Bjørshol, Conrad A

Eikeland Husebø, Sissel I

Friberg, Febe

Rystedt, Hans

Søreide, Eldar

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

English

PubMed

Abstract
          
            Background
            Although nurses must be able to respond quickly and effectively to cardiac arrest, numerous studies have demonstrated poor performance. Simulation is a promising learning tool for resuscitation team training but there are few studies that examine simulation for training defibrillation and cardiopulmonary resuscitation (D-CPR) in teams from the nursing education perspective. The aim of this study was to investigate the extent to which nursing student teams follow the D-CPR-algorithm in a simulated cardiac arrest, and if observing a simulated cardiac arrest scenario and participating in the post simulation debriefing would improve team performance.
          
          
            Methods
            We studied video-recorded simulations of D-CPR performance in 28 nursing student teams. Besides describing the overall performance of D-CPR, we compared D-CPR performance in two groups. Group A (n = 14) performed D-CPR in a simulated cardiac arrest scenario, while Group B (n = 14) performed D-CPR after first observing performance of Group A and participating in the debriefing. We developed a D-CPR checklist to assess team performance.
          
          
            Results
            Overall there were large variations in how accurately the nursing student teams performed the specific parts of the D-CPR algorithm. While few teams performed opening the airways and examination of breathing correctly, all teams used a 30:2 compression: ventilation ratio.
            We found no difference between Group A and Group B in D-CPR performance, either in regard to total points on the check list or to time variables.
          
          
            Conclusion
            We found that none of the nursing student teams achieved top scores on the D-CPR-checklist. Observing the training of other teams did not increase subsequent performance. We think all this indicates that more time must be assigned for repetitive practice and reflection. Moreover, the most important aspects of D-CPR, such as early defibrillation and hands-off time in relation to shock, must be highlighted in team-training of nursing students.
          </jats:sec

Sissel I Eikeland Husebø

Conrad A Bjørshol

Hans Rystedt

Febe Friberg

Eldar Søreide

Crossref

Scandinavian Journal of Trauma Resuscitation and Emergency Medicine

A comparative study of defibrillation and cardiopulmonary resuscitation performance during simulated cardiac arrest in nursing student teams

Sissel E Husebo

Conrad A Bjorshol

Eldar Soreide

Springer - Publisher Connector

Advanced Life Support: retention of registered nurses’ knowledge 18 months after initial training. Aust Crit Care

al: Perishock Pause/Clinical Perspective. Circulation

Assessment of Advanced Life Support competence when combining different test methods-Reliability and validity. Resuscitation

Aufderheide TP: Assessment of BLS skills: Optimizing use of instructor and manikin measures. Resuscitation

Bossaert L: European Resuscitation Council Guidelines for Resuscitation 2005: Section 2. Adult basic life support and use of automated external defibrillators. Resuscitation

C: Resuscitation Guidelines 2005: does experienced nursing staff need training and how effective is it?

DP: Minimizing pre- and post-defibrillation pauses increases the likelihood of return of spontaneous circulation (ROSC). Resuscitation

Draycott TJ: The management of a simulated emergency: Better teamwork, better performance. Resuscitation

et al: Short simulation training improves objective skills in established advanced practitioners managing emergencies on the ward and surgical intensive care unit.

Et eksplorativet studie av faktorer der påvirker sikkerheten af patient-overgange (An explorative study of factors influencing safety in patient handovers). Lyngby: Danmarks Tekniske Universitet;

European Resuscitation Council Guidelines for Resuscitation 2005: Section 4. Adult advanced life support. Resuscitation 2005, 67(Supplement 1):S39-S86.

F: Educating for teamwork - nursing students’ coordination in simulated cardiac arrest situations.

Herlitz for the Swedish Cardiac Arrest Registry J: Factors modifying the effect of bystander cardiopulmonary resuscitation on survival in out-of-hospital cardiac arrest patients in Sweden. Eur Heart J

High-fidelity Patient Simulation. In Fuszard’s innovative teaching strategies in nursing. Edited by: Lowenstein AJ, Bradshaw MJ. Gaithersburg: Aspen Publishers;

High-Frequency CPR Training Improves Skill Retention of In-Hospital Pediatric Providers. Pediatrics

How effectively do you function in a cardiac arrest? A creative program approach to code skills.

Improving nurses’ resuscitation skills. Nurs Stand

LD: The integration of simulation into a clinical foundations of nursing course: student and faculty perspectives.

LS: A COLLABORATIVE EXERCISE: Between Graduate and Undergraduate Nursing Students Using a COMPUTER-ASSISTED SIMULATOR in a Mock Cardiac Arrest. Nurs Educ Perspect

Niemi-Murola L: Teaching basic life support to nurses.

Nurses’ knowledge and skill retention following cardiopulmonary resuscitation training: a review of the literature.

Odom-Maryon T: Effects of monthly practice on nursing students’ CPR psychomotor skill performance. Resuscitation

Rawstorne D: An evaluative study of pre-registration nursing students’ skills in basic life support. Nurse Educ Today

Rescuing A Patient In Deteriorating Situations (RAPIDS): a simulation-based educational program on recognizing, responding and reporting of physiological signs of deterioration. Resuscitation

RJ: Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Medical Teacher

Role rehearsal: a mock code program. Nurs Manage

Runkawatt V: A comparison of clinical simulation and case study presentation on nurse practitioner students’ knowledge and confidence in managing a cardiac event.

Rystedt H: Instructional Problems in Briefings: How to Prepare Nursing Students for Simulation-Based Cardiopulmonary Resuscitation Training. Clinical Simulation in Nursing ,

S: Brief leadership instructions improve cardiopulmonary resuscitation in a high-fidelity simulation: A randomized controlled trial. Crit Care Med

S: Very high survival among patients defibrillated at an early stage after in-hospital ventricular fibrillation on wards with and without monitoring facilities. Resuscitation

Sepples S: Clinical teaching by simulation: lessons learned from a complex patient care scenario. Nurs Educ Perspect

Simulation: not just a manikin. J Nurs Educ

The effect of a skills algorithm on nursing students’ response rate, skill accuracy, and reported attention management during simulated cardiopulmonary arrests. San Francisco: University of San Francisco;

The effect of testing on skills learning. Medical Education

The essentials of debriefing in simulation learning: a concept analysis. Nurs Educ Perspect

The Measurement of Interrater Agreement. In Statistical Methods for Rates and Proportions. Edited by: Fleiss

Undergraduate nursing students’ acquisition and retention of CPR knowledge and skills. Nurse Educ Today

Updating cardiopulmonary resuscitation skills: a study to examine the efficacy of self-instruction on nurses’ competence.

VSPRN: An Evaluation of the Effectiveness of Competency-Based Code Blue Education.

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3361478

A comparative study of defibrillation and cardiopulmonary resuscitation performance during simulated cardiac arrest in nursing student teams

Abstract

Similar works

Full text

Available Versions

Crossref

Springer - Publisher Connector