Mokhtari Nori J, Saghafinia M, Kalantar Motamedi M H, Khademol Hosseini S M
Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Iran Red Crescent Med J. 2012 Feb;14(2):104-7. Epub 2012 Feb 1.
The ability to respond quickly and effectively to a cardiac arrest situation rests on nurses being competent, prepared and up-to-date in the emergency life-saving procedure of cardiopulmonary resuscitation (CPR). This study aimed to determine the extent to which nurses acquire and retain CPR cognitive knowledge and psychomotor skills following CPR training courses.
A quasi-experiment was used. CPR knowledge of 112 nurses was assessed via a questionnaire using valid multiple-choice questions. An observatory standard checklist was used and CPR performance on manikins was evaluated to assess psychomotor skills (before the course baseline, after the course, after 10 weeks and then 2 years after the 4 hours CPR training course). Scores were based on a scale of 1 to 20.
A mean baseline score of 10.67 (SD=3.06), a mean score of 17.81 (SD=1.41) after the course, 15.26 (SD=3.17) 10 weeks after and 12.86 (SD=2.25), 2 years after the 4 hours CPR training course was noticed. Acquisition of knowledge and psychomotor skills of the nurses following a four-hour training program was significant. However, significant deterioration in both CPR knowledge and psychomotor skills was observed 2 years after the training program among 42 nurses.
The study findings present strong evidence to support the critical role of repetitive periodic CPR training courses to ensure that nurses were competent, up to date and confident responders in the event of a cardiac arrest.
对心脏骤停情况做出快速有效反应的能力取决于护士在心肺复苏(CPR)这一紧急救生程序方面是否具备能力、做好准备且与时俱进。本研究旨在确定护士在参加CPR培训课程后获取并保留CPR认知知识和操作技能的程度。
采用准实验。通过使用有效的多项选择题问卷对112名护士的CPR知识进行评估。使用观察标准清单并评估在模拟人上的CPR操作表现以评估操作技能(在课程基线前、课程后、10周后以及4小时CPR培训课程后的2年)。分数基于1至20的量表。
注意到课程基线平均得分为10.67(标准差=3.06),课程后平均得分为17.81(标准差=1.41),10周后为15.26(标准差=3.17),4小时CPR培训课程后的2年为12.86(标准差=2.25)。护士在参加四小时培训项目后知识和操作技能的获取有显著提高。然而,在42名护士中,培训项目后的2年观察到CPR知识和操作技能均有显著下降。
研究结果提供了有力证据,支持重复定期CPR培训课程的关键作用,以确保护士在心脏骤停事件中具备能力、与时俱进且有信心做出反应。