Assessment of long-term impact of formal certified cardiopulmonary resuscitation training program among nurses
P. P. Saramma, L. Suja Raj, P. K. Dash, P. S. Sarma
advanced life support, basic life support, cardiopulmonary resuscitation training, tertiary,Advanced cardiac life support
Citation Information :
Saramma PP, Raj LS, Dash PK, Sarma PS. Assessment of long-term impact of formal certified cardiopulmonary resuscitation training program among nurses. Indian J Crit Care Med 2016; 20 (4):226-232.
Context: Cardiopulmonary resuscitation (CPR) and emergency cardiovascular care guidelines are periodically renewed and published by the American Heart Association. Formal training programs are conducted based on these guidelines. Despite widespread training CPR is often poorly performed. Hospital educators spend a significant amount of time and money in training health professionals and maintaining basic life support (BLS) and advanced cardiac life support (ACLS) skills among them. However, very little data are available in the literature highlighting the long-term impact of these training.
Aims: To evaluate the impact of formal certified CPR training program on the knowledge and skill of CPR among nurses, to identify self-reported outcomes of attempted CPR and training needs of nurses.
Setting and Design: Tertiary care hospital, Prospective, repeated-measures design.
Subjects and Methods: A series of certified BLS and ACLS training programs were conducted during 2010 and 2011. Written and practical performance tests were done. Final testing was undertaken 3-4 years after training. The sample included all available, willing CPR certified nurses and experience matched CPR noncertified nurses.
Statistical Analysis Used: SPSS for Windows version 21.0.
Results: The majority of the 206 nurses (93 CPR certified and 113 noncertified) were females. There was a statistically significant increase in mean knowledge level and overall performance before and after the formal certified CPR training program (P = 0.000). However, the mean knowledge scores were equivalent among the CPR certified and noncertified nurses, although the certified nurses scored a higher mean score (P = 0.140).
Conclusions: Formal certified CPR training program increases CPR knowledge and skill. However, significant long-term effects could not be found. There is a need for regular and periodic recertification.
Berg RA, Hemphill R, Abella BS, Aufderheide TP, Cave DM, Hazinski MF, et al. Part 5: Adult basic life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122 18 Suppl 3:S685-705.
Jensen ML, Lippert F, Hesselfeldt R, Rasmussen MB, Mogensen SS, Jensen MK, et al. The significance of clinical experience on learning outcome from resuscitation training-a randomised controlled study. Resuscitation 2009;80:238-43.
Brown TB, Dias JA, Saini D, Shah RC, Cofield SS, Terndrup TE, et al. Relationship between knowledge of cardiopulmonary resuscitation guidelines and performance. Resuscitation 2006;69:253-61.
Smith KK, Gilcreast D, Pierce K. Evaluation of staff′s retention of ACLS and BLS skills. Resuscitation 2008;78:59-65.
Sodhi K, Singla MK, Shrivastava A. Impact of advanced cardiac life support training program on the outcome of cardiopulmonary resuscitation in a tertiary care hospital. Indian J Crit Care Med 2011;15:209-12.
Williams NM. Advanced life support, training and assessment: A literature review. Australas Emerg Nurs J 2011;14:240-5.
Robak O, Kulnig J, Sterz F, Uray T, Haugk M, Kliegel A, et al. CPR in medical schools: Learning by teaching BLS to sudden cardiac death survivors - A promising strategy for medical students? BMC Med Educ 2006;6:27.
Rauen CA. Simulation as a teaching strategy for nursing education and orientation in cardiac surgery. Crit Care Nurse 2004;24:46-51.
Hamilton R. Nurses′ knowledge and skill retention following cardiopulmonary resuscitation training: A review of the literature. J Adv Nurs 2005;51:288-97.
Sullivan N. An integrative review: Instructional strategies to improve nurses′ retention of cardiopulmonary resuscitation priorities. Int J Nurs Educ Scholarsh 2015;12:37-43.
Sutton RM, Niles D, Meaney PA, Aplenc R, French B, Abella BS, et al. "Booster" training: Evaluation of instructor-led bedside cardiopulmonary resuscitation skill training and automated corrective feedback to improve cardiopulmonary resuscitation compliance of pediatric basic life support providers during simulated cardiac arrest. Pediatr Crit Care Med 2011;12:e116-21.
Hirose T, Iwami T, Ogura H, Matsumoto H, Sakai T, Yamamoto K, et al. Effectiveness of a simplified cardiopulmonary resuscitation training program for the non-medical staff of a university hospital. Scand J Trauma Resusc Emerg Med 2014;22:31.
Nishiyama C, Iwami T, Kitamura T, Ando M, Sakamoto T, Marukawa S, et al. Long-term retention of cardiopulmonary resuscitation skills after shortened chest compression-only training and conventional training: A randomized controlled trial. Acad Emerg Med 2014;21:47-54.
Madden C. Undergraduate nursing students′ acquisition and retention of CPR knowledge and skills. Nurse Educ Today 2006;26:218-27.
Hammond F, Saba M, Simes T, Cross R. Advanced life support: Retention of registered nurses′ knowledge 18 months after initial training. Crit Care Resusc 2000;13:99-104.
Olasveengen TM, Vik E, Kuzovlev A, Sunde K. Effect of implementation of new resuscitation guidelines on quality of cardiopulmonary resuscitation and survival. Resuscitation 2009;80:407-11.
Kardong-Edgren S, Oermann MH, Odom-Maryon T. Findings from a nursing student CPR study: Implications for staff development educators. J Nurses Staff Dev 2012;28:9-15.
Passali C, Pantazopoulos I, Dontas I, Patsaki A, Barouxis D, Troupis G, et al. Evaluation of nurses′ and doctors′ knowledge of basic & advanced life support resuscitation guidelines. Nurse Educ Pract 2011;11:365-9.
Partiprajak S, Thongpo P. Retention of basic life support knowledge, self-efficacy and chest compression performance in Thai undergraduate nursing students. Nurse Educ Pract 2016;16:235-41.
Mardegan KJ, Schofield MJ, Murphy GC. Comparison of an interactive CD-based and traditional instructor-led basic life support skills training for nurses. Crit Care Resusc 2015;28:160-7.
Yang CW, Yen ZS, McGowan JE, Chen HC, Chiang WC, Mancini ME, et al. A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. Resuscitation 2012;83:1055-60.
Allen JA, Currey J, Considine J. Annual resuscitation competency assessment: A review of the evidence. Crit Care Resusc 2013;26:12-7.
Mpotos N, Decaluwe K, Van Belleghem V, Cleymans N, Raemaekers J, Derese A, et al. Automated testing combined with automated retraining to improve CPR skill level in emergency nurses. Nurse Educ Pract 2015;15:212-7.
Taplin J, McConigley R. Advanced life support (ALS) instructors experience of ALS education in Western Australia: A qualitative exploratory research study. Nurse Educ Today 2015;35:556-61.