Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-05-13T17:14:52.347Z Has data issue: false hasContentIssue false
  • English
  • Français

Teaching basic life support to nurses

Published online by Cambridge University Press:  27 January 2006

M. Mäkinen ,
M. Castrèn ,
T. Tolska ,
J. Nurmi  and
L. Niemi-Murola
M. Mäkinen
Affiliation:
Helsinki University Hospital, Department of Anaesthesia and Intensive Care Medicine, Uusimaa EMS, Helsinki, Finland
M. Castrèn
Affiliation:
Helsinki University Hospital, Department of Anaesthesia and Intensive Care Medicine, Uusimaa EMS, Helsinki, Finland
T. Tolska
Affiliation:
Helsinki University Hospital, Finnish Medical Society Duodecim, Helsinki, Finland
J. Nurmi
Affiliation:
Helsinki University Hospital, Department of Anaesthesia and Intensive Care Medicine, Uusimaa EMS, Helsinki, Finland
L. Niemi-Murola
Affiliation:
Helsinki University, Helsinki University Hospital, Research and Development Unit for Medical Education, and Department of Anaesthesia and Intensive Care Medicine, Helsinki, Finland
Get access

Extract

Summary

Background and objective: Every member of healthcare personnel should be able to perform basic life support including defibrillation (CPR-D). The biggest cost of implementation is training and these costs need to be reduced. The purpose of this randomized study was to evaluate the applicability of distance learning as a method to teach CPR-D. Methods: Nurses (n = 56) working in a geriatric hospital were randomized into three groups. The first group was given the Internet-based CPR-D course and the second was given a traditional, small-group CPR-D course. A third group without specific training in CPR-D served as a control group. An objective structured clinical examination (OSCE) was performed 2 weeks after the courses with a manikin patient having a cardiac arrest. Results: The median score of all participants was 31/49 (range 21–38). The reliability of the checklist was adequate (Cronbach alpha 0.77). Nurses receiving traditional CPR-D performed better than those receiving the Internet-based course (median score 34 vs. 28, P < 0.05) and the control group (median score 34 vs. 26, P < 0.0001). Nurses receiving Internet-based course performed similarly as the control group (median score 28 vs. 26, ns). Conclusions: Distance learning cannot substitute for traditional small-group learning.

Keywords

ADVANCED CARDIAC LIFE SUPPORTTRAININGNURSES
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 23 , Issue 4 , April 2006 , pp. 327 - 331
Copyright
© 2006 European Society of Anaesthesiology

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 4: The automated external defibrillator: key link in the chain of survival. The American Heart Association in collaboration with the International Liaison Committee on Resuscitation. Circulation 2000; 102: 160–176.
Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care – International Consensus on Science. Resuscitation Guidelines 2000; 46: 1–447.
Finnish Resuscitation Council's guidelines for basic resuscitation. Duodecim 2000; 116: 1119.
Valenzuela TD, Roe DJ, Nichol G. Outcomes of rapid defibrillation by security officers after cardiac arrests in casinos. New Engl J Med 2000; 343: 1206–1209.Google Scholar
Cobb LA, Falchenbruch CE, Walsh LTR et al. Influence of cardiopulmonary resuscitation prior to defibrillation in patients with out-of-hospital ventricular fibrillation. JAMA 1999; 281: 1182–1188.Google Scholar
Callejas S, Barry A, Demertsidis E et al. Human factors impact successful lay person automated external defibrillator use during simulated cardiac arrest. Crit Care Med 2004; 32 (S): 406–413.Google Scholar
Kenward G, Castle N, Hodgetts TJ. Should ward nurses be using automatic external defibrillator as a first responders to improve the outcome from cardiac arrest? A systematic review of the primary research. Resuscitation 2002; 53: 319.Google Scholar
O'Rourke MF, Donaldson E, Geddes JS. An airline cardiac arrest program. Circulation 1997; 96: 2849–2853.Google Scholar
Kuisma M, Castrèn M, Nurminen K. Public access defibrillation in Helsinki – costs and potential benefits from a community-based pilot study. Resuscitation 2003; 56: 149–152.Google Scholar
Nelson EA. E-learning. A practical solution for training and tracking in patient-care settings. Nurs Adm Qual 2003; 27: 29–32.Google Scholar
Wik L, Dorph E, Auested B, Steen PA. Evaluation of a defibrillator – basic cardiopulmonary resuscitation program for non medical personnel. Resuscitation 2003; 56: 167–172.Google Scholar
Castren M, Nurmi J, Laakso J-P, Kinnunen A, Backman R, Niemi-Murola L. Teaching public access defibrillation to lay volunteers – a professional health care provider is not a more effective instructor than a trained lay person. Resuscitation 2004; 63: 305–310.Google Scholar
Fletcher G, Flin R, McGeorge P et al. Anaesthetists non-technical skills (ANTS): evaluation of a behavioural marker system. Br J Anaesth 2003; 90: 580–588.Google Scholar
O'Brien G, Haughton A, Flanagan B. Interns' perceptions of performance and confidence in participating and managing simulated and real cardiac arrest situations. Med Teacher 2001; 23: 389–395.Google Scholar
Harden RM, Gleeson FA. Assessment of clinical competence using an objective structured clinical examination (OSCE). Med Educ 1979; 13: 41–54.Google Scholar
Schwind HA, Rooke GA, Ross BK, Sivarajan M. Use of a computerized advanced cardiac life support simulator improves retention of advanced cardiac life support guidelines better than a textbook review. Crit Care Med 1999; 27: 821–824.Google Scholar
Kim JH, Kim WO, Min KT et al. Learning by computer simulation does not lead to better test performance than textbook study in the diagnosis and treatment of dysrhytmias. J Clin Anesth 2002; 14: 395–400.Google Scholar
Todd KH, Braslow A, Brennan RT et al. Randomized, controlled trial of video-self-instruction versus traditional CPR training. Ann Emerg Med 1998; 31: 364–369.Google Scholar
Nyman J, Sihvonen M. Cardiopulmonary resuscitation skills in nurses and nursing students. Resuscitation 2000; 47: 179–184.Google Scholar
Herlitz J, Bang A, Axelsson Å, Graves JR, Lindqvist J. Experience with the use of automated defibrillators in out hospital cardiac arrest. Resuscitation 1998; 37: 3–7.Google Scholar
Murphy M, Fitzimons D. Does attendance at an immediate life support course influence nurses skill deployment during cardiac arrest? Resuscitation 2004; 62: 49–54.Google Scholar
Page RL, Joglar JA, Koval RC, Zagrodsky JD, Nelson LL, Ramaswamy K. Use of automated defibrillators by a US Airline. New Engl J Med 2000; 343: 1210–1216.Google Scholar