Experiences of Healthcare Staff Regarding Angiography in Infants

Document Type : Original Article

Authors

1 Faculty of Nursing and Midwifery, Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran

2 Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran

Abstract

Background: Nowadays, the promotion of cardiac care programs for infants in need of specialized heart care has improved the survival of these patients. This study aimed to explain the experiences of healthcare staff regarding angiography in pediatric patients.
Methods: This study was conducted based on qualitative content analysis. The data were collected through in-depth, semi-structured, face-to-face, and individual interviews. In total, 20 participants (9 nurses, 4 radiologists, and 7 pediatric cardiologists) were included in this study.
Results: According to the results, three main categories were found in this study, including the need for specialized skills (along with three subcategories of the need for knowledge skills, communication skills, and experience), lack of pediatric angiography facilities (along with three subcategories of a shortage of specialist and pediatric nurses, as well as lack of space), and lack of providing care to caregivers (along with three subcategories of intensive shifts, suffering from aggressive pediatric procedures, and environmental vulnerability).
Conclusion: Health care staff working in the field of angiography in infants are experiencing numerous mental and psychological problems; however, the health system has not taken supportive measures for such personnel. The result of this study can help future interventions develop supportive programs for healthcare staff working in this unit.
 
 

Keywords


  1. Hickey PA, Pasquali SK, Gaynor JW, He X, Hill KD, Connor JA, et al. Critical care nursing’s impact on pediatric patient outcomes. Ann Thorac Surg. 2016; 102(4):1375-80.
  2. Connor JA, Mott S, Green A, Larson C, Hickey P. Measurement of quality of nursing practice in congenital cardiac care. Am J Crit Care. 2016; 25(2):128-35.
  3. Brunetti MA, Glatz AC, McCardle K, Mott AR, Ravishankar C, Gaynor JW. Unplanned readmission to the pediatric cardiac intensive care unit: prevalence, outcomes, and risk factors. World J Pediatr Congenit Heart Surg. 2015; 6(4):597-603.
  4. Stayer D, Lockhart JS. Living with dying in the pediatric intensive care unit: a nursing perspective. Am J Crit Care. 2016; 25(4):350-6.
  5. Trotochaud K, Coleman JR, Krawiecki N, McCracken C. Moral distress in pediatric healthcare providers. J Pediatr Nurs. 2015; 30(6):908-14.
  6. De Silva AP, Stephens T, Welch J, Sigera C, De Alwis S, Athapattu P, et al. Nursing intensive care skills training: a nurse led, short, structured, and practical training program, developed and tested in a resource-limited setting. J Crit Care. 2015; 30(2):
    438.e7-11.
  7. Kronick SL, Kurz MC, Lin S, Edelson DP, Berg RA, Billi JE, et al. Part 4: systems of care and continuous quality improvement: 2015 American heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015; 132(18 Suppl 2):S397-413.
  8. McCrory MC, Aboumatar HA, Hunt EA. Communication at pediatric rapid response events: a survey of health care providers. Hosp Pediatr. 2015; 5(6):301-8.
  9. Liu YE, While A, Li SJ, Ye WQ. Job satisfaction and work related variables in Chinese cardiac critical care nurses. J Nurs Manag. 2015; 23(4):487-97.

10. Rushton CH, Batcheller J, Schroeder K, Donohue P. Burnout and resilience among nurses practicing in high-intensity settings. Am J Crit Care. 2015; 24(5):412-20.

11. Wiechula R, Conroy T, Kitson AL, Marshall RJ, Whitaker N, Rasmussen P. Umbrella review of the evidence: what factors influence the caring relationship between a nurse and patient? J Adv Nurs. 2016; 72(4):723-34. 

12. Ulrich BT, Lavandero R, Woods D, Early S. Critical care nurse work environments 2013: a status report. Crit Care Nurse. 2014; 34(4):64-79.

13. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008; 62(1):107-15.

14. Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative. Philadelphia: Lippincott Williams & Wilkins; 2011.

15. White K, Macfarlane H, Hoffmann B, Sirvas-Brown H, Hines K, Rolley JX, et al. Consensus statement of standards for interventional cardiovascular nursing practice. Heart Lung Circ. 2017; 27(5):535-51.

16. Ruiz CE, Feldman TE, Hijazi ZM, Holmes DR, Webb JG, Tuzcu EM, et al. Interventional fellowship in structural and congenital heart disease for adults. ACC Cardiovasc Interv. 2010; 3(9):e1-15.

17. Rejeh N, Heravi-Karimooi M, Tadrisi SD, Jahani A, Vaismoradi M, Jordan S. The impact of listening to pleasant natural sounds on anxiety and physiologic parameters in patients undergoing coronary angiography: a pragmatic quasi-randomized-controlled trial. Complement Ther Clin Pract. 2016; 25:42-51.

18. Hamester L, Souza EN, Cielo C, Moraes MA, Pellanda LC. Effectiveness of a nursing intervention in decreasing the anxiety levels of family members of patients undergoing cardiac surgery: a randomized clinical trial. Rev Lat Am Enfermagem. 2016; 24:e2729.

19. Hajbaghery MA, Moradi T, Mohseni R. Effects of a multimodal preparation package on vital signs of patients waiting for coronary angiography. Nurs Midwifery Stud. 2014; 3(1):e17518.

20. Kalyani MN, Sharif F, Ahmadi F, Iman MT. Iranian patient's expectations about coronary angiography: A qualitative study. Iran J Nurs Midwifery Res. 2013; 18(3):180-5.

21. Bellenger N, Wells T, Hitchcock R, Watkins M, Duffet C, Jewell D, et al. Reducing transfer times for coronary angiography in patients with acute coronary syndromes: one solution to a national problem. Postgrad Med J. 2006; 82(968):411-3.

22. Sacco TL, Ciurzynski SM, Harvey ME, Ingersoll GL. Compassion satisfaction and compassion fatigue among critical care nurses. Crit Care Nurse. 2015; 35(4):32-43.

23. Stewart BT, Gyedu A, Giannou C, Mishra B, Rich N, Wren SM, et al. Consensus recommendations for essential vascular care in low-and middle-income countries. J Vasc Surg. 2016; 64(6):1770-9.

24. Hayman LL, Berra K, Fletcher BJ, Miller NH. The role of nurses in promoting cardiovascular health worldwide: the global cardiovascular nursing leadership forum. J Am Coll Cardiol. 2015; 66(7):
864-6.

25. Gouzou M, Karanikola M, Lemonidou C, Papath-anassoglou E, Giannakopoulou M. Measuring professional satisfaction and nursing workload among nursing staff at a Greek Coronary Care Unit. Rev Esc Enferm USP. 2015; 49:15-21.

26. Wilson-Stewart K. A survey of radiation protection utilization and accessibility within Australian cardiac angiography laboratories. J Radiol Nurs. 2017; 36(2):112-6.

27. Wang S, Liu Y. Impact of professional nursing practice environment and psychological empo-werment on nurses' work engagement: test of structural equation modelling. J Nurs Manag. 2015; 23(3):287-96

28. Al‐Maaitah R, AbuAlRub RF, Al Blooshi S. Practice environment as perceived by nurses in acute care hospitals in Sharjah and North Emirates. Nurs Forum. 2018; 53(2):213-22.