https://doi.org/10.4081/hls.2023.11217

The implementation of code blue by nurses as first responders in outpatient and inpatient rooms at Malang Indonesia Hospital

Vol. 11 No. s1 (2023): 2nd International Nursing and Health Sciences Symposium
Published: 9 February 2023
Code blue, nurses, outpatient, inpatient
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Authors

Tony Suharsono
Nursing Department, Faculty of Health Sciences, Universitas Brawijaya, Indonesia.
Sunarmi Sunarmi
Nursing Department, Faculty of Health Sciences, Universitas Brawijaya, Indonesia; Bachelor Nursing Program, Faculty of Health Sciences, Universitas of Brawijaya, Indonesia.
Nur Ida
Nursing Department, Faculty of Health Sciences, Universitas Brawijaya, Indonesia; Bachelor Nursing Program, Faculty of Health Sciences, Universitas of Brawijaya, Indonesia.
Bella Nove Khirria
Nursing Department, Faculty of Health Sciences, Universitas Brawijaya, Indonesia; Bachelor Nursing Program, Faculty of Health Sciences, Universitas of Brawijaya, Indonesia.
Nazla Asrin
Nursing Department, Faculty of Health Sciences, Universitas Brawijaya, Indonesia; Bachelor Nursing Program, Faculty of Health Sciences, Universitas of Brawijaya, Indonesia.
Ikhda Ulya
ikhda.fk@ub.ac.id
Nursing Department, Faculty of Health Sciences, Universitas Brawijaya, Indonesia.

Introduction: In-Hospital Cardiac Arrest (IHCA) is a frequent occurrence that necessitates prompt and appropriate assistance to improve survival rates. Nurses in public care rooms and outpatients are expected to be first responders to IHCA until an activated hospital code blue team arrives. Therefore, this study aims to analyze the implementation of code blue response by nurses in outpatient and hospital inpatient rooms in Malang.

Design and Methods: This is a quantitative study that uses observational methods with a cross-sectional approach comprising of 109 inpatient and outpatient care room nurses from 9 hospitals in Malang. The implementation of code blue was measured by a simulated case of adult cardiac arrest in a hospital inpatient room.

Results: The nurses involved were 67.0% female, where the majority have a D3 education qualification (57.7%), with more than ten years working experience (45%). Furthermore, 83.5% of nurses work in regular care rooms and 16.5% come from outpatient rooms. The results showed that the implementation of code blue by nurses in regular care and inpatient rooms was 66.7% and 65.9%, respectively in the insufficient categories. In addition, the Mann-Whitney U test obtained a p-value of 0.929.

Conclusions: In conclusion, there was no significant difference in the implementation of code blue that occurred in the inpatient and outpatient rooms. Further studies were recommended to observe code blue events directly and take samples with balanced proportions.

 

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Ardiansyah F, Nurachmah E, Adam M. Determining The Quality of Compression of Pulmonary Heart Resuscitation by Nurses. Jurnal Aisyiah Medika 2019;3:123–137. DOI: https://doi.org/10.36729/jam.v3i2.167
Ismiroja R, Mulyadi, Kiling M. Experience of nurses in handling cardiac arrest in the emergency department of the hospital Prof. Dr. R. D. Kandou Manado. Jurnal Keperawatan 2018;6(2).
Amini S, Moghadamnia MT, Paryad E, et al. Factors associated with survival rate after cardiopulmonary resuscitation. J Holistic Nurs Midw 2017;27:1–7.
Miranzadeh S, Adib-Hajbaghery M, Hosseinpour N. A prospective study of survival after in-hospital cardiopulmonary resuscitation and its related factors. Trauma Mont 2016;21:e31796. DOI: https://doi.org/10.5812/traumamon.31796
Virani SS, Alonso A, Aparicio HJ, et al. Heart Disease and Stroke Statistics—2021 Update: A Report From the American Heart Association. Circulation 2021 Feb 23;143:e254-e743.
Dwyer T, Mosel WI. Nurses behavior regarding CPR and the theories of reasoned action and planned behavior. Resuscitation 2002;52:85–90. DOI: https://doi.org/10.1016/S0300-9572(01)00445-2
Raffee LA, Samrah SM, Al Yousef HN, et al. Incidence, Characteristics, and Survival Trend of Cardiopulmonary Resuscitation Following In-hospital Compared to Out-of-hospital Cardiac Arrest in Northern Jordan. Indian J Crit Care Med 2017;21:436–441. DOI: https://doi.org/10.4103/ijccm.IJCCM_15_17
Yu SJ, Gang IS. The Oriental medicine hospital staff’s educational status, knowledge, attitudes, and self-confidence in performing CPR. Korean J Health Serv Manag 2014;8:109-119. DOI: https://doi.org/10.12811/kshsm.2014.8.4.109
Pasalli C, Pantazopolous I, Dontas I, et al. Evaluation of nurses’ and doctors’ knowledge of basic & advanced life support resuscitation guidelines. Nurse Educ Pract 2011;11:365-369. DOI: https://doi.org/10.1016/j.nepr.2011.03.010
Perkin GD, Boyle W, Bridgestock H, et al. Quality of CPR during advanced resuscitation training. Resuscitation 2008;77:69-74. DOI: https://doi.org/10.1016/j.resuscitation.2007.10.012
Castle N, Garton H, Kenward G. Confidence vs competence: basic life support skills of health professionals. Br J Nurs 2013;16:664-6. DOI: https://doi.org/10.12968/bjon.2007.16.11.23685
Niles D, Sutton RM, Donoghue A, et al. “Rolling Refreshers”: a novel approach to maintain CPR psychomotor skill competence. Resuscitation 2009;80:909-912. DOI: https://doi.org/10.1016/j.resuscitation.2009.04.021
Chan PS, Krumholz, HM, Nichol G, et al. Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med 2008;358:9–17. DOI: https://doi.org/10.1056/NEJMoa0706467
Sullivan NJ, Duval-Arnould J, Twilley M, et al. Simulation exercise to improve retention of cardiopulmonary resuscitation priorities for in-hospital cardiac arrests: a randomized controlled trial. Resuscitation 2015;86:6–13. DOI: https://doi.org/10.1016/j.resuscitation.2014.10.021
Dame R, Kumaat L, Laihad M. Overview of The Level of Knowledge of Nurses About Code Blue System at RSUP Prof. Dr. R. D. Kandou Manado. E-Clini C 2018;6:162–168. DOI: https://doi.org/10.35790/ecl.6.2.2018.22176
Porter JE, Peck B, McNabb TJ, et al. A review of Code Blue activations in a single Regional Australian Healthcare Service: A retrospective descriptive study of RISKMAN data. J Clin Nurs 2020;29:221–227. DOI: https://doi.org/10.1111/jocn.15079
Eroglu SE, Onur O, Urgan O, et al. Blue code: Is it a real emergency? World J Emerg Med 2014;5:20–23. DOI: https://doi.org/10.5847/wjem.j.issn.1920-8642.2014.01.003
Spehe J, March A, Wilson C, et al. The Effect of Videoconferencing on Code Blue Simulation Training. Clin Simul Nurs 2016;12:260-267. DOI: https://doi.org/10.1016/j.ecns.2016.02.013
Everett-Thomas R, Turnbull-Horton V, Valdes B, et al. The influence of high fidelity simulation on first responders retention of CPR knowledge. Appl Nurs Res 2016;30:94-7. DOI: https://doi.org/10.1016/j.apnr.2015.11.005
Mpotos N, Karel D, Vincent VB, et al. Automated testing combined with automated retraining to improve CPR skill level in emergency nurses. Nurse Educ Pract 2015;15:12-21. DOI: https://doi.org/10.1016/j.nepr.2014.11.012
Umuhoza C, Chen L, Unyuzumutima J, et al. Impact of structured basic life-support course on nurses' cardiopulmonary resuscitation knowledge and skills: Experience of a pediatric department in a low-resource country. Afr J Emerg Med 2021;11:366-371. DOI: https://doi.org/10.1016/j.afjem.2021.03.014
Watanabe K, Lopez-Colon D, Shuster JJ, et al. Efficacy and retention of Basic Life Support education including Automated External Defibrillator usage during a physical education period. Prev Med Rep 2017;5:263–267. DOI: https://doi.org/10.1016/j.pmedr.2017.01.004
Madsen J, Lauridsen K, Lofgren B. In-hospital cardiac arrest call procedures and delays of the cardiac arrest team: A nationwide study. Resuscitation Plus 2021;5:100087. DOI: https://doi.org/10.1016/j.resplu.2021.100087
Janatolmakan M, Nouri R, Soroush A, et al. Barriers to the success of cardiopulmonary resuscitation from the perspective of Iranian nurses: A qualitative content analysis. Int Emerg Nurs 2021;54:100954. DOI: https://doi.org/10.1016/j.ienj.2020.100954
Casea R, Susie C, Siedenburga J, et al. Identifying barriers to the provision of bystander cardiopulmonary resuscitation (CPR) in high-risk regions: A qualitative review of emergency calls. Resuscitation 2018;129:43-47. DOI: https://doi.org/10.1016/j.resuscitation.2018.06.001

How to Cite

Suharsono, T., Sunarmi, S., Ida, N., Khirria, B. N., Asrin, N., & Ulya, I. (2023). The implementation of code blue by nurses as first responders in outpatient and inpatient rooms at Malang Indonesia Hospital. Healthcare in Low-Resource Settings, 11(s1). https://doi.org/10.4081/hls.2023.11217
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