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

Abstract Introduction Even among health care professionals, resuscitation performance has been shown to be poor. So far, it remains unclear whether cardiac arrest staff with frequent practice in resuscitation requires training to adapt to the new International Liaison Committee on Resuscitation (ILC...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of emergency medicine 2010-05, Vol.28 (4), p.477-484
Main Authors: Preusch, Michael R., MD, Bea, Florian, Roggenbach, Jens, Katus, Hugo A, Jünger, Jana, Nikendei, Christoph
Format: Article
Language:English
Subjects:
Adult
Airway management
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - education
Cardiopulmonary Resuscitation - standards
Clinical Competence
CPR
Emergency
Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care
Emergency medical care
Emergency Service, Hospital - manpower
Emergency Service, Hospital - standards
Female
Heart Arrest - therapy
Hospitals
Humans
Independent study
Intensive care
Intensive care medicine
Life Support Care
Likert scale
Male
Medical sciences
Middle Aged
Needs Assessment
Nurses
Nursing
Nursing Staff, Hospital - education
Practice Guidelines as Topic
Studies
Ventilation
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Introduction Even among health care professionals, resuscitation performance has been shown to be poor. So far, it remains unclear whether cardiac arrest staff with frequent practice in resuscitation requires training to adapt to the new International Liaison Committee on Resuscitation (ILCOR) guidelines of 2005. This study evaluated the need for basic life support training in nurses with emergency experience. Methods and Results Nurses (N = 24) recruited from an intensive care unit self-assessed their resuscitation skills and performed a cardiac arrest scenario using a manikin. After a theoretical instruction and hands-on training followed by feedback, participants once again performed a resuscitation scenario in addition to completing posttraining self-assessments. Participating nurses considered resuscitation skills training—in particular in adapting to the new ILCOR guidelines of 2005—to be important. Pretraining data revealed performance deficits even in this sample of emergency-experienced nursing staff. Training resulted in significant improvement in ventilation volume ( P < .001), rate of compressions with correct depth ( P < .031) and full release ( P < .001), and a reduction in total hands-off time ( P < .050). Objective data were mirrored in participants' self-assessed competencies. Conclusion Results suggest that basic life support training based on the ILCOR guidelines of 2005 is necessary even in nurses with emergency experience. Training followed by the application of a feedback algorithm seems to improve short-term resuscitation performance and is well accepted by experienced nurses who work on an intensive care unit and who also comprise the inner-hospital cardiac arrest team.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2009.01.040