European cardiovascular nurses’ and allied professionals’ knowledge and practical skills regarding cardiopulmonary resuscitation

Purpose: Cardiopulmonary resuscitation (CPR) remains a cornerstone in the treatment of cardiac arrest, and is directly linked to survival rates. Nurses are often first responders and need to be skilled in the performance of cardiopulmonary resuscitation. As cardiopulmonary resuscitation skills deteriorate rapidly, the purpose of this study was to investigate whether there was an association between participants’ cardiopulmonary resuscitation training and their practical cardiopulmonary resuscitation test results. Methods: This comparative study was conducted at the 2014 EuroHeartCare meeting in Stavanger ( n=133) and the 2008 Spring Meeting on Cardiovascular Nursing in Malmö ( n=85). Participants performed cardiopulmonary resuscitation for three consecutive minutes CPR training manikins from Laerdal Medical®. Data were collected with a questionnaire on demographics and participants’ level of cardiopulmonary resuscitation training. Results: Most participants were female (78%) nurses (91%) from Nordic countries (77%), whose main role was in nursing practice (63%), and 71% had more than 11 years’ experience ( n=218). Participants who conducted cardiopulmonary resuscitation training once a year or more ( n=154) performed better regarding ventilation volume than those who trained less (859 ml vs. 1111 ml, p=0.002). Those who had cardiopulmonary resuscitation training offered at their workplace ( n=161) also performed better regarding ventilation volume (889 ml vs. 1081 ml, p=0.003) and compression rate per minute (100 vs. 91, p=0.04) than those who had not. Conclusion: Our study indicates a positive association between participants’ performance on the practical cardiopulmonary resuscitation test and the frequency of cardiopulmonary resuscitation training and whether cardiopulmonary resuscitation training was offered in the workplace. Large ventilation volumes were the most common error at both measuring points.

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Public Attitudes Towards Cardiopulmonary Resuscitation Training and Performance in Singapore

10.21203/rs.3.rs-105692/v1 ◽

2020 ◽

Author(s):

Susmita Roy Chowdhury ◽

Venkataraman Anantharaman

Keyword(s):

Cardiopulmonary Resuscitation ◽

Survival Rates ◽

Training Session ◽

Mouth Breathing ◽

Chest Compressions ◽

Refresher Training ◽

Resuscitation Training ◽

Level Of Difficulty ◽

And Performance ◽

Cpr Training

Abstract Background: Bystander cardiopulmonary resuscitation (CPR) rates remain fairly low through most communities despite multiple interventions through the years. Understanding the attitudes and fears behind CPR training and performance would help target education and training to raise the rates of bystander CPR and consequently survival rates of victims. 7909 participants at a single-day mass CPR training session in Singapore were given survey questionnaires to fill out. 6473 people submitted completed forms upon the conclusion of the training session. Some issues looked at were overall level of difficulty of CPR, difficulty levels of specific skills, attitudes towards refresher training, attitudes towards performing CPR and fears when doing so.Results: The mean level of difficulty of CPR was rated 3.98 (scale of 1-10), with those with previous CPR training rating it easier. The skills rated most difficult were performing mouth-to mouth breathing and chest compressions, while the easiest rated was recognising non-responsiveness. A majority (69.7%) would agree to go for refresher training every 2 years and 88.7% felt everyone should be trained in CPR. 71.6% would perform full CPR for a member of public in cardiac arrest and only 20.7% would prefer to only do chest-compressions. The most cited fear was a low level of confidence, and fears of acquiring infections or aversion to mouth-to-mouth breathing were low.Conclusions: The survey results show that most participants in Singapore are keen to perform conventional CPR for a member of public and can help to target future CPR training accordingly.

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Public Opinion on Community Basic Cardiopulmonary Resuscitation Training: a Survey of Inhabitants of the Crimean Peninsula

Russian Sklifosovsky Journal Emergency Medical Care ◽

10.23934/2223-9022-2018-7-4-311-318 ◽

2019 ◽

Vol 7 (4) ◽

pp. 311-318 ◽

Cited By ~ 1

Author(s):

A. A. Birkun ◽

Y. A. Kosova

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Fatal Outcome ◽

Motivation To Learn ◽

Potential Health ◽

Crimean Peninsula ◽

Resuscitation Training ◽

Cpr Training ◽

Hospital Cardiac Arrest ◽

The Crimean Peninsula

Background.The chances of fatal outcome in out-of-hospital cardiac arrest are exceeding 90%. However, the early initiation of bystander cardiopulmonary resuscitation (CPR) substantially improves the probability of survival. The study was aimed to determine the extent of community CPR training, level of CPR knowledge, willingness and motivation to learn CPR among the population of the Crimea.Materials and methods.The representative sample of adult residents of the Crimean Peninsula (n=384) has been surveyed by means of individual structured interview from November 2017 to January 2018. The results were analyzed with social statistics.Results.According to the survey, 53% of respondents were previously trained in CPR. The training was performed mainly (82%) at work, school, college/technical school or university, or when acquiring a driver's license. The majority of females, people over 60, unemployed and retired, widowed and those with monthly income lower than 20,000 roubles are not trained. Of previously trained, 44% respondents attended a single CPR course, 72% were trained more than one year ago, 47% of participants had no previous training in CPR, mostly never thinking about the need to go for training. Being dependent from previous CPR training, the knowledge of CPR is generally poor: the proportions of correct answering as of the proper location and rate of chest compressions were 46% and 4%, respectively. Among the respondents, 56% expressed their willingness to attend CPR training. The main motivating factors to attend CPR training were awareness of importance of CPR training, potential health problems in relatives/friends and free-of-charge training.Conclusion.The Crimean population is insufficiently and non-uniformly trained in CPR, has limited knowledge of CPR and low motivation to learn. In order to increase the commitment of the community to provide first aid in out-of-hospital cardiac arrest, mass CPR training programs should be implemented with active involvement of the least trained and motivated social strata.

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Incorporating cardiopulmonary resuscitation training into a cardiac rehabilitation programme: A feasibility study

European Journal of Cardiovascular Nursing ◽

10.1177/1474515117721010 ◽

2017 ◽

Vol 17 (2) ◽

pp. 148-158 ◽

Cited By ~ 11

Author(s):

Susie Cartledge ◽

Judith Finn ◽

Janet E Bray ◽

Rosalind Case ◽

Lauren Barker ◽

...

Keyword(s):

Cardiopulmonary Resuscitation ◽

Cardiac Rehabilitation ◽

Family Members ◽

Target Population ◽

Rehabilitation Programme ◽

Cardiac Events ◽

Cardiac Rehabilitation Programme ◽

Resuscitation Training ◽

Self Instruction ◽

Cpr Training

Background: Patients with a cardiac history are at future risk of cardiac events, including out-of-hospital cardiac arrest. Targeting cardiopulmonary resuscitation (CPR) training to family members of cardiac patients has long been advocated, but is an area in need of contemporary research evidence. An environment yet to be investigated for targeted training is cardiac rehabilitation. Aim: To evaluate the feasibility of providing CPR training in a cardiac rehabilitation programme among patients, their family members and staff. Methods: A prospective before and after study design was used. CPR training was delivered using video self-instruction CPR training kits, facilitated by a cardiac nurse. Data was collected pre-training, post-training and at one month. Results: Cardiac patient participation rates in CPR classes were high ( n = 56, 72.7% of eligible patients) with a further 27 family members attending training. Patients were predominantly male (60.2%), family members were predominantly female (81.5%), both with a mean age of 65 years. Confidence to perform CPR and willingness to use skills significantly increased post-training (both p<0.001). Post training participants demonstrated a mean compression rate of 112 beats/min and a mean depth of 48 mm. Training reach was doubled as participants shared the video self-instruction kit with a further 87 people. Patients, family members and cardiac rehabilitation staff had positive feedback about the training. Conclusions: We demonstrated that cardiac rehabilitation is an effective and feasible environment to provide CPR training. Using video self-instruction CPR training kits enabled further training reach to the target population.

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Exploring How Lay Rescuers Overcome Barriers to Provide Cardiopulmonary Resuscitation: A Qualitative Study

Prehospital and Disaster Medicine ◽

10.1017/s1049023x16001278 ◽

2016 ◽

Vol 32 (1) ◽

pp. 27-32 ◽

Cited By ~ 6

Author(s):

Wenche Torunn Mathiesen ◽

Conrad Arnfinn Bjørshol ◽

Sindre Høyland ◽

Geir Sverre Braut ◽

Eldar Søreide

Keyword(s):

Qualitative Study ◽

Cardiopulmonary Resuscitation ◽

Qualitative Content Analysis ◽

Survival Rates ◽

Social Institutions ◽

Structured Interview ◽

Publication Type ◽

Interview Guide ◽

Lay Rescuer ◽

Cpr Training

AbstractBackgroundSurvival rates after out-of-hospital cardiac arrest (OHCA) vary considerably among regions. The chance of survival is increased significantly by lay rescuer cardiopulmonary resuscitation (CPR) before Emergency Medical Services (EMS) arrival. It is well known that for bystanders, reasons for not providing CPR when witnessing an OHCA incident may be fear and the feeling of being exposed to risk. The aim of this study was to gain a better understanding of why barriers to providing CPR are overcome.MethodsUsing a semi-structured interview guide, 10 lay rescuers were interviewed after participating in eight OHCA incidents. Qualitative content analysis was used. The lay rescuers were questioned about their CPR-knowledge, expectations, and reactions to the EMS and from others involved in the OHCA incident. They also were questioned about attitudes towards providing CPR in an OHCA incident in different contexts.ResultsThe lay rescuers reported that they were prepared to provide CPR to anybody, anywhere. Comprehending the severity in the OHCA incident, both trained and untrained lay rescuers provided CPR. They considered CPR provision to be the expected behavior of any community citizen and the EMS to act professionally and urgently. However, when asked to imagine an OHCA in an unclear setting, they revealed hesitation about providing CPR because of risk to their own safety.ConclusionMutual trust between community citizens and towards social institutions may be reasons for overcoming barriers in providing CPR by lay rescuers. A normative obligation to act, regardless of CPR training and, importantly, without facing any adverse legal reactions, also seems to be an important factor behind CPR provision.MathiesenWT, BjørsholCA, HøylandS, BrautGS, SøreideE. Exploring how lay rescuers overcome barriers to provide cardiopulmonary resuscitation: a qualitative study. Prehosp Disaster Med. 2017;32(1):27–32.

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RELIVE Tracking for quality cardiopulmonary resuscitation training: An experimental comparison with a standard CPR training mannequin

Resuscitation ◽

10.1016/j.resuscitation.2015.04.002 ◽

2015 ◽

Vol 93 ◽

pp. e1-e2 ◽

Cited By ~ 2

Author(s):

Claudio Loconsole ◽

Antonio Frisoli ◽

Nicola Mastronicola ◽

Fabio Stroppa ◽

Giuseppe Ristagno ◽

...

Keyword(s):

Cardiopulmonary Resuscitation ◽

Experimental Comparison ◽

Resuscitation Training ◽

Cpr Training

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The Effect of ten-minute dispatch-assisted cardiopulmonary resuscitation training: a randomized simulation pilot study

10.21203/rs.3.rs-18192/v2 ◽

2020 ◽

Author(s):

Hidetada Fukushima ◽

Hideki Asai ◽

Tadahiko Seki ◽

Keisuke Takano ◽

Francesco Bolstad

Keyword(s):

Pilot Study ◽

Cardiopulmonary Resuscitation ◽

Life Support ◽

Role Playing ◽

Time Interval ◽

Standard Group ◽

Modest Improvement ◽

Group Standard ◽

Resuscitation Training ◽

Cpr Training

Abstract Background Immediate bystander cardiopulmonary resuscitation (CPR) is essential for survival from sudden cardiac arrest (CA). Current CPR guidelines recommend that dispatchers assist lay rescuers performing CPR (dispatch-assisted CPR: DACPR), which can double the frequency of bystander CPR. Laypersons, however, are not familiar with receiving CPR instructions from dispatchers. DACPR training can be beneficial for lay rescuers, but this has not yet been validated. The aim of this study was to determine the effectiveness of simple DACPR training for lay rescuers. Methods We conducted a DACPR simulation pilot study. Participants who were non-health-care professionals with no CPR training within 1 year prior to this study were recruited from Nara Medical University hospital. The participants were randomly assigned to one of two 90-minute adult basic life support (BLS) training course groups : DACPR Group (standard adult BLS training plus an additional 10-minute DACPR training) or Standard Group (standard adult BLS training only). In DACPR Group, participants practiced DACPR through role-playing of a dispatcher and an emergency caller. Six months after the training, all subjects were asked to perform a 2-minute CPR simulation under instructions given by off-duty dispatchers. Results Out of the 66 participants, 59 completed the simulation (30 from the DACPR Group and 29 from the Standard Group). The CPR quality was similar between the two groups. However, the median time interval between call receipt and the first dispatch-assisted compression was faster in the DACPR group (108 s vs. 129 s, p = 0.042). Conclusions This brief DACPR training in addition to standard CPR training can result in a modest improvement in the time to initiate CPR. Future studies are now required to examine the effect of DACPR training on survival of sudden CA.

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Abstract 12035: Effect of 10-minute Dispatch-Assisted Cardiopulmonary Resuscitation Training in Addition to a Standard Course: A Simulation Study

Circulation ◽

10.1161/circ.132.suppl_3.12035 ◽

2015 ◽

Vol 132 (suppl_3) ◽

Author(s):

Hidetada Fukushima ◽

Hideki Asai ◽

Kazunobu Norimoto ◽

Tadahiko Seki ◽

Yasuyuki Kawai ◽

...

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Median Time ◽

Simulation Study ◽

Time Interval ◽

Standard Group ◽

Chest Compressions ◽

Resuscitation Training ◽

Group A ◽

Cpr Training

Introduction: Immediate bystander cardiopulmonary resuscitation (CPR) is essential for the good outcome of sudden cardiac arrest victims. Current guidelines recommend dispatch-assisted CPR (DA-CPR), which can double the frequency of bystander CPR. Laypersons, however, are not familiar with how dispatchers provide CPR instructions. DA-CPR training may be effective at spreading DA-CPR, but this needs to be validated. The aim of this study was to determine the effectiveness of brief DA-CPR training in addition to a standard CPR training course. Methods: We conducted a DA-CPR simulation study. Participants with no prior CPR training within 1 year were assigned randomly to one of two 90-min CPR training courses (DA-CPR Group: a standard CPR course with 10-min DA-CPR training or Standard Group: a standard CPR course with a simple introduction to how dispatchers deal with emergency calls). In the DA-CPR Group, the participants practiced the role of a dispatcher and an emergency caller. At 6 months after training, the subjects performed CPR for 2 min under instruction from off-duty dispatchers. Results: Of the 66 participants, 59 (DA-CPR Group, 30; Standard Group, 29) completed the simulation at 6 months after training. The median time intervals between call receipt and cardiac arrest recognition or instruction for chest compressions by dispatchers were similar between both groups. However, the subjects in the DA-CPR Group provided the first compression more quickly (median time interval between call receipt and the first dispatch-assisted compression: 108 vs. 129 s, respectively, p < 0.05 Mann-Whitney U test). The quality of chest compressions was, however, similar between both groups. Conclusions: All participants could perform DA-CPR at 6 months after training, but those in the DA-CPR Group started chest compressions more quickly. DA-CPR training might be effective for the immediate development of better cooperation between a layperson and a dispatcher.

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Abstract 445: Cardiopulmonary Resuscitation Training for Families of Cardiac Patients Before Hospital Discharge Using a Mobile Application

Circulation ◽

10.1161/circ.140.suppl_2.445 ◽

2019 ◽

Vol 140 (Suppl_2) ◽

Author(s):

Audrey L Blewer ◽

Shaun K McGovern ◽

Andrew D Murray ◽

Marion Leary ◽

Mary Putt ◽

...

Keyword(s):

Cardiopulmonary Resuscitation ◽

Mobile Application ◽

Prospective Trial ◽

Family Members ◽

Sudden Cardiac Arrest ◽

Cardiac Patients ◽

Skill Retention ◽

Resuscitation Training ◽

Self Instruction ◽

Cpr Training

Introduction: Since over 75% of sudden cardiac arrest events occur in the home where family members may be first responders, broad cardiopulmonary resuscitation (CPR) training for family members of high-risk cardiac patients represents a promising intervention. The use of mobile application-based (mApp) CPR training may facilitate this, but data on the approach are limited. Objectives: We compared CPR skill retention among those trained with an mApp and hypothesized that training with the mApp would be non-inferior to training with a well-established video self-instruction (VSI) kit. As a secondary analysis, we examined dissemination via the “multiplier rate” (i.e., those additionally trained by primary trainees) by intervention. Methods: We conducted a multicenter pragmatic, randomized control trial assessing non-inferiority of training family members of cardiac patients in CPR with an mApp (video, but no practice manikin) to training with an established VSI method (video and manikin). Subject’s CPR skills were tested 6-months post-training. We hypothesized that mApp training would be non-inferior to VSI training, with a non-inferiority margin set at 5 chest compressions (cc) per min. Results: From 01/2016-01/2018, 1446 subjects were enrolled at 8 hospitals with 685 trained with VSI, and 761 trained with the mApp. Of those, 541 were included in the skills analysis (275 VSI, 266 App). The mean age was 52±16 years and 69% were female. Mean cc rate was 85±34 per min; mean cc depth was 40±14 mm. When stratified by intervention arm, those trained with VSI had a mean rate of 86 per min (83, 90), compared to 88 per min (84, 92) with the mApp; those trained with VSI had a mean depth of 42 mm (41, 44), compared to 39 mm (38, 41) with the mApp. Findings were similar when accounting for loss to follow-up. We concluded non-inferiority of the mApp with a mean difference of 1 (-5, 7) cc per min for rate. Subjects trained with VSI shared with an additional 2±4 individuals compared to 1±2 (p<0.01) of those trained with the mApp. Conclusion: In this large prospective trial of CPR skill retention, the mApp CPR training approach was non-inferior to VSI training for family members of cardiac patients. Future work may include evaluating additional means for adoption and dissemination of the mApp.

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Pumping Life Into Your Classroom: Using CPR Training to Teach Principles of Training Design

Management Teaching Review ◽

10.1177/2379298118799449 ◽

2018 ◽

Vol 4 (3) ◽

pp. 271-282

Author(s):

Stephen E. Bear ◽

Scott Behson

Keyword(s):

Cardiopulmonary Resuscitation ◽

Training Program ◽

American Heart Association ◽

American Heart ◽

Heart Association ◽

Design Principles ◽

Training Design ◽

Resuscitation Training ◽

Cpr Training ◽

Self Learning

We present an experiential exercise to teach key principles of training design. Selected students participate in a self-learning cardiopulmonary resuscitation training program, CPR Anytime®, offered by the American Heart Association, while the rest of the class observes. The class then assesses the use of several training design principles in the observed program. Finally, students discuss the strengths and weaknesses of the training program, making recommendations for improvement.

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Abstract 30: Increasing the Uptake of Cardiopulmonary Resuscitation Training Within Australian Cardiac Rehabilitation Programs

Circulation ◽

10.1161/circ.138.suppl_2.30 ◽

2018 ◽

Vol 138 (Suppl_2) ◽

Author(s):

Susie Cartledge ◽

Janet E Bray ◽

Dion Stub ◽

Judith Finn ◽

Lis Neubeck

Keyword(s):

Cardiopulmonary Resuscitation ◽

Cardiac Rehabilitation ◽

Rehabilitation Program ◽

Education Session ◽

Face To Face ◽

Rehabilitation Programs ◽

Information Pack ◽

Resuscitation Training ◽

Randomised Controlled ◽

Cpr Training

Introduction: Outpatient cardiac rehabilitation programs provide an ideal environment to deliver targeted cardiopulmonary resuscitation (CPR) training to cardiac patients and their family members. However, the prevalence of CPR training in Australian programs is low (24%). This study sought to identify the best strategy to implement CPR training into cardiac rehabilitation programs. Hypothesis: We hypothesise that coordinators who receive a higher level of education (information pack including two self-instructional CPR video training kits and a face-to-face education session) compared to those who only receive an information pack, will be more likely to incorporate CPR training into their cardiac rehabilitation programs. Methods: A two-arm randomised controlled implementation study is currently being conducted across Australia. One cardiac rehabilitation coordinator per cardiac rehabilitation program, where the program is not currently providing regular CPR training to patients and families, is eligible to participate. Coordinators will be randomised 1:1 to either receive an information pack or information pack plus face-to-face education session. Results: To date 23 coordinators (59% metropolitan programs, 41% rural programs) have been randomised. Few programs (19%) have previously offered CPR training and only 25% currently include information about CPR. Common barriers to incorporating CPR training into programs are time (71%), resources (67%) and a lack of awareness to include CPR training (24%). Motivations for including CPR training are driven by coordinators assessment that patients and families are interested in CPR training (81%). Implementation data will be presented including information on the level of implementation in addition to a sample of brief qualitative telephone interviews to further discuss enablers and barriers. Conclusions: Cardiac rehabilitation represents a logical location to provide targeted CPR training to high-risk cardiac groups at scale across Australia. This study will aid in better understanding how cardiac rehabilitation coordinators can be supported to enable more programs to incorporate CPR training.

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