title: Nurses' role in the early defibrillation of cardiac patients: implications for nursing in Hong Kong.
abstract: The time taken to initiate early defibrillation is crucial to improve survival, prevent neurological deficit and improve the quality of life of patients suffering from sudden cardiac arrest. Despite the extension of training and the authorization of nurses to perform early defibrillation (advocated by the American Heart Association), such practice has not been widely adopted in hospitals. Inadequate knowledge, lack of skill retention, insufficient organizational support and the passive culture of nurses are barriers preventing the move towards nurse-led defibrillation. This paper discusses the need to extend the registered nurses' role in the early defibrillation of cardiac patients in Hong Kong. Current nursing practice in emergency resuscitation care and the hurdles constraining early defibrillation will be discussed. Recommendations to facilitate the future development of nurse-led defibrillation will also be provided. The successful extension of the registered nurses' role in early defibrillation will enable them to possess broader knowledge to be clinically competent in providing efficient patient care.
authors.affiliation: Cardiac Diagnostic Laboratory, Ruttonjee and Tang Siu Kin Hospitals, Queen's Road East Central, Wan Chai, Hong Kong.
authors.forename: Iris S F
authors.initials: IS
authors.lastname: Lee
authors.forename: Lisa P L
authors.initials: LP
authors.lastname: Low
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004059:Diffusion of Innovation; D004554:Electric Countershock / Q000451:nursing*; D004630:Emergencies / Q000451:nursing; D007722:Health Knowledge, Attitudes, Practice; D006287:Health Planning Guidelines; D006301:Health Services Needs and Demand; D006723:Hong Kong; D006801:Humans; D024802:Nurse's Role; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D057184:Practice Patterns, Nurses' / Q000458:organization & administration*; D017009:Professional Autonomy; D012151:Resuscitation / Q000193:education / Q000451:nursing; D012944:Social Support; D013997:Time Factors