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Gul F, Abid S, Khalid S, Khalid S, Shad I, Saleem S, Qayyum SN, Noori S. A quality improvement project to enhance the knowledge, skills, and attitude of healthcare workers regarding the use of defibrillators. Ann Med Surg (Lond) 2024; 86:5206-5210. [PMID: 39239006 PMCID: PMC11374289 DOI: 10.1097/ms9.0000000000002417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2024] [Accepted: 07/05/2024] [Indexed: 09/07/2024] Open
Abstract
Introduction Defibrillation is a critical intervention in managing cardiac emergencies, yet healthcare workers (HCWs) preparation for utilizing defibrillators remains inadequate, particularly in low and middle-income countries. This quality improvement project aimed to assess and enhance HCWs' knowledge, skills, and attitudes toward defibrillator use in the emergency department (ED) through a 1-h defibrillator workshop. Methodology An observational clinical audit was conducted within the ED of a tertiary care hospital. Pre- and post-workshop data were collected from the participants using structured questionnaires for demographics, knowledge assessment (20 multiple-choice questions), skills assessment (10-step checklist), and attitude evaluation (Likert-scale statements). The workshop included theoretical instruction and hands-on practice, with a post-workshop assessment conducted one week later. Data analysis employed descriptive statistics and paired t-tests, while ethical considerations ensured confidentiality and consent. Results The study included 38 participants, demonstrating significant gaps in defibrillator knowledge, skills, and attitudes pre-workshop. Post-workshop assessments revealed a marked improvement in knowledge scores (P<0.05), attitudes (P<0.05), and practical skills (P<0.05). Participants' confidence and preparation for managing cardiac emergencies notably increased, indicating the workshop's efficacy in addressing the identified deficiencies. Conclusion The 1-h defibrillator workshop effectively enhanced HCWs' competence and readiness to utilize ED defibrillators. The observed improvements underscore the importance of targeted educational interventions in bridging knowledge gaps and fostering proactive attitudes toward emergency management. Regular training sessions should be conducted to sustain these enhancements and improve patient outcomes in the ED.
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Affiliation(s)
- Fahad Gul
- Department of Medicine, Holy Family Hospital
| | - Seemab Abid
- Department of Medicine, Holy Family Hospital
| | | | | | - Iram Shad
- Department of Medicine, Benazir Bhutto Hospital
| | - Samar Saleem
- Department of Medicine, Rawalpindi Teaching Hospital, Rawalpindi
| | | | - Samim Noori
- Nangarhar University, Faculty of Medicine, Nangarhar, Afghanistan
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Pongtriang P, Soontorn T, Sumleepun J, Chuson N. Emergency Scenario-Based Training Curriculum Development: Enhancement of Caregivers for the Elderly' Emergency Assistance Competency in a Rural Thai Community. SAGE Open Nurs 2024; 10:23779608241255635. [PMID: 38770423 PMCID: PMC11104023 DOI: 10.1177/23779608241255635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Revised: 03/31/2024] [Accepted: 04/28/2024] [Indexed: 05/22/2024] Open
Abstract
Background Caregivers for the elderly are a critical component of the health care system, especially in rural communities. They play a crucial role, assisting older people in confronting emergency illnesses. Objective The study describes the process of developing an emergency scenario-based training curriculum (ESBTC) for caregivers of the elderly, focusing on geriatric life-threatening surveillance and emergency assistance (GLTSEA) in rural communities. Methods The descriptive qualitative research utilized for developing the ESBTC followed Karn's six steps of curriculum development: (1) needs assessment, (2) targeted needs assessment, (3) goals and objectives, (4) educational strategies, (5) implementation, and (6) evaluation and feedback. The research sample comprised community representatives engaged in providing care during emergency illnesses, emergency experts, and health care providers. A group discussion and focus group were conducted along with semi-structured interviews. The data were analyzed by content analysis following Creswell's six steps. Results The results revealed problems and needs related to the care and management of emergency illnesses in rural communities. Five main themes emerged, including insufficient knowledge, difficulties in communication, mindfulness and self-confidence, Unable to assess the initial symptoms, and a need for skills development. In the development step, the curriculum focused on skill development and continued follow-up to ensure necessary skills, such as providing basic life support, using automated external defibrillators, through training scenarios. In the evaluation step, the participants indicated that their emergency assistance skills had improved. The six main themes that emerged regarding the training continuity, courses, and competencies needed to support the emergency system for caregivers were benefits and value, competence enhancements, upstreaming confidence, sustainable development, challenges in curriculum development, and effective strategies. Conclusions The ESBTC combines community-based and realistic scenarios, involving the participation of community stakeholders. It is crucial to gather community feedback and needs assessments to formulate potential strategies as part of the curriculum.
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Affiliation(s)
- Praditporn Pongtriang
- Department of Adult and Elderly Nursing, Faculty of Nursing, Suratthani Rajabhat University, Surat Thani, Thailand
| | - Thassanee Soontorn
- Department of Adult and Elderly Nursing, Faculty of Nursing, Suratthani Rajabhat University, Surat Thani, Thailand
| | - Jaruwat Sumleepun
- Department of Emergency and Accident, Suratthani Hospital, Surat Thani, Thailand
| | - Noawarat Chuson
- Department of Emergency and Accident, Vibhavadi Hospital, Surat Thani, Thailand
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Abelairas-Gómez C, Martinez-Isasi S, Barcala-Furelos R, Varela-Casal C, Carballo-Fazanes A, Pichel-López M, Fernández Méndez F, Otero-Agra M, Sanchez Santos L, Rodriguez-Nuñez A. Training frequency for educating schoolchildren in basic life support: very brief 4-month rolling-refreshers versus annual retraining-a 2-year prospective longitudinal trial. BMJ Open 2021; 11:e052478. [PMID: 34848519 PMCID: PMC8634240 DOI: 10.1136/bmjopen-2021-052478] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 10/25/2021] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVE To compare the effectiveness of 4-month rolling-refreshers and annual retraining in basic life support (BLS) on a sample of schoolchildren. DESIGN Prospective longitudinal trial. SETTING AND PARTICIPANTS Four hundred and seventy-two schoolchildren (8-12 years old). INTERVENTIONS Schoolchildren were instructed in BLS and then split into the following three groups: control group (CG), standard group (SG) and rolling-refresher group (RRG). Their BLS skills were assessed within 1 week (T1) and 2 years later (T2). Moreover, CG did not receive any additional training; SG received one 50 min retraining session 1 year later; RRG participated in very brief (5 min) rolling-refreshers that were carried out every 4 months. PRIMARY AND SECONDARY OUTCOMES Hands-on skills of BLS sequence and cardiopulmonary resuscitation. RESULTS BLS sequence performance was similar in all groups at T1, but SG and RRG followed the steps of the protocol in more proportion than CG at T2. When compared at T2, RRG showed higher proficiency than SG in checking safety, checking response, opening the airway and alerting emergency medical services. In addition, although the mean resuscitation quality was low in all groups, RRG participants reached a higher percentage of global quality cardiopulmonary resuscitation (CG: 16.4±24.1; SG: 25.3±28.8; RRG: 29.9%±29.4%), with a higher percentage of correct chest compressions by depth (CG: 3.9±11.8; SG: 10.8±22.7; RRG: 15.5±26.1 mm). CONCLUSIONS In 8-to-12-year-old schoolchildren, although annual 50 min retraining sessions help to maintain BLS performance, 4-month very brief rolling-refreshers were shown to be even more effective. Thus, we recommend implementing baseline BLS training at schools, with subsequently brief rolling-refreshers.
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Affiliation(s)
- Cristian Abelairas-Gómez
- Simulation and Intensive Care Unit of Santiago (SICRUS), Health Research Institute of Santiago, University Hospital of Santiago de Compostela- CHUS, Santiago Compostela, Spain
- Faculty of Education Sciences, Universidade de Santiago de Compostela, Spain, Santiago Compostela, Spain
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Santiago Martinez-Isasi
- Simulation and Intensive Care Unit of Santiago (SICRUS), Health Research Institute of Santiago, University Hospital of Santiago de Compostela- CHUS, Santiago Compostela, Spain
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, University of Santiago de Compostela, Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, Santiago Compostela, Spain
| | - Roberto Barcala-Furelos
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Vigo, Spain
- Faculty of Education and Sport Sciences, Universidad de Vigo, Vigo, Spain
| | - Cristina Varela-Casal
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Vigo, Spain
- Faculty of Education and Sport Sciences, Universidad de Vigo, Vigo, Spain
| | - Aida Carballo-Fazanes
- Simulation and Intensive Care Unit of Santiago (SICRUS), Health Research Institute of Santiago, University Hospital of Santiago de Compostela- CHUS, Santiago Compostela, Spain
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, University of Santiago de Compostela, Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, Santiago Compostela, Spain
| | - María Pichel-López
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Vigo, Spain
| | - Felipe Fernández Méndez
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Vigo, Spain
| | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Vigo, Spain
| | - Luis Sanchez Santos
- Pediatric, Health area of Santiago de Compostela-Barbanza, Santiago de Compostela, Spain
| | - Antonio Rodriguez-Nuñez
- Simulation and Intensive Care Unit of Santiago (SICRUS), Health Research Institute of Santiago, University Hospital of Santiago de Compostela- CHUS, Santiago Compostela, Spain
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, University of Santiago de Compostela, Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, Santiago Compostela, Spain
- Pediatric Intensive Care Unit, University Hospital of Santiago de Compostela-CHUS, Santiago de Compostela, Spain
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Performing Simulated Basic Life Support without Seeing: Blind vs. Blindfolded People. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182010724. [PMID: 34682471 PMCID: PMC8536197 DOI: 10.3390/ijerph182010724] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Revised: 09/24/2021] [Accepted: 10/04/2021] [Indexed: 01/08/2023]
Abstract
Previous pilot experience has shown the ability of visually impaired and blind people (BP) to learn basic life support (BLS), but no studies have compared their abilities with blindfolded people (BFP) after participating in the same instructor-led, real-time feedback training. Twenty-nine BP and 30 BFP participated in this quasi-experimental trial. Training consisted of a 1 h theoretical and practical training session with an additional 30 min afterwards, led by nurses with prior experience in BLS training of various collectives. Quantitative quality of chest compressions (CC), AED use and BLS sequence were evaluated by means of a simulation scenario. BP’s median time to start CC was less than 35 s. Global and specific components of CC quality were similar between groups, except for compression rate (BFP: 123.4 + 15.2 vs. BP: 110.8 + 15.3 CC/min; p = 0.002). Mean compression depth was below the recommended target in both groups, and optimal CC depth was achieved by 27.6% of blind and 23.3% of blindfolded people (p = 0.288). Time to discharge was significantly longer in BFP than BP (86.0 + 24.9 vs. 66.0 + 27.0 s; p = 0.004). Thus, after an adapted and short training program, blind people were revealed to have abilities comparable to those of blindfolded people in learning and performing the BLS sequence and CC.
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