Roel Siv, Bjørk Ida Torunn
Department of Nursing and Health Science, University of South-Eastern Norway, Postboks 235, 3603 Kongsberg, Notodden, Norway.
Department of Nursing Science, University of Oslo, Postboks 1130, Blindern, 0318 Oslo, Norway.
Nurs Res Pract. 2020 Feb 21;2020:7459084. doi: 10.1155/2020/7459084. eCollection 2020.
Nursing students must be able to initiate and perform effective cardiopulmonary resuscitation (CPR) when they start their career in nursing. Studies show that students' competency in CPR is deficient, indicating that better training is necessary during nursing education. This study reports on the differences in nursing students' competence in CPR before and after a longitudinal pedagogical intervention across the curriculum. Changes in the curriculum were relocation and added testing of CPR skills, inclusion of a course in defibrillation, a knowledge test as stimuli before simulation, and more simulation practice with deteriorating patients. This was a comparative study between two cohorts of students in the bachelor in nursing education. We measured knowledge and compression performance in the students' final year of education. Students in cohort 2, who received the pedagogical intervention, had a significant higher total knowledge score than students in cohort 1. Students' mean depth and number of correct compressions was similar. Students in cohort 2 had a significantly higher mean rate of compressions, number of compressions per minute, and mean number of compressions with incorrect hand positions. Although the new curriculum afforded more hands-on practice of CPR, it was not enough to improve the students' performance to match the demands set out in national and international guidelines.
护理专业学生在开始其护理职业生涯时必须能够启动并实施有效的心肺复苏术（CPR）。研究表明，学生在心肺复苏术方面的能力不足，这表明在护理教育期间需要更好的培训。本研究报告了在整个课程中进行纵向教学干预前后护理专业学生心肺复苏术能力的差异。课程的变化包括重新安排并增加心肺复苏术技能测试、纳入除颤课程、在模拟前进行知识测试作为刺激，以及增加对病情恶化患者的模拟练习。这是一项针对两个护理教育本科学生队列的比较研究。我们在学生教育的最后一年测量了他们的知识和按压表现。接受教学干预的队列2的学生的总知识得分显著高于队列1的学生。学生正确按压的平均深度和次数相似。队列2的学生的平均按压速率、每分钟按压次数以及手部位置不正确时的平均按压次数显著更高。尽管新课程提供了更多心肺复苏术的实践机会，但仍不足以将学生的表现提高到符合国家和国际指南所规定的要求。
