Nurses Experience in the Initial Decision to Perform Resuscitation on Criticaly Preterm Neonate

Abstract

Nurses as the first responder of cardiac arrest and stopped breathing incident in premature neonates has the responsibility to decide resuscitation immediately. Accuracy and speed of initial decision making are needed to improve the success of resuscitation, many things that affect the initial decision-making in resuscitation, but studies related to the experience of nurses in the initial decision-making of resuscitation has not been widely studied. The research objective was to explore the experiences of nurses in making the initial decision to perform resuscitation in critical ill preterm neonates in neonates ward. Methods: The design study is qualitative interpretative phenomenological approach. Deep Interview had used open ended questions involved 6 nurses in neonatal ward. Data were collected and analyzed using thematic analyzed approach based on Braun & Clarke, 2006. Results: The study resulted in two themes, namely early detection of emergency and intuition nurse. Early detection of emergency can be used as consideration for the nurses to be ready to face the possibility resuscitation can occur at any time, thereby reducing the risk of death and disability in premature neonates. Intuition nurse built from experience, sensitivity and automation of action. Intuition nurse can shorten the time and accuracy of initial decision making in resuscitation. Conclusion: The initial decisions nurses in neonatal resuscitation require accurate of early detection and sharp intuition of nurse to obtain optimal results in preterm neonate resuscitation.