Short lessons in basic life support improve self-assurance in performing cardiopulmonary resuscitation

doi:10.5847/wjem.j.1920-8642.2016.04.003

Abstract

Abstract:

BACKGROUND: There are several reasons why resuscitation measures may lead to inferior results: difficulties in team building, delayed realization of the emergency and interruption of chest compression. This study investigated the outcome of a new form of in-hospital cardiopulmonary resuscitation (CPR) training with special focus on changes in self-assurance of potential helpers when faced with emergency situations.
METHODS: Following a 12-month period of CPR training, questionnaires were distributed to participants and non-participants. Those non-participants who intended to undergo the training at a later date served as control group.
RESULTS: The study showed that participants experienced a significant improvement in self-assurance, compared with their remembered self-assurance before the training. Their self-assurance also was significantly greater than that of the control group of non-participants.
CONCLUSION: Short lessons in CPR have an impact on the self-assurance of medical and non-medical personnel.

Key words: Basic life support, Simulation training, Non-technical skills, Cardiopulmonary resuscitation

Mario Kobras, Sascha Langewand, Christina Murr, Christiane Neu, Jeannette Schmid. Short lessons in basic life support improve self-assurance in performing cardiopulmonary resuscitation[J]. World Journal of Emergency Medicine, 2016, 7(4): 255-262.

Figures/Tables 2

Table 1

Table 2

Combined indices used in study questionnaires

Indices used in the questionnaire for course participants
Remembered pre-training status of course participants	Prior to attending the course I already felt self-assured to perform CPR actions
	Prior to attending the course my knowledge about CPR was sufficient
	Prior to attending the course I felt hesitancy touching unknown people
	Prior to attending the course I was afraid of making mistakes while performing CPR (reversed)
Evaluation of the trainer	I was satisfied with the trainer's motivation
	The contents were communicated well
	The trainer's interventions during practice were helpful
	The atmosphere was good
	The trainer's teaching style was sufficiently interactive
	The trainer's answers were always comprehensible
	The trainer always showed aplomb and calm
Evaluation of the technical components of the instruction	I was satisfied with the equipment
	The balance between practical and theoretical parts was good
	The available online-script was appropriate
	There were no problems finding a suitable date for training
	The training room was appropriate
	The training schedule was appropriately integrated into duty schedule
	I was able to mentally leave the work environment to participate in the training
	At what time of the year did the training take place?
Evaluation of the theory part of the instruction	Contents were comprehensible without additional aids
	The information could be processed within the time given
	The course was a personal benefit for me
	I gained a lot of useful information in the course
	The contents were less complicated than expected
	The information density was appropriate
Newly learned skills (post-training)	After attending the course I felt self-assured to perform CPR actions
	After attending the course my knowledge about CPR had increased
	Concerning the method '2 helpers' in the course: When the exercises were repeated the participants communicated differently.
	After attending the course it was easier to touch unknown people
	After attending the course I had less hesitancy starting resuscitation
	After attending the course I feel confident enough to lead resuscitation before the arrival of professional help
Indices used in the questionnaire for non-course participants
Self-attributed competency	I feel safe to perform CPR actions
	My knowledge about CPR is sufficient
	I feel acquainted with basic life support, so I don't need a course
	I feel hesitancy touching unknown people (reversed)
	I feel confident to lead resuscitation before the arrival of professional help

Table 2

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Subject (number of questions)	Group		Examples
Subject (number of questions)	Participants	Non-participants	Examples
Present work situation (1)	X	X	How often do you have direct contact with medical patients?
(recalled) Situation prior to the training (2)	X		Before I took the course, my knowledge about the subject was already sufficient
Actual situation without training (2)		X	My knowledge about the subject is already sufficient
Prior training and prior experience with emergency situations (2)	X	X	How often did you act as helper in an emergency situation?
Actual situation after training (2)	X		After the training, my knowledge about the subject has increased
Attitude towards the training (5)		X	I am sufficiently familiar with BLS and I do not need this training
Evaluation of coach and training (26)	X		The balance between practical and theoretical parts was good
Prior course information (1)	X	X	How did you learn about this course?
Evaluation of content density (1)	X		Evaluate the information density in relation to the time spent
Training date (1)	X		When did you take the training in 2012/2013?
Interest in further information (2)	X	X	I would be interested to learn more about BLS
Intended course participation (1)		X	I plan to participate in a training at a later date
Knowledge about online-script (1)		X	I was aware of the existence of an online script for this course
Training specifics (6)	X		Where did your training take place?
Demographic questions (5)	X	X	What is your age group?
Interest in case studies (1)	X	X	Would you be generally interested in practical case studies in this area of expertise?
Code (1)^*	X	X	Self generated 8-chiffre-code

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