title: Graduate nurses' lived experience of in-hospital resuscitation: a hermeneutic phenomenological approach.
abstract: OBJECTIVE
  The purpose of this research was to explore, describe and interpret the lived experience of graduate [junior] Registered Nurses who have participated in an in-hospital resuscitation event within the non-critical care environment.
  
  
  METHODS
  Using a hermeneutic phenomenological design, a convenience sample was recruited from a population of graduate Registered Nurses with less than 12 months experience. Focus groups were employed as a means of data collection. Thematic analysis of the focus group narrative was undertaken using a well-established human science approach.
  
  
  RESULTS
  Responses from participants were analysed and grouped into four main themes: needing to decide, having to act, feeling connected and being supported. The findings illustrate a decision-making process resulting in participants seeking assistance from a medical emergency team based on previous experience, education and the perceived needs of the patient. Following this decision, participants are indecisive, questioning their decision. Participants view themselves as learners of the resuscitation process being educationally prepared to undertake basic life support, but not prepared for roles in a resuscitation event expected of the Registered Nurse, such as scribe. With minimal direction participants identified, implemented and evaluated their own coping strategies. Participants desire an environment that promotes a team approach, fostering involvement in the ongoing management of the patient within a 'safe zone'.
  
  
  CONCLUSIONS
  Similarities are identifiable between the graduate nurses' experience and the experience of bystanders and other healthcare professional cohorts, such as the chaotic resuscitation environment, having too many or not enough participants involved in a resuscitation event, being publicly tested, having a decreased physical and emotional reaction with increased resuscitation exposure and having a lack of an opportunity to participate in debriefing sessions. Strategies should be implemented to provide non-critical care nurses with the confidence and competence to remain involved in the resuscitation process, firstly to provide support for less experienced staff and secondly to participate in the ongoing management of the patient. Additionally, the need for education to be contextualized and mimic the realities of a resuscitation event was emphasised.
authors.affiliation: Intensive Care Unit, The Canberra Hospital, Australia. jamie.ranse@act.gov.au <jamie.ranse@act.gov.au>
authors.forename: Jamie
authors.initials: J
authors.lastname: Ranse
authors.forename: Paul
authors.initials: P
authors.lastname: Arbon
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D001315:Australia; D016887:Cardiopulmonary Resuscitation / Q000451:nursing*; D002983:Clinical Competence; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D006272:Health Facility Environment / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006801:Humans; D007400:Interprofessional Relations; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology*; D020377:Self Efficacy; D012944:Social Support