Postreanimationsgespräch auf der Intensivstation

In the context of medical care, healthcare professionals are confronted with cardiopulmonary resuscitation, which can have long-term effects on the participants.

The aim was to develop, implement, and evaluate a protocol-supported post-resuscitation talk for practice in the intensive care unit of a university hospital.

Within the evidence-based nursing working group, university-qualified nurses performed a systematic literature search in CareLit (hpsmedia, Hungen, Germany), the Cochrane Library (Cochrane, London, England), LIVIVO (Deutsche Zentralbibliothek für Medizin, Cologne, Germany), and PubMed/MEDLINE (U.S. National Library of Medicine, Bethesda, MD, USA) as well as using the snowball principle. Based on the results, the post-resuscitation talk and a debriefing protocol were developed and consented in a multiprofessional team. Additionally, a questionnaire to analyze the current situation (t₀) and evaluate the implementation (t₁) was developed.

Implementation of the post-resuscitation talk was conducted from August 2021. The t₀ survey took place from June to July 2021 and for t₁ from February to March 2022. In t₀, fewer interprofessional reflections were carried out after resuscitations in the category always or frequently (17.5%, n = 7) than in t₁ (50.0%, n = 13). The rate of initiated improvement interventions was increased (t₀: 24.3%, n = 9 vs. t₁: 59.1%, n = 13). The results show promotion of multiprofessional collaboration in t₀ and t₁, and potential for optimization in the debriefing protocol in t₁.

Implementation of a post-resuscitation talk in hospitals is a useful tool for the structured interprofessional follow-up of resuscitation events. The results demonstrated initial positive effects and potential for optimization.