of caring behavior among nurses through nursing leadership based on the emotional intelligent. Open Access Library Journal, 5(4), 1-9. https://doi.org/10.4236/oalib.1104466

Jainurakhma, Janes, Winarni, Indah, & Setyoadi, Setyoadi. (2017). Fenomenologi: Caring perawat terhadap klien dengan kondisi kritis di Instalasi Gawat Darurat Rumah Sakit Dr. Saiful Anwar Malang [Phenomenology: Caring of nurses against clients with critical conditions in the Emergency Department Dr. Hospital Saiful Anwar Malang]. Jurnal Ilmu Kesehatan, 2(1), 17-31. https://doi.org/10.32831/jik.v2i1.26

Kaban, Karmila Br, & Rani, Kurnia. (2018). Hubungan pengetahuan perawat tentang Basic Life Support (BLS) dengan perilaku perawat dalam pelaksanaan primary survey di Ruang IGD Royal Prima Hospital [Relationship of nurses' knowledge about Basic Life Support (BLS) with nurse behavior in the implementation of primary survey in the IGD of Royal Prima Hospital]. Jurnal Keperawatan Priority, 1(1), 20-29.

Karlsson, Lena, Hansen, Carolina Malta, Wissenberg, Mads, Hansen, Steen Møller, Lippert, Freddy K., Rajan, Shahzleen, . . . Gislason, Gunnar H. (2019). Automated external defibrillator accessibility is crucial for bystander defibrillation and survival: a registry-based study. Resuscitation, 136, 30-37. https://doi.org/10.1016/j.resuscitation.2019.01.014

Leung, L. P., Lo, C. M., & Tong, H. K. (2000). Prehospital resuscitation of out-of-hospital cardiac arrest in Queen Mary Hospital. Hong Kong Journal of Emergency Medicine, 7(4), 191-196. https://doi.org/10.1177/102490790000700401

Mailani, Fitri, & Fitri, Nera. (2017). Hubungan perilaku caring perawat dengan tingkat kepuasan pasien BPJS di RSUD Dr. Rasidin Padang [The relationship between nurse caring behavior with BPJS patient satisfaction level at Dr.Rasidin Padang Hospital]. Jurnal Endurance: Kajian Ilmiah Problema Kesehatan, 2(2), 203-208.

Mumpuni, Risna Yekti, Winarni, Indah, & Haedar, Ali. (2017). Pengalaman perawat puskesmas Kota Malang dalam penatalaksanaan henti jantung (out-of-hospital cardiac arrest) [The experience of malang city puskesmas nurse in the management of out-of-hospital cardiac arrest]. Medica Majapahit, 9(1), 1-32.

Nastiti, Ayu Dewi. (2017). Pelatihan caring dengan model partisipatif untuk peningkatan kinerja perawat dan mutu layanan keperawatan [Caring training with participatory models for improving nurse performance and quality of nursing services]. Jurnal Pelatihan Kesehatan Suara Forikes, 8(4), 216-224.

Nugroho, Wasis. (2017). Pengalaman keluarga dalam menghadapi anggota keluarga yang mengalami henti jantung di rumah wilayah Kota Ternate [Family experiences in dealing with family members who experience heartbreak in the home area of the City of Ternate]. LINK, 13(1), 61-71.

Ocak, Umut, & Avsarogullari, Levent. (2019). Expectations and needs of relatives of critically ill patients in the emergency department. Hong Kong Journal of Emergency Medicine, 26(6), 328-335. https://doi.org/10.1177/1024907918802737

Paputungan, Anastasia, Rompas, Sefti, & Bataha, Yolanda B. (2018). Hubungan caring perawat dengan tingkat kecemasan GMIM Pancaran Kasih Manado [Relationship between caring nurse and anxiety level of GMIM Pancaran Kasih Manado]. E-Journal Keperawatan, 6(2), 1-7.

Polit, D.F , & Beck, C.T. (2010). Nursing research: Generating and assesing evidence for nursing practice (8th ed.). Philadelphia: Lippincott Williams & Wilkins.

Prawesti, Ayu, Emaliyawati, E., & Trisyani, Y. A. . (2018). Peningkatan kompetensi perawat Puskesmas dalam penanganan tanggap darurat kasus henti jantung di Kabupaten Pangandaran [Increased competence of Puskesmas nurses in handling emergency response for cardiac arrest cases in Pangandaran Regency]. Jurnal Pengabdian Kepada Masyarakat, 2(2), 139-143.

Rosyid, Moh Fachrizal, Hariyanto, Tanto, & Ardiyani, Vita Maryah. (2018). Perbedaan pemberian pelatihan resusitasi jantung paru terhadap skill resusitasi jantung paru pada pasien henti jantung di SMK Pertanian Pembembangunan “Wiyata Bakti” Sengkaling [Differences in the provision of pulmonary resuscitation training against the skill of pulmonary resuscitation in cardiac patients in Vocational School of Agriculture Development of "Wiyata Bakti" Sengkaling]. Nursing News: Jurnal Ilmiah Keperawatan, 3(1), 653-661.

Shim, H. W., Park, S. O., Lee, Y. H., Yoo, Y. B., Hong, D. Y., Baek, K. J., & Lee, K. R. (2015). Effectiveness of a modified 2-rescuer cardiopulmonary resuscitation technique using a bag-mask for less experienced health care providers: a randomised controlled simulation study. Hong Kong Journal of Emergency Medicine, 22(1), 23-30. https://doi.org/10.1177/102490791502200103

Siregar, Arjuna Al-Ichsan. (2017). Jawa Timur meningkatkan pelayanan dengan PONKESDES [East Java improves services with PONKESDES]. Retrieved from www.zonalima.com/artikel/12588/Jawa-Timur-Meningkatkan-Pelayanan-Kesehatan-dengan-PONKESDES

Siregar, Hotma Royani, & Antoni, Adi. (2017). The caring behavior of voluntary nurses to the client in padangsidimpuan hospital Indonesian Nursing Journal of Education and Clinic (INJEC), 1(2), 122-127. https://doi.org/10.24990/injec.v1i2.115

Sulistio, Merlina, Franco, Michael, Vo, Amanda, Poon, Peter, & William, Leeroy. (2015). Hospital rapid response team and patients with life-limiting illness: a multicentre retrospective cohort study. Palliative Medicine, 29(4), 302-309. https://doi.org/10.1177/0269216314560802

Winarni, Sri. (2017). Pengetahuan perawat tentang bantuan hidup dasar berdasarkan AHA tahun 2015 di UPTD Puskesmas Kota Blitar [(Nurse knowledge of basic life assistance based on the 2015 AHA at UPTD Puskesmas Kota Blitar]. Jurnal Ners dan Kebidanan, 4(3), 201-205. https://doi.org/10.26699/jnk.v4i3.ART.p201-205


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