George Basil, Hampton Kerry, Elliott Malcolm
School of Nursing & Midwifery, Monash University, Wellington Road, Clayton, VIC 3800, Australia.
Nursing and Midwifery, Monash University, Clayton, Australia.
Contemp Nurse. 2023 Dec;59(6):478-490. doi: 10.1080/10376178.2023.2287075. Epub 2024 Jan 17.
Knowing how to respond effectively to an acutely deteriorating patient is a National Safety and Quality Health Service Standard and a requirement for nurse registration with the Australian Health Practitioner Regulatory Authority. Literature has highlighted that a lack of knowledge, skills and confidence in healthcare professionals to perform basic life support may be a contributing factor to the high mortality and morbidity rates associated with cardiac arrest in the hospital setting.
To explore first-year nursing students' knowledge and confidence to perform basic life support according to the Australian Resuscitation Council guidelines before and after watching an online video lecture.
A quantitative quasi-experimental pre- and post-test design to measure changes, if any, in first-year nursing students' knowledge and confidence to perform basic life support at an Australian university in 2021.
The collected data were analysed using Stata, a statistical software for data sciences. Participants' mean knowledge score increased from 9.3 (SD: 2.5) in the pre-test to 13.9 (SD: 3) ( < 0.001) in the post-test (maximum possible score: 19). Participants' mean confidence score increased from 17.0 (SD: 6.3) in the pre-test to 24.5 (SD: 4.4) ( < 0.001) in the post-test (maximum possible score: 30; < 0.001).
The most significant improvement in knowledge was observed in chest compression rate, breathing/ ventilation and checking patient response. The study found that the video lecture is an effective teaching method to increase students' confidence to perform basic life support.
An online video-recorded lecture can increase undergraduate student nurses' knowledge and confidence to perform basic life support. This is one educational strategy that universities can use to improve students' knowledge and confidence to perform this essential skill for practice.
知道如何有效应对病情急剧恶化的患者是国家安全与质量健康服务标准，也是澳大利亚健康从业者监管局对护士注册的一项要求。文献强调，医护人员在进行基本生命支持方面缺乏知识、技能和信心，可能是导致医院环境中心脏骤停相关高死亡率和发病率的一个因素。
探讨一年级护理专业学生在观看在线视频讲座前后，根据澳大利亚复苏委员会指南进行基本生命支持的知识和信心。
采用定量准实验前后测设计，以测量2021年澳大利亚一所大学一年级护理专业学生在进行基本生命支持方面的知识和信心（如有）变化。
使用数据科学统计软件Stata对收集到的数据进行分析。参与者的平均知识得分从前测的9.3（标准差：2.5）提高到后测的13.9（标准差：3）（<0.001）（满分：19分）。参与者的平均信心得分从前测的17.0（标准差：6.3）提高到后测的24.5（标准差：4.4）（<0.001）（满分：30分；<0.001）。
在胸外按压频率、呼吸/通气和检查患者反应方面，知识有最显著的提高。研究发现，视频讲座是一种有效的教学方法，可以增强学生进行基本生命支持的信心。
在线视频讲座可以提高本科护生进行基本生命支持的知识和信心。这是大学可以用来提高学生知识和信心以掌握这项实践必备技能的一种教育策略。
