Nursing Care and Patient Satisfaction in China

This assignment analyzes a research study titled 'Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe.' The study investigates the connection between nursing care quality, patient satisfaction levels, and overall care quality in both Chinese and European hospitals. It utilizes cross-sectional surveys to gather data from both nurses and patients, providing insights into the factors influencing patient experience and satisfaction within these healthcare systems.

Running head: LIFE SUSTAINING TREATMENT
Cardiopulmonary Resuscitation as Life Sustaining Treatment
Name of the Student
Name of the University
Author Note

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Table of Contents
Topic..........................................................................................................................................2
Implication of the Health Care Practise.....................................................................................2
Presentation of the Case Study...................................................................................................2
Case Study..............................................................................................................................3
Interview Questions and Respond..............................................................................................3
Conclusion:................................................................................................................................4
References..................................................................................................................................5

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Topic
I am a trainee nurse in the CPU cardiopulmonary unit of Kings Hospital in Australia.
In order to illustrate the implications of the health care practise, I have chosen the topic
“Cardiopulmonary Resuscitation as Life Sustaining Treatment”
Implication of the Health Care Practise
Implications for health care practise are to provide quality care to the patients (Prince,
Wu, Guo, Robledo, O'Donnell, Sullivan & Yusuf, 2015). Providing quality care, gains main
attention in the domain of life sustaining treatments. Cardiopulmonary resuscitation (CPR) is
the central component of the life sustaining treatment (Do, 2015). It is an emergency
procedure that encompasses chest compression with arterial ventilation. It is basically a
manual effort that is undertaken to keep the brain work intact until further drugs are been
administered to restore the spontaneous circulation of the blood reach different parts of the
body including brain (Pinto, Haden‐Pinneri & Love, 2013). In recent years, CPR has received
principal focus in recent years due to increase in the in evidence of its potential to save lives
of the critically ill patient and due to its poor delivery quality by the trained professionals
(Abella, 2013). A large number of pre-hospital studies have demonstrated that providing
quality CPR and that too promptly can improve the overall survival rate of the cardiac arrest.
On the other hands, drug such as epinephrine shows little benefit in the grounds of advanced
cardiovascular life support or life sustaining treatments (Abella, 2013).
Presentation of the Case Study
Nursing is the key profession in the health care (Hoeve, Jansen & Roodbol, 2014).
They have a key contribution in the overall well-being of the patient via providing holistic
care (You et al., 2013). In principal determining factors in nursing care is behavior and

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LIFE SUSTAINING TREATMENT
clinical competencies. These two factors determine the length of the hospital stay of the
patient (Aiken et al., 2012).
The current case study deals with how the lack of proper training among the nurses
and lack of proper knowledge in the field of cardiopulmonary Resuscitation increases the rate
of mortality in the CPU for life sustaining treatment. Studies carried out under both pre-
hospital and post hospital environments have showed that there is a sharp difference in the
compression rates, depth of compression, the tenure of pause and subsequently administration
of the hyperventilation during the process of resuscitation care (Sakamoto et al., 2014).
Moreover, there are also a communication gap dealing with how to communicate the patient
or the carers about the CPR or DNR (Do Not Resuscitate) (Bartlett, 2015).
Case Study
Patient in the CPU unit aged 83 years is suffering from end stage Alzheimer’s disease.
He is in a need of CPR in order to sustain his life. The attending nurse at the time of
emergency failed to deliver proper CPR as she lacked the training. Watching the emergency
condition, the doctor who was in round took up the charge and provided proper CPR on time.
However, since he is in his end stage of the disease, CPR will increase his sufferings but his
family members are unwilling or rather say confused to signing the DNR orders.
Interview Questions and Respond
In order to analyze the topic, open-ended questioner was designed and the survey was
made among the nurses (5) of the Kings Hospital, Australia
1. Do lack of proper training hampers in delivering quality CPR?
All the 5 nurses agreed to the fact that lack of proper training hampers in delivering quality
CPR.

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2. Do poor work environment and shortage of workforce create stress?
All the 5 nurses agreed to this point and told that pressure in CPU unit is extremely high and
lack of work force makes the entire situation worse.
3. Do you agree that lack of proper communication skills will result in challenge in
narrating the requirement for the DNR order?
All the 5 nurses are registered and experience and agreed to the above-mentioned question.
Conclusion:
The current study therefore suggests that the lack of proper training, increase in the
work pressure and absence proper communication skills are the major factors behind the drop
in the quality of the CPR and proper communication of DNR. The cumulative affect of all
these factors affects the well-being of end of life care patient in CPU.

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References
Abella, B. S. (2013). The importance of cardiopulmonary resuscitation quality. Current
opinion in critical care, vol. 19(3), pp. 175-180.
Aiken, L. H., Sermeus, W., Van den Heede, K., Sloane, D. M., Busse, R., McKee, M., ... &
Tishelman, C. (2012). Patient safety, satisfaction, and quality of hospital care: cross
sectional surveys of nurses and patients in 12 countries in Europe and the United
States. Bmj, vol. 344, e1717. doi: https://doi.org/10.1136/bmj.e1717
Bartlett, L. S. (2015). Do-not-resuscitate. Nursing2017 Critical Care, 10(3), 44-47.
10.1097/01.CCN.0000461172.07938.c1
Do, W. S. Y. (2015). Cardiopulmonary resuscitation (CPR).
Hoeve, Y. T., Jansen, G., & Roodbol, P. (2014). The nursing profession: public image, self‐
concept and professional identity. A discussion paper. Journal of advanced
nursing, pp. 70(2), vol. 295-309. 10.1111/jan.12177
Pinto, D. C., Haden‐Pinneri, K., & Love, J. C. (2013). Manual and automated
cardiopulmonary resuscitation (CPR): a comparison of associated injury
patterns. Journal of forensic sciences, vol. 58(4), pp. 904-909. 10.1111/1556-
4029.12146
Prince, M. J., Wu, F., Guo, Y., Robledo, L. M. G., O'Donnell, M., Sullivan, R., & Yusuf, S.
(2015). The burden of disease in older people and implications for health policy and
practice. The Lancet, vol. 385(9967), pp. 549-562.
Sakamoto, T., Morimura, N., Nagao, K., Asai, Y., Yokota, H., Nara, S., ... & SAVE-J Study
Group. (2014). Extracorporeal cardiopulmonary resuscitation versus conventional

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cardiopulmonary resuscitation in adults with out-of-hospital cardiac arrest: a
prospective observational study. Resuscitation, vol. 85(6), pp. 762-768.
https://doi.org/10.1016/j.resuscitation.2014.01.031
You, L. M., Aiken, L. H., Sloane, D. M., Liu, K., He, G. P., Hu, Y., ... & Shang, S. M.
(2013). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys
of nurses and patients in hospitals in China and Europe. International journal of
nursing studies, vol. 50(2), pp. 154-161.

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Extra References
Hasselqvist-Ax, I., Riva, G., Herlitz, J., Rosenqvist, M., Hollenberg, J., Nordberg, P., ... &
Karlsson, T. (2015). Early cardiopulmonary resuscitation in out-of-hospital cardiac
arrest. New England Journal of Medicine, vol. 372(24), pp. 2307-2315.
Jabre, P., Belpomme, V., Azoulay, E., Jacob, L., Bertrand, L., Lapostolle, F., ... & Normand,
D. (2013). Family presence during cardiopulmonary resuscitation. New England
Journal of Medicine, vol. 368(11), pp. 1008-1018.
Lerner, E. B., Rea, T. D., Bobrow, B. J., Acker, J. E., Berg, R. A., Brooks, S. C., ... &
Nadkarni, V. M. (2012). Emergency medical service dispatch cardiopulmonary
resuscitation prearrival instructions to improve survival from out-of-hospital cardiac
arrest. Circulation, 125(4), 648-655.
Meaney, P. A., Bobrow, B. J., Mancini, M. E., Christenson, J., De Caen, A. R., Bhanji, F., ...
& Aufderheide, T. P. (2013). Cardiopulmonary resuscitation quality: improving
cardiac resuscitation outcomes both inside and outside the hospital. Circulation, vol.
128(4), pp. 417-435.
Sasson, C., Meischke, H., Abella, B. S., Berg, R. A., Bobrow, B. J., Chan, P. S., ... &
Masoudi, F. (2013). Increasing cardiopulmonary resuscitation provision in
communities with low bystander cardiopulmonary resuscitation
rates. Circulation, vol. 127(12), pp. 1342-1350.
Tabbutt, S., Ghanayem, N., Ravishankar, C., Sleeper, L. A., Cooper, D. S., Frank, D. U., ... &
Graham, E. M. (2012). Risk factors for hospital morbidity and mortality after the
Norwood procedure: a report from the Pediatric Heart Network Single Ventricle

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Reconstruction trial. The Journal of thoracic and cardiovascular surgery, vol. 144(4),
pp. 882-895.
Wang, C. H., Chou, N. K., Becker, L. B., Lin, J. W., Yu, H. Y., Chi, N. H., ... & Lin, M. H.
(2014). Improved outcome of extracorporeal cardiopulmonary resuscitation for out-
of-hospital cardiac arrest–a comparison with that for extracorporeal rescue for in-
hospital cardiac arrest. Resuscitation, vol. 85(9), pp. 1219-1224.