Duke University School of Nursing, Durham, NC, United States of America.
Duke Pediatric and Congenital Heart Center, Durham, NC, United States of America.
J Pediatr Nurs. 2021 Jul-Aug;59:81-88. doi: 10.1016/j.pedn.2020.10.001. Epub 2021 Feb 4.
Children who participate in youth sports are at risk for sudden cardiac arrest (SCA) related to undetected cardiac anomalies or abrupt impact to the chest. Nurse-led interventions may prevent sudden cardiac death by helping leagues implement an emergency action plan to respond to SCA and improve safety. A youth soccer league in the Southeast with participants between the ages of 5-19 years, led by volunteer board members and coaches, did not have reliable access to automated external defibrillators or receive standardized education on SCA and cardiopulmonary resuscitation with a site-specific action plan.
A nurse-led quality improvement pilot project used partnerships to provide league access to automated external defibrillators, institute preseason SCA and cardiopulmonary resuscitation training, and establish an emergency action plan for the league's volunteers. Anonymous pre- and post-training testing was conducted to measure participant knowledge, confidence, and willingness to respond to SCA. A cross-sectional survey, using a convenience sample of board members and coaches, evaluated sustainability of the intervention at midseason.
Training targeted board members (Blue Shirts) to serve as leaders on the field during an SCA event and educated coaches on activating the emergency action plan.
Blue Shirts and coaches showed significant (p < .05) improvement of knowledge, confidence, and willingness to respond to SCA after receiving the standardized preseason intervention; Blue Shirts' changes were sustained at midseason.
Nurses are ideal for helping youth sports leagues implement a sustainable SCA action plan based on best-practice recommendations for emergency health and safety.
参加青少年运动的儿童有发生与未检测到的心脏异常或胸部突然撞击相关的心脏骤停（SCA）的风险。护士主导的干预措施可以通过帮助联盟实施应对 SCA 和提高安全性的紧急行动计划来预防心脏性猝死。东南部的一个青年足球联盟，参与者年龄在 5-19 岁之间，由志愿董事会成员和教练领导，无法可靠地获得自动体外除颤器，也没有接受过关于 SCA 和心肺复苏术的标准化教育，没有制定特定地点的行动计划。
一项由护士主导的质量改进试点项目利用合作伙伴关系为联盟提供自动体外除颤器，在赛季前进行 SCA 和心肺复苏术培训，并为联盟的志愿者制定紧急行动计划。进行匿名的培训前和培训后测试，以衡量参与者对 SCA 的知识、信心和响应意愿。使用董事会成员和教练的便利样本进行横断面调查，评估干预措施在赛季中期的可持续性。
培训针对的是董事会成员（蓝衣），使其在 SCA 事件期间担任场上的领导者，并教育教练如何激活紧急行动计划。
蓝衣和教练在接受标准化的赛季前干预后，在 SCA 知识、信心和响应意愿方面均有显著（p<0.05）提高；蓝衣的变化在赛季中期得以维持。
护士非常适合帮助青少年运动联盟根据紧急健康和安全的最佳实践建议实施可持续的 SCA 行动计划。
