Cardiac arrest, Cardiopulmonary resuscitation, Comprehensive cardiac life support, COVID-19, Online method of learning
Citation Information :
Joshi P, Das S, Thomas M, Mawar S, Garg R, Shariff A, Gopichandran L. Dissemination of Cardiopulmonary Resuscitation Training for Nurses Treating Coronavirus Disease-2019 Patients: A Single-arm Pre-experimental Study. Indian J Crit Care Med 2022; 26 (3):327-330.
Introduction: Providing cardiopulmonary resuscitation (CPR) to a coronavirus disease-2019 (COVID-19) patient is challenging for the healthcare providers (HCP). COVID-19 cases have specific CPR requirements, which differ from standard resuscitation efforts.
Objective: This paper aims to evaluate whether online learning can be an effective methodology for imparting information on the management of cardiopulmonary arrest in COVID-19 patients due to a novel virus unknown to HCP based on evaluation of knowledge acquisition and satisfaction of the nurses in the new area of medicine and virology.
Methodology: In a single-arm, one group before and after design, from a cohort of 160 nurses trained in comprehensive cardiac life support (CCLS) formulated by the Indian Resuscitation Council (IRC), 73 nurses participated in the study. After obtaining informed consent through the email from the nurses, baseline data including demographic profile and knowledge related to CPR in COVID-19 patients were collected. An online intervention spread over 1 week was given using a validated e-learning module. The online intervention was found to be effective (pre- and post-intervention knowledge score 13.65 ± 3.01 vs 19.92 ± 1.94, p = 0.001). The majority of nurses were highly satisfied with the content and the training methodology (37.23 ± 4.70).
Conclusion: A well-structured, online study material can be used in imparting knowledge and demonstrating the basic and essential skills to nurses, required for giving CPR to COVID-19 patients.
Singh B, Garg R, Rao SSCC, Ahmed SM, Divatia JV, Ramakrishnan TV, et al. Indian resuscitation council (IRC) suggested guidelines for comprehensive cardiopulmonary life support (CCLS) for suspected or confirmed coronavirus disease (COVID-19) patient. Indian J Anaesth 2020;64(14):91. DOI: 10.4103/ija.IJA_481_20.
Wang J, Du G. COVID-19 may transmit through aerosol. Irish J Med Sci 2020;1–2. DOI: 10.1007/s11845-020-02218-2.
e-Learning as good as traditional training for health professionals: where is the evidence? WHO.
Vaona A, Banzi R, Kwag KH, Rigon G, Cereda D, Pecoraro V, et al. E-learning for health professionals. Cochrane Database Syst Rev 2018;1(1):CD011736. DOI: 10.1002/14651858.CD011736.pub2.
Judson SD, Munster VJ. Nosocomial transmission of emerging viruses via aerosol-generating medical procedures. Viruses 2019;11(10):940. DOI: 10.3390/v11100940.
Centers for Disease Control and Prevention (CDC). Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-faq.html [Accessed on May 9, 2020].
World Health Organization (WHO). Available from: https://apps.who.int/iris/bitstream/handle/10665/331695/WHO-2019-nCov-IPC_PPE_use-2020.3-eng.pdf [Accessed on May 10, 2020].
McCutcheon K, Lohan M, Traynor M, Martin D. A systematic review evaluating the impact of online or blended learning vs face-to-face learning of clinical skills in undergraduate nurse education. J Adv Nurs 2015;71(2):255–270. DOI: 10.1111/jan.12509.
Jenkins JM, Cook J, Edwards J, et al. Medical education with the Internet: a pilot training programme in reproductive medicine. Br J Obstet Gynaecol 2001;108(1):114–116. DOI: 10.1111/j.1471-0528.2001.00010.x.
BMJ learning: online courses for healthcare professionals. Available from: https://new-learning.bmj.com/.
Ruiz JG, Mintzer MJ, Leipzig RM. The impact of E-learning in medical education. Acad Med 2006;81(3):207–212. DOI: 10.1097/00001888-200603000-00002.
Sincliar P, Kable A, Levett-Jones T. The effectiveness of internet based e-learning on clinical behaviour and patient outcomes: a systematic review protocol. JBI Database System Rev Implement Rep 2015;13(1):52–64. DOI: 10.11124/jbisrir-2015-1919.
Thukral A, Sasi A, Chawla D, Datta P, Wahid S, Rao S, et al. Online Neonatal Training and Orientation Programme in India (ONTOP-IN) – the way forward for distance education in developing countries. J Trop Pediatr 2012;58(6):486–490. DOI: 10.1093/tropej/fms029.
Choules AP. The use of elearning in medical education: a review of the current situation. Postgrad Med J 2007;83(978):212–216. DOI: 10.1136/pgmj.2006.054189.
Chan TW, Roschelle J, Hsi S, Kinshuk, Sharples M, Brown T, et al. One-to-one technology-enhanced learning: an opportunity for global research collaboration. Res Pract Technol Enhanc Learn 2006;1(1):3–29. DOI: 10.1142/S1793206806000032.
Osborne E. Teaching Strategies for Developing Psychomotor Skills. NACTA Journal 1986;30(1):54–57. Available from: http://www.jstor.org/stable/43755313, accessed on 10.05.21.