Part 12: Education, Implementation, and Teams: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Circulation (Impact Factor: 14.43). 10/2010; 122(16 Suppl 2):S539-81. DOI: 10.1161/CIRCULATIONAHA.110.971143
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Available from: Judith C Finn
    • "Recent training was the main factor associated with higher-quality basic life support (Nyman & Sihvonen, 2000; Verplancke et al., 2008). However, there is insufficient evidence to identify specific educational strategies that improve outcomes, including early recognition and rescue of the critical patient (Mancini et al., 2010). In addition, there is a need to develop and implement a resuscitation training curriculum that targets nurses' actual educational needs (Fuhrmann, Perner, Klausen, Østergaard, & Lippert, 2009). "
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    ABSTRACT: Background: Effective training is needed for high-quality performance of staff nurses, who are often the first responders in initiating resuscitation. There is insufficient evidence to identify specific educational strategies that improve outcomes, including early recognition and rescue of the critical patient. This study was conducted to identify perceived competence and educational needs as well as to examine factors influencing perceived competence in resuscitation among staff nurses to build a resuscitation training curriculum. Methods: A convenience sample of 502 staff nurses was recruited from 11 hospitals in a single city. Staff nurses were asked to complete a self-administered questionnaire. Results: On a five-point scale, chest compression was the lowest-rated technical skill (M = 3.33, SD = 0.80), whereas staying calm and focusing on required tasks was the lowest-rated non-technical skill (M = 3.30, SD = 0.80). Work duration, the usefulness of simulation, recent code experience, and recent simulation-based training were significant factors in perceived competence, F(4, 496) = 45.94, p < .001. Simulation-based resuscitation training was the most preferred training modality, and cardiac arrest was the most preferred training topic. Conclusion: Based on this needs assessment, a simulation-based resuscitation training curriculum with cardiac arrest scenarios is suggested to improve the resuscitation skills of staff nurses.
    No preview · Article · Mar 2013 · The Journal of Continuing Education in Nursing
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    • "The strength of this study is its standardization regarding participants and protocol. CPR is often performed in groups [5]. Virtual world CPR team training with avatars has the advantage to address this issue. "
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    ABSTRACT: Background: Multiplayer virtual world (MVW) technology creates opportunities to practice medical procedures and team interactions using serious game software. This study aims to explore medical students' retention of knowledge and skills as well as their proficiency gain after pre-training using a MVW with avatars for cardio-pulmonary resuscitation (CPR) team training. Methods: Three groups of pre-clinical medical students, n = 30, were assessed and further trained using a high fidelity full-scale medical simulator: Two groups were pre-trained 6 and 18 months before assessment. A reference control group consisting of matched peers had no MVW pre-training. The groups consisted of 8, 12 and 10 subjects, respectively. The session started and ended with assessment scenarios, with 3 training scenarios in between. All scenarios were video-recorded for analysis of CPR performance. Results: The 6 months group displayed greater CPR-related knowledge than the control group, 93 (±11)% compared to 65 (±28)% (p < 0.05), the 18 months group scored in between (73 (±23)%).At start the pre-trained groups adhered better to guidelines than the control group; mean violations 0.2 (±0.5), 1.5 (±1.0) and 4.5 (±1.0) for the 6 months, 18 months and control group respectively. Likewise, in the 6 months group no chest compression cycles were delivered at incorrect frequencies whereas 54 (±44)% in the control group (p < 0.05) and 44 (±49)% in 18 months group where incorrectly paced; differences that disappeared during training. Conclusions: This study supports the beneficial effects of MVW-CPR team training with avatars as a method for pre-training, or repetitive training, on CPR-skills among medical students.
    Full-text · Article · Dec 2012 · Scandinavian Journal of Trauma Resuscitation and Emergency Medicine
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    Full-text · Article · Nov 2010 · Notfall
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