Barriers and facilitators to CPR training and performing CPR in an older population most likely to witness cardiac arrest: A national survey

Vaillancourt, Christian; Kasaboski, Ann; Charette, Manya; Islam, Rafat; Osmond, Martin H.; Wells, George; Stiell, Ian G.; Brehaut, Jamie; Grimshaw, Jeremy

doi:10.1016/j.resuscitation.2013.08.001

Cited by 45 publications

(59 citation statements)

References 29 publications

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“…Such persons are most often not educated in CPR or are not capable of performing it. 26,27 The increase in the survival rate if CPR was given before the arrival of EMS was greater when ECG denotes electrocardiographic, PEA pulseless electrical activity, VF ventricular fibrillation, and VT ventricular tachycardia. the out-of-hospital cardiac arrest took place outside the patient's home, possibly because in that setting, bystanders are often younger and may be more likely to be trained in CPR.…”

Section: Discussionmentioning

confidence: 99%

Early Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Early Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest

et al. 2015

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“…For example, some papers discuss how a failure to realise that first aid can save a life decreases the uptake of training (Potts and Lynch, 2006), while others observe that a belief that first-aid skills can save a life increases the uptake (Sasson et al, 2013;Vaillancourt et al, 2013). For example, some papers discuss how a failure to realise that first aid can save a life decreases the uptake of training (Potts and Lynch, 2006), while others observe that a belief that first-aid skills can save a life increases the uptake (Sasson et al, 2013;Vaillancourt et al, 2013).…”

Section: Emotionalmentioning

confidence: 99%

“…For example, some papers discuss how a failure to realise that first aid can save a life decreases the uptake of training (Potts and Lynch, 2006), while others observe that a belief that first-aid skills can save a life increases the uptake (Sasson et al, 2013;Vaillancourt et al, 2013). For logistical issues, people who presented availability and convenience as barriers mentioned effective advertising and the provision of nearby classes or training in the workplace as enablers (Jennings et al, 2009;Vaillancourt et al, 2013). For logistical issues, people who presented availability and convenience as barriers mentioned effective advertising and the provision of nearby classes or training in the workplace as enablers (Jennings et al, 2009;Vaillancourt et al, 2013).…”

Section: Emotionalmentioning

confidence: 99%

Mapping the public first‐aid training landscape: a scoping review

2019

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While the public can play a vital role in saving lives during emergencies, intervention is only effective if people have the skills, confidence, and willingness to help. This review employs a five-stage framework to systematically analyse first aid and emergency helping literature from 22 countries (predominately in Asia, Australia, Europe, and the United States). The review covers 54 articles that investigate public first-aid knowledge and uptake of first-aid training (40); public confidence in first-aid skills and willingness to help during an emergency (21); and barriers to or enablers of learning first aid and delivering first aid in an emergency (25). The findings identify high levels of perceived knowledge, confidence, and willingness to help, supporting the contention that the public can play a vital role during an emergency. However, the findings also point to low uptake levels, low tested skill-specific knowledge, and barriers to learning first aid and helping, indicating that the first-aid training landscape is in need of improvement.

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“…The success of methods used to train the general public in CPR and AED use have been assessed through simulation, and with surveys used to examine the likelihood with which an individual would attempt CPR, or use an AED . However, little is known as to how laypeople perceive OHCAs (including CPR and using an AED), given that these data are extremely scarce .…”

Section: Introductionmentioning

confidence: 99%

Lay Bystanders' Perspectives on What Facilitates Cardiopulmonary Resuscitation and Use of Automated External Defibrillators in Real Cardiac Arrests

Hansen

Rosenkranz

Folke

et al. 2017

JAHA

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BackgroundMany patients who suffer an out‐of‐hospital cardiac arrest will fail to receive bystander intervention (cardiopulmonary resuscitation [CPR] or defibrillation) despite widespread CPR training and the dissemination of automated external defibrillators (AEDs). We sought to investigate what factors encourage lay bystanders to initiate CPR and AED use in a cohort of bystanders previously trained in CPR techniques who were present at an out‐of‐hospital cardiac arrest.Methods and ResultsOne‐hundred and twenty‐eight semistructured qualitative interviews with CPR‐trained lay bystanders to consecutive out‐of‐hospital cardiac arrest, where an AED was present were conducted (from January 2012 to April 2015, in Denmark). Purposive maximum variation sampling was used to establish the breadth of the bystander perspective. Twenty‐six of the 128 interviews were chosen for further in‐depth analyses, until data saturation. We used cross‐sectional indexing (using software), and inductive in‐depth thematic analyses, to identify those factors that facilitated CPR and AED use. In addition to prior hands‐on CPR training, the following were described as facilitators: prior knowledge that intervention is crucial in improving survival, cannot cause substantial harm, and that the AED will provide guidance through CPR; prior hands‐on training in AED use; during CPR performance, teamwork (ie, support), using the AED voice prompt and a ventilation mask, as well as demonstrating leadership and feeling a moral obligation to act.ConclusionsSeveral factors other than previous hands‐on CPR training facilitate lay bystander instigation of CPR and AED use. The recognition and modification of these factors may increase lay bystander CPR rates and patient survival following an out‐of‐hospital cardiac arrest.

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Barriers and facilitators to CPR training and performing CPR in an older population most likely to witness cardiac arrest: A national survey

Cited by 45 publications

References 29 publications

Early Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest

Early Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest

Mapping the public first‐aid training landscape: a scoping review

Lay Bystanders' Perspectives on What Facilitates Cardiopulmonary Resuscitation and Use of Automated External Defibrillators in Real Cardiac Arrests

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