Team dynamics, environmental safety, and emotional regulation in emergency department resuscitation: a qualitative study
AI Summary
Resuscitation effectiveness reflects interaction of team coordination, environmental safety and clinicians' emotional regulation in high-acuity emergency settings.
Clear leadership, adequate staffing and defined roles enhance team dynamics and resuscitation performance; recommend team-based training.
Organised environment, available equipment, crowding control and emotional support reduce safety risks from transfers, violence and traumatic exposure.
BACKGROUND: Effective cardiopulmonary resuscitation (CPR) extends beyond technical proficiency and is influenced by team dynamics, environmental conditions, and clinicians’ emotional responses. Although previous studies have examined barriers and facilitators of resuscitation, these factors have often been investigated separately, providing limited understanding of how they interact during real-time resuscitation practice in emergency departments. Exploring these interrelated domains is essential for improving team performance and patient safety in high-acuity emergency settings.
AIM: This study aimed to explore emergency nurses’ perspectives on how team dynamics, environmental conditions, and emotional experiences interact during resuscitation practice in emergency departments.
METHOD: A qualitative descriptive study was conducted with emergency nurses working in adult emergency departments across university, state, training and research, and private hospitals. Data were collected through focus group interviews using purposive criterion sampling and analyzed using inductive content analysis.
RESULTS: Thirty-one emergency nurses participated in the study. Analysis identified three interrelated themes encompassing nine subthemes: team dynamics (leadership, staffing adequacy, role clarity), environmental safety (equipment availability, overcrowding, patient transfer, violence risk), and emotional regulation (traumatic exposure and crisis management). These themes illustrate how these domains interact to influence resuscitation practice in high-acuity settings.
CONCLUSION: Resuscitation effectiveness reflects the interaction of team coordination, environmental safety, and emotional regulation within emergency settings. Findings highlight the need for team-based training, environmental organization, and emotional support strategies to strengthen resuscitation practice in emergency departments.
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