CPR Knowledge, Self-Efficacy, and Anticipated Anxiety as Functions of Infant/Child CPR Training

Schlessel, Jerrold S.; Rappa, Heidi A.; Lesser, Martin; Pogge, David L.; Ennis, Rosemarie; Mandel, L M

doi:10.1016/s0196-0644(95)70174-5

Cited by 42 publications

(25 citation statements)

References 17 publications

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“…24,[26][27][28][29][76][77][78][79][80][81][82][83][84][85][86] Parents of young infants are another group that can learn CPR before leaving the nursery. [87][88][89][90][91][92][93][94][95][96][97] Anecdotally, CPR training is mandatory in some countries at the time of obtaining or renewing one's driver's licence. 24,26 (Class III) Unfortunately, despite a few well-designed trials demonstrating the possibility of teaching CPR to children and parents of young infants, there is little evidence supporting the benefit of these interventions to bystander CPR and survival rates.…”

Section: Ii-3 Inform Trainees About What To Expect During Resuscitatimentioning

confidence: 99%

Understanding and improving low bystander CPR rates: a systematic review of the literature

Vaillancourt

Stiell

Wells

2008

CJEM

142

110

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Objectives: Cardiopulmonary resuscitation (CPR) is a crucial yet weak link in the chain of survival for out-of-hospital cardiac arrest. We sought to understand the determinants of bystander CPR and the factors associated with successful training. Methods: For this systematic review, we searched 11 electronic databases, 1 trial registry and 9 scientific websites. We performed hand searches and contacted 6 content experts. We reviewed without restriction all communications pertaining to who should learn CPR, what should be taught, when to repeat training, where to give CPR instructions and why people lack the motivation to learn and perform CPR. We used standardized forms to review papers for inclusion, quality and data extraction. We grouped publications by category and classified recommendations using a standardized classification system that was based on level of evidence. Results: We reviewed 2409 articles and selected 411 for complete evaluation. We included 252 of the 411 papers in this systematic review. Differences in their study design precluded a meta-analysis. We classified 22 recommendations; those with the highest scores were 1) 9-1-1 dispatchassisted CPR instructions, 2) teaching CPR to family members of cardiac patients, 3) Braslow's selftraining video, 4) maximizing time spent using manikins and 5) teaching the concepts of ambiguity and diffusion of responsibility. Recommendations not supported by evidence include mass training events, pulse taking prior to CPR by laymen and CPR using chest compressions alone. Conclusion:We evaluated and classified the potential impact of interventions that have been proposed to improve bystander CPR rates. Our results may help communities design interventions to improve their bystander CPR rates. RÉSUMÉ Objectifs : La réanimation cardio-respiratoire (RCR) est un maillon essentiel, quoique faible, de la chaîne de survie lors de la survenue d'un arrêt cardiaque hors de l'hôpital. Nous avons cherché à comprendre les déterminants du taux de passants pouvant administrer la RCR et les facteurs liés à une formation efficace. Méthodes : Dans le cadre de cette revue systématique, nous avons analysé 11 bases de données électroniques, un registre d'essais cliniques et neuf sites Web scientifiques. Nous avons réalisé des recherches manuelles et communiqué avec six experts du contenu. Nous avons examiné sans restriction toutes les communications portant sur les questions suivantes : qui devrait apprendre la RCR, ce qu'on devrait enseigner, QUAND la formation devrait être renouvelée, où les cours de

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Section: Ii-3 Inform Trainees About What To Expect During Resuscitatimentioning

confidence: 99%

Understanding and improving low bystander CPR rates: a systematic review of the literature

Vaillancourt

Stiell

Wells

2008

CJEM

142

110

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“…Although most physicians feel that CPR training is important, it may not be routinely recommended for parents at discharge (Schlessel et al, 1995). In light of these concerns, there was an element of physician resistance to this intervention in this institution, which subsequently affected recruitment.…”

Section: Discussionmentioning

confidence: 99%

“…However, prior investigations have suggested that parents are indeed able to learn CPR at discharge, despite high levels of anxiety (Dracup, Moser, Doering, & Guzy, 1997a;Dracup et al 1997bDracup et al , 1998Moser et al, 1999;Schlessel et al, 1995), and that proper CPR education is a high priority for families. CPR training promotes a sense of control in the majority of parents, which should mitigate any concerns about CPR discharge teaching to parents with high stress or anxiety levels (Dracup, Moser, Guzy, Taylor, & Marsden, 1994;Higgins, Hardy, & Higashino, 1989;Schlessel et al, 1995;Louis, Carter, & Eisenberg, 1982). The written testimonials provided by parents in this study support the idea that in many cases, CPR education dramatically reduced anxiety levels.…”

Section: Discussionmentioning

confidence: 99%

“…Keywords cardiopulmonary arrest cardiopulmonary resuscitation CPR discharge teaching pediatric video-based self-instruction Evangelista, 1998;Moser et al, 1999;Schlessel et al, 1995). Time constraints and variations in nursing skill, instruction methods, and healthcare professionals' confidence levels often limit the ability to provide standardized CPR instruction.…”

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confidence: 99%

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2013

Journal for Healthcare Quality

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“…[43][44][45] Fear of harming the person who requires CPR rescue has resulted in concern for application of bystander CPR. 39,46 Adverse effects of CPR on people surviving CPR to hospital admission were no different for people rescued by bystanders versus advanced life support providers in a review of chest radiographs. 47 Good Samaritan laws protect any layperson or professional who renders first aid to victims of injury.…”

Section: Barriers To Basic Life Support Training and Implementationmentioning

confidence: 99%

Role of Pediatricians in Advocating Life Support Training Courses for Parents and the Public

Pyles¹,

Knapp²

2004

Pediatrics

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CPR Knowledge, Self-Efficacy, and Anticipated Anxiety as Functions of Infant/Child CPR Training

Cited by 42 publications

References 17 publications

Understanding and improving low bystander CPR rates: a systematic review of the literature

Understanding and improving low bystander CPR rates: a systematic review of the literature

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Role of Pediatricians in Advocating Life Support Training Courses for Parents and the Public

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