A comparison of pediatric basic life support self-led and instructor-led training among nurses

Vestergaard, Lone Due; Løfgren, Bo; Jessen, Casper L; Petersen, Christina Bjørk; Wolff, Anne; Nielsen, Henry; Krarup, Niels

doi:10.1097/mej.0000000000000294

Cited by 10 publications

(14 citation statements)

References 24 publications

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“…Some healthcare professionals consider it too elaborate and rigid, while others think it misses important clinical information (unpublished data). The approach also lacks a firm evidence base in terms of effectiveness and benefit for patient outcomes [12]. On the other hand, a structured approach, such as the ABCDE algorithm, helps healthcare professionals to focus on the most life-threatening problems and guides initial treatment choices [12].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies found promising results for VBI, including improved practical skills and increased self-confidence [7][8][9][10]. However, the majority of these studies used an instructional video as part of a self-directed learning approach instead of an in-hospital course [11,12]. Furthermore, evidence regarding the most effective instruction method for teaching the ABCDE approach in particular is virtually absent.…”

Section: Introductionmentioning

confidence: 99%

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Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study

Linders¹,

Binkhorst²,

Draaisma³

et al. 2021

BMC Emerg Med

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Background The Airway, Breathing, Circulation, Disability, and Exposure (ABCDE) approach is widely recommended and taught in many resuscitation courses. This study assessed the adherence to the ABCDE algorithm and whether this was affected by the instruction method used to teach this approach. Methods Randomized controlled trial in which simulation was used as investigational method. Between June 2017 and January 2018, neonatal healthcare providers routinely participated in simulated neonatal advanced life support (NALS) scenarios, using a high-fidelity manikin. They were randomly assigned to a video-based instruction (intervention group) or a conventional lecture (control group) as the method of instruction. One blinded researcher evaluated the adherence to the ABCDE approach on video with an assessment tool specifically designed and tested for this study. The primary outcomes were: 1) the overall adherence and 2) the between-group difference in individual adherence to the ABCDE approach, both expressed as a percentage score. Secondary outcomes were: 1) the scores of each profession category (nurses, neonatal ward clinicians, fellows/neonatologists) and 2) the scores for the separate domains (A, B, C, D, and E) of the algorithm. Results Seventy-two participants were assessed. Overall mean (SD) percentage score (i.e. overall adherence) was 31.5% (19.0). The video-based instruction group (28 participants) adhered better to the ABCDE approach than the lecture group (44 participants), with mean (SD) scores of 38.8% (18.7) and 27.8% (18.2), respectively (p = 0.026). The difference in adherence between both groups could mainly be attributed to differences in the adherence to domain B (p = 0.023) and C (p = 0.007). Neonatal ward clinicians (39.9% (18.2)) showed better adherence than nurses (25.0% (15.2)), independent of the study group (p = 0.010). Conclusions Overall adherence to the ABCDE algorithm was rather low. Video-based instruction resulted in better adherence to the ABCDE approach during NALS training than lecturing. Trial registration ISRCTN registry, trial ID ISRCTN95998973, retrospectively registered on October 13th, 2020.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study

Linders¹,

Binkhorst²,

Draaisma³

et al. 2021

BMC Emerg Med

View full text Add to dashboard Cite

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“…Furthermore, the e-learning method produced better results in chest compression depth and in the volume of ventilation [30]. A study by Vestergard et al assessed the effectiveness of an e-learning course versus a traditional instructor-led pediatric BLS course administered to a group of nurses, and reported no statistically significant differences in the results produced by the 2 methods [23].…”

Section: Discussionmentioning

confidence: 99%

“…Quality of CPR is inseparably linked with regularly-held training and the instruction method provided to medical personnel. In addition to the conventional manikin-based practical training supervised by instructors, alternative approaches, which are more and more frequently being investigated by researchers, make use of feedback devices [5,15,16], BLS video self-instruction systems [17–22], e-learning [6,23], and real-time audio-visual feedback systems [24,25]; these methods carry a promise for accessible, affordable, and time-effective training in resuscitation [26].…”

Section: Introductionmentioning

confidence: 99%

Use of Selected Telemedicine Tools in Monitoring Quality of In-Hospital Cardiopulmonary Resuscitation: A Prospective Observational Pilot Simulation Study

et al. 2019

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Background The aim of this study was to assess the quality of in-hospital cardiopulmonary resuscitation components performed by nurses under simulated conditions, with the use of selected telemedicine tools. Material/Methods This prospective observational pilot simulation study was carried out with a group of 48 nurses working in hospital wards specializing in conservative treatment (HOS/C=22; mean age of 30.27 years; SD 9.30) or interventional therapy (HOS/I=26 nurses; mean age of 30.35 years; SD 9.77). Each nurse performed CPR for two minutes (a sequence of 30 compressions: 2 breaths) on a Laerdal Resusci-Anne manikin that was positioned on an examination couch using a self-inflating bag and face mask in accordance with their knowledge of and skills related to in-hospital resuscitation. The study was conducted in two stages, separated with an intervention (refresh online training by using Polycom RealPresence Group Devices). Analyses of selected chest compression and relaxation parameters were performed with the use of the TrueCPR Coaching Device. Results The finding showed improved compression depth (HOS/C: 46.68 mm vs. 51.50 mm; HOS/I: 46.92 mm vs. 50.57 mm), improved full recoil (HOS/C: 81.68% vs. 94.67%; HOS/I: 75.92% vs. 82.13%), and sustained standard compression rate (HOS/C: 115.23/min vs. 105.11/min; HOS/I: 113.65/min vs. 111.04/min) in the study group, 2 months after the intervention. A significant difference between the groups was observed in the rate of chest compressions with complete recoil (HOS/C: 94.67% vs. HOS/I: 82.13%; p<0.042). Conclusions The use of selected telemedicine tools leads to improved chest compression and relaxation parameters during in-hospital sudden cardiac arrest.

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“…Instructor-led training is one of the most common forms of employee training. It takes the form of a classroom setting where the trainer (instructor) passes knowledge to the trainees (employees) through presentations (Vestergaard, Løfgren, Jessen, Petersen, Wolff, Nielsen & Krarup, 2017). Instructor-led training is usually interactive.…”

Section: Instructor-led Trainingmentioning

confidence: 99%

Training needs of businesses in the retail industry: A business case in the United Arab Emirates

Belefkih¹,

Espina²,

Pacana

et al. 2019

jrems

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People in the organization are said to be an important asset. They need to be equipped with the needed skills to contribute to become abreast with the latest trends and demands in the industry. This research focused on an inquiry about how to make the retail industry employees skillful and relevant in the industry. The quantitative results have indicated the significance of training employees in terms of how well they apply the necessary skills at their workplaces. People who have been trained on various skills use the required skills to complete their jobs, which translates effectively to positive productivity, quality output, and satisfactory customer services. Apart from providing services to clients, employees are the cornerstone of productivity and implement the policies of the organization based on its mission, vision and core values. The results have also indicated that the majority of the employees lack the skills needed in executing daily activities. This study is significant in that it has proved beyond doubt that training needs analysis is the first step towards understanding the skill gap in an organization. That way, the company can create the needed measures and strategies for training to equip its employees with the necessary skills for increased production, quality, and improved customer services. This could result in a seamless operation that would significantly cut the overall cost of operations for the firm.

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A comparison of pediatric basic life support self-led and instructor-led training among nurses

Abstract: Self-training is not statistically different to instructor-led training in teaching PBLS. Self-evaluated confidence improved, but showed no difference between groups. PBLS may be disseminated through self-training.

Cited by 10 publications

References 24 publications

Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study

Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study

Use of Selected Telemedicine Tools in Monitoring Quality of In-Hospital Cardiopulmonary Resuscitation: A Prospective Observational Pilot Simulation Study

Training needs of businesses in the retail industry: A business case in the United Arab Emirates

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