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Type: Thesis
Title: Nurses’ lived experience of delivering temporary epicardial cardiac pacing care: an Australian cardiothoracic intensive care finding
Author: Han, Matilda Kyungsook
Issue Date: 2017
School/Discipline: School of Nursing
Abstract: There are many examples in literature concerning the effectiveness or complications associated with temporary epicardial pacing practice. While surrounding literature identifies elements essential to safe care and challenges faced by clinicians managing temporary epicardial pacing systems, no literature was identified about nurses’ experience in managing this practice. This study contributes to understanding of nurses’ experiences of managing temporary epicardial pacing. An interpretive phenomenological framework articulated by Heidegger was used to generate rich and descriptive data of this little known phenomenon. In-depth interviews were conducted with eight registered nurses who work in the specialist cardiothoracic intensive care and had responsibility for delivering temporary epicardial pacing care. The transcripts from the interviews were analysed using Smith’s Interpretive Phenomenology Analysis (IPA) method and to gain deeper interpretation, consideration of Benner’s five-stage skill acquisition theory was used as a lens to further examine the findings. The participants’ shared experiences revealed three major themes; ‘Risky business’, ‘Take time to own’ and ‘Zeroing in’. These themes were experienced in a variety of ways depending on the skill level of each participant. Furthermore, the interpretation of the study recognized that an internal motivation to use pacing at its optimal best, is characteristic of an expert. Strengths and limitations and implications for both clinical practice and education are discussed, and suggestions for future research are included.
Advisor: Donnelly, Francis Patrick
Dissertation Note: Thesis (M.Nurs.Sc.) -- University of Adelaide, School of Nursing, 2017
Keywords: coursework
epicardial pacing
temporary pacing
nurse experience
intensive care
cardiac pacing
Provenance: This electronic version is made publicly available by the University of Adelaide in accordance with its open access policy for student theses. Copyright in this thesis remains with the author. This thesis may incorporate third party material which has been used by the author pursuant to Fair Dealing exceptions. If you are the owner of any included third party copyright material you wish to be removed from this electronic version, please complete the take down form located at:
DOI: 10.4225/55/5abb290b6c0ad
Appears in Collections:School of Nursing

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