Thesis Defence - Robin Hebert

Tuesday, December 20, 2016, 4:00 p.m. to 6:00 p.m.

Initiation of In-hospital CPR: An Examination of Nursing Behaviour within Their Scope of Practice

Robin Hebert
MSc Candidate in Health Systems
Telfer School of Management


Cardiopulmonary resuscitation (CPR) and defibrillation are the interventions performed by health care professionals in order to preserve the life of a patient suffering cardiac arrest. These tasks are important to the role of nurses because they are the most common first responders to in-hospital cardiac arrest scenarios. The early initiation of CPR and defibrillation is essential in increasing the likelihood of a patient surviving cardiac arrest. In fact, for every minute that a patient does not receive chest compressions or defibrillation when they are in cardiac arrest, therisk for death increases by approximately 10 percent. Despite possessing the knowledge, skills, and training to initiate CPR independently, nurses mayhesitate to perform the appropriate actions in a timely manner. This topic has been studied previously; however, there have been no studies directlyexamining this issue in the Ontario context. This study revealed a number of contextual factors in Ontario influencing nurses’ deployment of CPR and defibrillation including variations in hospital unit types, geography, workload, the availability and quality of technology, legislation andregulation, accountability, as well as economic constraints. This thesis explored the factors that influence the behaviour of nurses in the first responder role by employing a mixed-methods research design. In addition, this research aimed to extrapolate findings on the influence of nurses’ scope of practice on their behaviour by employing the conceptual framework on optimizing scopes of practice developed by the Canadian Academy of Health Sciences (2014) to inform a portion of the qualitative data analysis.

Tuesday, December 20, 2016
4:00 p.m. to 6:00 p.m.
LPR 284
129 Louis Pasteur
Ottawa, Ontario K1N 6N5
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