title: Professional Rescuers' experiences of motivation for cardiopulmonary resuscitation: A qualitative study.
abstract: Rescuers' psychological competence, particularly their motivation, can improve the cardiopulmonary resuscitation outcomes. Data were collected using semistructured interviews with 24 cardiopulmonary resuscitation team members and analyzed through deductive content analysis based on Vroom's expectancy theory. Nine generic categories were developed: (i) estimation of the chance of survival; (ii) estimation of self-efficacy; (iii) looking for a sign of effectiveness; (iv) supportive organizational structure; (v) revival; (vi) acquisition of external incentives; (vii) individual drives; (viii) commitment to personal values; and (ix) avoiding undesirable social outcomes. When professional rescuers were called to perform cardiopulmonary resuscitation, they subjectively evaluated the patient's chance of survival, the likelihood of achieving of the desired outcome, and the ability to perform cardiopulmonary resuscitation interventions. If their evaluations were positive, and the consequences of cardiopulmonary resuscitation were considered favorable, they were strongly motivated to perform it. Beyond the scientific aspects, the motivation to perform cardiopulmonary resuscitation was influenced by intuitive, emotional, and spiritual aspects.
authors.affiliation: Department of Medical Surgical Nursing, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Abdolghader
authors.initials: A
authors.lastname: Assarroudi
authors.affiliation: Department of Nursing Management, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Fatemeh
authors.identifier: http://orcid.org/0000-0002-9842-966X
authors.initials: F
authors.lastname: Heshmati Nabavi
authors.affiliation: Behavioral Sciences Research Center, School of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
authors.forename: Abbas
authors.initials: A
authors.lastname: Ebadi
authors.affiliation: Department of Biostatistics and Epidemiology, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Habibollah
authors.initials: H
authors.lastname: Esmaily
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D063868:Patient Outcome Assessment; D036301:Qualitative Research; D016019:Survival Analysis
keywords: cardiopulmonary resuscitation; deductive content analysis; expectancy theory; motivation; qualitative content analysis