RNOtherRevista brasileira de enfermagem2026

Quality of nursing records in cardiac arrest based on the In-hospital Utstein Style protocol.

Dhieizom Rodrigo de Souza, Lucia Tobase, Débora Rodrigues Vaz and 3 others

PMID 42585452

WHAT IT FOUND

Brief training and a support form improved cardiac arrest record completion from 55.57% to 65.25% and completeness from 68.66% to 76.54%.

Several standardized items did not improve.

Key findings

01After the intervention, mean compliance for completing cardiac arrest nursing records rose from 55.57% to 65.25% (p=0.003).

02After the intervention, mean completeness of documented information rose from 68.66% to 76.54% (p=0.001).

03Some standardized items did not improve significantly, and initial rhythm completeness fell from 47.19% to 39.33% (p=1.000).

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

It was a single-center study, and the pilot documentation form was used only in the Adult Intensive Care Unit and Adult Emergency Room. The form was not officially approved by the institution. Data collection occurred during the SARS-CoV-2 pandemic, when these units changed care to protect patients and staff. Training and a support form were introduced together, so the study cannot show which component caused the change. The study measured nursing record documentation, not patient outcomes.

The easy way to misread this

Do not conclude that the training alone improved patient survival. Training and a support form were used together, and the contribution of either component cannot be separated. The study measured nursing records, not survival.

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