Predictors of Nurses’ Readiness in Code Blue Events: A Quantitative Analysis

Nuni Apriani, Santy Sanusi, Nita Rismawati

Abstract


Introduction: intra-hospital cardiac arrest (IHCA) is a life-threatening event requiring rapid and coordinated responses through a hospital emergency system known as code blue. Nurses are often the first responders, and their readiness directly affects patients’ survival outcomes. Multiple organizational, psychological, training, and practical skill factors may influence this readiness. Objective: this study aimed to examine the factors influencing nurses’ readiness in responding to code blue calls, focusing on organizational support, psychological conditions, training and simulation, and practical skills. Methods: quantitative analytic-descriptive design was applied among nurses assigned to the code blue team. Data were collected using structured questionnaire and analyzed with logistic regression to determine the relationship between independent variables and nurse readiness. Result: The logistic regression model showed strong explanatory power (R=0,881; R2=0,776) indicating that 77,6% of variance in readiness could be explained by the independent variables. Organizational factors had a statistically significant associated with readiness


Keywords


Cardiac Arrest, Emergency Medical Services, Hospital, Nurses, Organizational Culture, Professional Competence

Full Text:

PDF

References


Anderson, T. M., Secrest, K., Krein, S. L., Schildhouse, R., Guetterman, T. C., Harrod, M., Trumpower, B., Kronick, S. L., Pribble, J., Chan, P. S., & Nallamothu, B. K. (2021). Best Practices for Education and Training of Resuscitation Teams for In-Hospital Cardiac Arrest. Circulation: Cardiovascular Quality and Outcomes, 14(2). https://doi.org/10.1161/ CIRCOUTCOMES.121.008587.

Anjorin, A. (2020). Code Blue. Annals of Internal Medicine, 173(10). https://doi.org/10. 7326/M20-4706.

Bandura, A. (1997). Self-efficacy: The exercise of control.

Basuni, H. L., Gusman, Y., Taufandas, M., & Apriani Susmita Sari. (2024). The Relationship between Nurses’ Knowledge about Emergencies and Code Blue Activation Decisions. Babali Nursing Research, 5(1). https://doi.org/10.37363/bnr.2024.51352.

Çetin, S. B., Sezgin, M. G., Coşkun, M., Sarı, F., & Boztuğ, N. (2023). Evaluation of Code Blue Notifications and Their Results: A University Hospital Example. Turkish Journal of Anaesthesiology and Reanimation, 51(2). https://doi.org/10.5152/TJAR.2023.22965.

Choopani, R., Ehsani, M., & Mazloumi, A. (2024). Identification of the contextual factors influencing the effectiveness of in-service training in healthcare organizations. BMC Medical Education, 24(1), 753. https://doi.org/10.1186/s12909-024-05784-0.

Cumming, G., & Calin-Jageman, R. (2024). Introduction to the New Statistics. Routledge. https://doi.org/10.4324/9781032689470.

Flanagan, J. , & B. C. T. (2024). Polit & Beck’s nursing research: Generating and assessing evidence for nursing practice. Lippincott Williams & Wilkins.

Guetterman, T. C., Kellenberg, J. E., Krein, S. L., Harrod, M., Lehrich, J. L., Iwashyna, T. J., Kronick, S. L., Girotra, S., Chan, P. S., & Nallamothu, B. K. (2019). Nursing roles for in-hospital cardiac arrest response: Higher versus lower performing hospitals. BMJ Quality and Safety, 28(11). https://doi.org/10.1136/bmjqs-2019-009487.

Hu, H., Liu, J., Yuan, C., & Zhang, L. (2024). Organizational evidence-based practice culture and nurses’ evidence-based practice implementation: The mediating role of leadership. International Nursing Review, 71(1), 102–111. https://doi.org/10.1111/inr.12890.

Jerkeman, M., Sultanian, P., Lundgren, P., Nielsen, N., Helleryd, E., Dworeck, C., Omerovic, E., Nordberg, P., Rosengren, A., Hollenberg, J., Claesson, A., Aune, S., Strömsöe, A., Ravn-Fischer, A., Friberg, H., Herlitz, J., & Rawshani, A. (2022). Trends in survival after cardiac arrest: a Swedish nationwide study over 30 years. European Heart Journal, 43(46). https://doi.org/10.1093/eurheartj/ehac414.

Khosravi, S., Dehkourdi, N. J., Mousivand, F., & Gapleh, N. (2022). Investigation of nurses’ readiness levels in different wards of the hospital. Journal of Family Medicine and Primary Care, 11(10), 6369–6374. https://doi.org/10.4103/jfmpc.jfmpc_242_22.

Kim, S. H. (2024). Analysis of factors influencing nursing students’ confidence and critical thinking disposition in clinical skills performance. Korean Journal of Safety Culture in Health and Environment, 20(1), 45–54. https://doi.org/10.14400/KJSHE.2024.20.1.45.

Kuday Kaykisiz, E., Tongun, A., Sonmezsoy, M., & Guven, R. (2017). “Code Blue” in Theory Versus Daily Practice: Data from a Secondary Care Hospital Short title: “Code Blue” in a State Hospital. Eurasian Journal of Emergency Medicine, 16(4). https://doi.org/10.5152/ eajem.2017.79664.

McWhirter, M., Heikkinen, P., Dérissé, G., & Mehta, A. K. (2022). Specialty Palliative Care in a Code Blue: An Unexpected Role. Journal of Palliative Medicine, 25(11). https://doi.org/10. 1089/jpm.2021.0617.

Mentzelopoulos, S. D., Couper, K., Voorde, P. Van de, Druwé, P., Blom, M., Perkins, G. D., Lulic, I., Djakow, J., Raffay, V., Lilja, G., & Bossaert, L. (2021). European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions. Resuscitation, 161. https://doi.org/10.1016/j.resuscitation.2021.02.017.

Penketh, J., & Nolan, J. P. (2022). In-hospital cardiac arrest: the state of the art. In Critical Care (Vol. 26, Issue 1). https://doi.org/10.1186/s13054-022-04247-y.

Spitzer, C. R., Evans, K., Buehler, J., Ali, N. A., & Besecker, B. Y. (2019). Code blue pit crew model: A novel approach to in-hospital cardiac arrest resuscitation. Resuscitation, 143. https://doi.org/10.1016/j.resuscitation.2019.06.290.

Sun, Y., Wang, J., Chen, X., & Li, L. (2024). Analysis of influencing factors on cognition of innovation among clinical nurses. Medicine, 103(5), e41025. https://doi.org/10.1097/MD. 0000000000041025.

Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd.

Tezcan Keleş, G., Özbilgin, Ş., Uğur, L., Birbiçer, H., Akın, Ş., Kuvaki, B., Doruk, N., Türkan, H., & Akan, M. (2021). Evaluation of cardiopulmonary resuscitation conditions in turkey: Current status of code blue. Turkish Journal of Anaesthesiology and Reanimation, 49(1). https://doi.org/10.5152/TJAR.2021.136.

Weiner, B. J. (2020). A theory of organizational readiness for change. In Handbook on Implementation Science. Edward Elgar Publishing. https://doi.org/10.4337/9781788975995. 00015.

Wiliastuti, U. N., Anna, A., & Mirwanti, R. (2018). PENGETAHUAN TIM REAKSI CEPAT TENTANG BANTUAN HIDUP DASAR. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 4(2). https://doi.org/10.33755/jkk.v4i2.105.




DOI: https://doi.org/10.17509/jpki.v11i2.90038

Refbacks

  • There are currently no refbacks.




Jurnal Pendidikan Keperawatan Indonesia(JPKI) published by Indonesia University of Education. JPKI is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License

View My Stats

Office :
Nursing Department. FPOK UPI.
229, Dr. Setiabudhi Street. Bandung 40154
West Java , Indonesia
E-mail : [email protected]