scholarly journals Retention of knowledge of and skills in cardiopulmonary resuscitation among healthcare providers after training

2010 ◽  
Vol 52 (5) ◽  
pp. 459-462 ◽  
Author(s):  
K Govender ◽  
C Rangiah ◽  
A Ross ◽  
L Campbell
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Healthcare Providers ◽  
Retention Of Knowledge

scholarly journals Effect of the Use of Metronome Feedback on the Quality of Pediatric Cardiopulmonary Resuscitation

2021 ◽  
Vol 18 (15) ◽  
pp. 8087
Author(s):  
Dongjun Yang ◽  
Wongyu Lee ◽  
Jehyeok Oh
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Healthcare Providers ◽  
Compression Rate ◽  
Audio Feedback ◽  
Simple Method ◽  
Compression Depth ◽  
Pediatric Resuscitation ◽  
Cpr Quality

Although the use of audio feedback with devices such as metronomes during cardiopulmonary resuscitation (CPR) is a simple method for improving CPR quality, its effect on the quality of pediatric CPR has not been adequately evaluated. In this study, 64 healthcare providers performed CPR (with one- and two-handed chest compression (OHCC and THCC, respectively)) on a pediatric resuscitation manikin (Resusci Junior QCPR), with and without audio feedback using a metronome (110 beats/min). CPR was performed on the floor, with a compression-to-ventilation ratio of 30:2. For both OHCC and THCC, the rate of achievement of an adequate compression rate during CPR was significantly higher when performed with metronome feedback than that without metronome feedback (CPR with vs. without feedback: 100.0% (99.0, 100.0) vs. 94.0% (69.0, 99.0), p < 0.001, for OHCC, and 100.0% (98.5, 100.0) vs. 91.0% (34.5, 98.5), p < 0.001, for THCC). However, the rate of achievement of adequate compression depth during the CPR performed was significantly higher without metronome feedback than that with metronome feedback (CPR with vs. without feedback: 95.0% (23.5, 99.5) vs. 98.5% (77.5, 100.0), p = 0.004, for OHCC, and 99.0% (95.5, 100.0) vs. 100.0% (99.0, 100.0), p = 0.003, for THCC). Although metronome feedback during pediatric CPR could increase the rate of achievement of adequate compression rates, it could cause decreased compression depth.

scholarly journals Influence of the COVID-19 Pandemic and Bystander-victim Relationship on the Willingness of Thai Healthcare Providers and Laypersons to Perform Cardiopulmonary Resuscitation: a Cross-sectional Online Survey

2021 ◽  
Author(s):  
Suhattaya Boonmak ◽  
Thapanawong Mitsungnern ◽  
Pimmada Boonmak ◽  
Polpun Boonmak
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Marital Status ◽  
Self Efficacy ◽  
Associated Factors ◽  
Online Survey ◽  
Healthcare Providers ◽  
Family Members ◽  
Thai Population ◽  
Cross Sectional ◽  
Bystander Cardiopulmonary Resuscitation

Abstract Background: Out-of-hospital cardiac arrest (OHCA) is a significant health problem in many Asian countries. Bystander cardiopulmonary resuscitation (CPR) can reduce mortality from OHCA. The willingness of bystanders to initiate aid is also critical. During the COVID-19 pandemic, CPR eases to spread of COVID-19 with negatively affect the decision. The objectives were to study the influence of the COVID-19 pandemic and bystander-victim relationship on the willingness of Thai healthcare providers (HCPs) and laypersons to perform CPR and associated factors.Methods: The cross-sectional online survey was conducted between August to November 2020 in a Thai population. A structured questionnaire was developed and given to volunteers as an online survey. We recorded participant characteristics and willingness to perform compression-only CPR (W-COC) and conventional CPR (W-CC) on family members, acquaintances, and strangers during the pandemic and in a non-pandemic situation and analyzed associated factors.Results: We included 419 laypersons and 716 HCPs. Lay-participants expressed less W-COC on acquaintances and strangers (risk ratio [RR] 0.74-0.85), but not on family members. By contrast, the HCPs were less W-COC across the board (RR 0.84-0.92). Both groups were less W-CC on all recipients (RR 0.43-0.54). There was no difference in participants’ W-COC and W-CC on family members and acquaintances, except that HCPs expressed greater W-CC on family members. Participants in all groups were less W-COC and W-CC on strangers. W-COC was correlated with CPR knowledge (Odds ratio [OR] 2.32), self-efficacy (OR 1.96), single marital status (OR 1.91), and being an HCP (OR 2.00). W-CC on family members was related to CPR knowledge (OR 2.16).Conclusion: Participants were less willing during the COVID-19 pandemic on all groups except family members of lay participants. The victim’s relationship to the participant was more important in conventional CPR than compression-only CPR, especially in HCPs. CPR knowledge, self-efficacy, single marital status, and being an HCP related to higher willingness.Trial registration: TCTR20210330003 (Thai Clinical Trials Registry)

scholarly journals Family Presence During Resuscitation: Adaptation and Validation into Spanish of the Family Presence Risk-Benefit Scale and the Self-Confidence Scale Instrument

2020 ◽  
Author(s):  
Eva de Mingo-Fernández ◽  
Ángel Belzunegui-Eraso ◽  
María Jiménez-Herrera
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Likelihood Method ◽  
Moderate Intensity ◽  
Family Presence ◽  
Self Confidence ◽  
The Family ◽  
Confidence Scale

Abstract Background Since the 1980s, the controversial issue of family presence during cardiopulmonary resuscitation has been studied both to identify the perceptions, opinions and beliefs of health professionals, patients and family members, and to identify benefits and barriers, as well as to design training programs and protocols for its implementation. In 2008, Twibell et al designed a questionnaire that measured nurses’ perceptions of Risks-Benefits and Self-Confidence regarding Family Presence during Resuscitation. There are few studies in Spain on this practice, and therefore, this study is carried out using the same instrument, so that a comparison can be made.Methods The objective is to adapt and validate into Spanish the Family Presence Risk-Benefit scale and Family Presence Self-Confidence scale (FPRB-FPSC) instrument by Twibell et al. and thus, know the opinions of our healthcare professionals. For this purpose, a paper and online questionnaire was used. It was self-administered, semi-structured and translated cross-culturally. Statistical tests were carried out for the validity of the questionnaire. 541 healthcare professionals were invited to respond. The results were analyzed by means of factorial analysis with varimax rotation (maximum likelihood method), in addition to ANOVA and Student’s t-test to observe associations between different variables. The study was approved by the institutional review board of the Consorci Sanitari del Garraf, and by the clinical research Ethic Committee of the Fundació Unió Catalana Hospitals.Results 237 healthcare professionals answered the survey (69% women), of whom 167 were nurses. Healthcare providers who have experienced Cardiopulmonary Resuscitation barely reach 13%, with the majority being men and older people. As for the invitation to the FPDR, it barely reaches 5%, and regarding the willingness to include FP in the advance directives, 66% of the healthcare providers are in favor. Health professionals identify similar barriers to Family Presence and factors in its favor.The correlation between the two measured scales, FPRB-FPSC, is significant and has a moderate intensity of the relationship (r = 0.65 and α <0.001).Conclusions The Family Presence During Resuscitation (FPDR) generates controversy among health professionals, with a trend observed along with generational change, since younger professionals tend to accept the Family Presence better. The psychometric properties of the questionnaire indicate high validity and reliability. Risk-Benefit perception and self-confidence are related to the healthcare professionals who consider the Family Presence to be beneficial.

Regional variations in online education test performance for prostate cancer care.

2019 ◽  
Vol 37 (7_suppl) ◽  
pp. 317-317
Author(s):  
Hamsa Jaganathan ◽  
Anne Roc ◽  
Wendy Turell ◽  
Daniel J. George
Keyword(s):  
Prostate Cancer ◽  
Online Education ◽  
Test Performance ◽  
Quality Care ◽  
Healthcare Providers ◽  
Regional Variations ◽  
Significant Difference ◽  
The Us ◽  
Post Test ◽  
Retention Of Knowledge

317 Background: Regional variations in prostate cancer (PC) care in the US remain an issue with inconsistent clinician adherence to quality measures endorsed by national health services. To assess potential disparities in PC care among US-based healthcare providers (HCPs), we compared test performance of clinician participants in PC continuing medical education (CME) activities across 4 US regions. This would enable targeted education with region-specific strategies to effectively manage PC and promote consistent, high-quality care for all patients. Methods: PlatformQ Health developed and executed 3 online CME activities in PC (live broadcast and on-demand). The 1st 2 activities attracted 448 learners July 2016-2017. The 3rd activity attracted 319 learners to date May-Nov 2018. Self-reported US-based practicing HCPs (294) were included in this study. The percent of correct answers to CME tests pre-activity, post-activity, and at 8-weeks were collected and tested for significance (using 1 and 2 factor ANOVA tests) among 4 US regions: Northeast, Midwest, South, and West. CME test questions included case studies, new data on castration-resistant PC, and managing adverse events. Results: No significant difference was observed among the 4 regions in the pretest scores (p = 0.080, α = 0.05). While there was a significant improvement in performance among learners between pretest and posttest (p = 0.001), no significant regional variations were observed. There was also a significant improvement in performance from pretest to the follow-up test, which validates retention of knowledge 8 weeks after the education (p = 0.0016). However, learners from the South region performed significantly better than learners from the other regions (p < 0.05) when it came to 8-week retention. Conclusions: Education can improve knowledge and competence in PC management among US-based HCPs. Future studies, including post- test surveys regarding practice integration, should identify reasons for regional discrepancies in test performances among providers specializing in PC. A broader understanding towards PC care variations can help tailor CME activities specific to regional issues and identify region-specific best practices and learning gaps.

scholarly journals A non-inferiority randomised controlled trial comparing self-instruction with instructor-led method in training of layperson cardiopulmonary resuscitation

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ying-Chih Ko ◽  
Chih-Wei Yang ◽  
Hao-Yang Lin ◽  
Wen-Chu Chiang ◽  
Ming-Ju Hsieh ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Controlled Trial ◽  
Healthcare Providers ◽  
The Self ◽  
Pass Rate ◽  
Absolute Difference ◽  
Knowledge Test ◽  
Instruction Group ◽  
Skill Performance ◽  
Self Instruction

AbstractOur study aimed to compare the effect of self-instruction with manikin feedback to that of instructor-led method on cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) skill performance. In our randomized non-inferiority trial, 64 non-healthcare providers were randomly allocated into self-instruction and instructor-led groups. Both groups watched a 27-min standardized teaching video. Participants in the self-instruction group then performed hands-on practice on the Resusci Anne QCPR with a device-driven feedback, while those in the instructor-led group practiced manikins; feedback was provided and student’s questions were answered by instructors. Outcomes were measured by blinded evaluators and SkillReporter software. The primary outcome was the pass rate. Secondary outcomes were scores of the knowledge test and items of individual skill performance. The baseline characteristics of the two groups were similar. The pass rates were 93.8% in both group (absolute difference 0%, p = 0.049 for noninferiority). The knowledge test scores were not significantly different. However, the self-instruction group performed better in some chest compression and ventilation skills, but performed worse in confirming environmental safety and checking normal breathing. There was no difference in AED skills between the two groups. Our results showed the self-instruction method is not inferior to the instructor-led method.

scholarly journals Cardiac arrest with pulseless electrical activity rhythm in newborn infants: a case series

2019 ◽  
Vol 104 (6) ◽  
pp. F572-F574 ◽  
Author(s):  
Deandra Luong ◽  
Po-Yin Cheung ◽  
Keith J Barrington ◽  
Peter G Davis ◽  
Jennifer Unrau ◽  
...  
Keyword(s):  
Heart Rate ◽  
Cardiopulmonary Resuscitation ◽  
Electrical Activity ◽  
Activity Rhythm ◽  
Healthcare Providers ◽  
Newborn Infants ◽  
Case Series ◽  
Neonatal Resuscitation ◽  
Pulseless Electrical Activity ◽  
Resuscitation Guidelines

The 2015 neonatal resuscitation guidelines added ECG to assess an infant’s heart rate when determining the need for resuscitation at birth. However, a recent case report raised concerns about this technique in the delivery room. We report four cases of pulseless electrical activity during neonatal cardiopulmonary resuscitation in levels II–III neonatal intensive care units in Canada (Edmonton [n=3] and Winnipeg [n=1]).Healthcare providers should be aware that pulseless electrical activity can occur in newborn infants during cardiopulmonary resuscitation. We propose an adapted neonatal resuscitation algorithm to include pulseless electrical activity. Furthermore, in compromised newborns, heart rate should be assessed using a combination of methods/techniques to ensure accurate heart rate assessment. When ECG displays a heart rate but the infant is unresponsive, pulseless electrical activity should be suspected and chest compression should be started.

scholarly journals Physicians’ Characteristics Associated with Their Attitude to Family Presence during Adult Cardiopulmonary Resuscitation

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Ali A. Al bshabshe ◽  
Mohammad Y. Al Atif ◽  
Mohammed A. Bahis ◽  
Abdulrahman M. Asiri ◽  
AbdulAziz M. Asseri ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Cardiopulmonary Resuscitation ◽  
Patient Care ◽  
Healthcare Providers ◽  
Psychological Trauma ◽  
Chi Square ◽  
Cross Sectional ◽  
Family Presence ◽  
Chi Square Test ◽  
Cross Sectional Design

Healthcare providers have disparate views of family presence during cardiopulmonary resuscitation; however, the attitudes of physicians have not been investigated systematically. This study investigates the patterns and determinants of physicians’ attitudes to FP during cardiopulmonary resuscitation in Saudi Arabia. A cross-sectional design was applied, where a sample of 1000 physicians was surveyed using a structured questionnaire. The study was conducted in the southern region of Saudi Arabia for over 11 months (February 2014–December 2014). The collected data was analyzed using the Pearson chi-square test. Spearman’s correlation analysis and chi-square test of independence were used for the analysis of physicians’ characteristics with their willingness to allow FP. 80% of physicians opposed FP during cardiopulmonary resuscitation. The majority of them believed that FP could lead to decreased bedside space, staff distraction, performance anxiety, interference with patient care, and breach of privacy. They also highlight FP to result in difficulty concerning stopping a futile cardiopulmonary resuscitation, psychological trauma to family members, professional stress among staff, and malpractice litigations. 77.9% mostly disagreed that FP could be useful in allaying family anxiety about the condition of the patient or removing their doubts about the care provided, improving family support and participation in patient care, or enhancing staff professionalism. Various concerns exist for FP during adult cardiopulmonary resuscitation, which must be catered when planning for FP execution.

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