Focused nurse-defibrillation training: a simple and cost-effective strategy to improve survival from in-hospital cardiac arrest

Stewart, John A.

doi:10.1186/1757-7241-18-42

Cited by 7 publications

(3 citation statements)

References 23 publications

(28 reference statements)

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“…The education of trainers may benefit from increased educational focus on the defibrillation, recognition of the rhythms, and training of leadership skills because nurse educators may serve as positive role models to encourage and reinforce the crucial role nurses may play as the first healthcare professionals on the scene [ 14 , 21 , 26 – 28 ].…”

Section: Discussionmentioning

confidence: 99%

Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training

Makinen

Castrèn

Nurmi

et al. 2016

Emergency Medicine International

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Objectives. Studies have shown that healthcare personnel hesitate to perform defibrillation due to individual or organisational attitudes. We aimed to assess trainers' attitudes towards cardiopulmonary resuscitation and defibrillation (CPR-D), Current Care Guidelines, and associated training. Methods. A questionnaire was distributed to CPR trainers attending seminars in Finland (N = 185) focusing on the updated national Current Care Guidelines 2011. The questions were answered using Likert scale (1 = totally disagree, 7 = totally agree). Factor loading of the questionnaire was made using maximum likelihood analysis and varimax rotation. Seven scales were constructed (Hesitation, Nurse's Role, Nontechnical Skill, Usefulness, Restrictions, Personal, and Organisation). Cronbach's alphas were 0.92–0.51. Statistics were Student's t-test, ANOVA, stepwise regression analysis, and Pearson Correlation. Results. The questionnaire was returned by 124/185, 67% CPR trainers, of whom two-thirds felt that their undergraduate training in CPR-D had not been adequate. Satisfaction with undergraduate defibrillation training correlated with the Nontechnical Skills scale (p < 0.01). Participants scoring high on Hesitation scale (p < 0.01) were less confident about their Nurse's Role (p < 0.01) and Nontechnical Skills (p < 0.01). Conclusion. Quality of undergraduate education affects the work of CPR trainers and some feel uncertain of defibrillation. The train-the-trainers courses and undergraduate medical education should focus more on practical scenarios with defibrillators and nontechnical skills.

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Section: Discussionmentioning

confidence: 99%

Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training

Makinen

Castrèn

Nurmi

et al. 2016

Emergency Medicine International

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“…Exploration of another approach is warranted—especially now, with the current Covid-19 pandemic. A cadre of nurses or other caregivers (perhaps one in four) could be trained intensively for one specific role in every code: to provide initial monitoring and defibrillation as quickly as possible [ 10 ]. For Covid-19 arrests, they would automatically be designated as the first to enter the room, perhaps identified by distinctive ID badges, while other caregivers donned their PPE.…”

Section: Main Textmentioning

confidence: 99%

ILCOR’s revised Covid-19 defibrillation recommendation requires a new approach to training

Stewart

2020

Scand J Trauma Resusc Emerg Med

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In-hospital resuscitation practices have changed by necessity in the Covid-19 era, principally due to precautions intended to protect caregivers from infection. This has resulted in serious delays in resuscitation response. ILCOR has recently modified its guidelines to separate defibrillation from other interventions, recognizing that shock success is extremely time-dependent and that defibrillation poses relatively little risk of Covid-19 transmission. The new recommendation calls for sending one caregiver into the isolation room in order to initiate bedside monitoring and defibrillate if indicated, while the code team is donning their personal protective equipment. Implementing this change requires focused training in that specific role. This can be accomplished by intensively training a subset of clinical staff to assume the responsibility and act without hesitation when a code occurs. Focused defibrillation training promises to avoid compromising the care of patients experiencing tachyarrhythmic arrests in the setting of Covid-19. Such a training program might even result in better survival than before the pandemic for this subset of patients.

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“…4 What is needed is a focused, intensive training program for a subset of nurses, with overtraining and surprise testing. 5 Such a program would tamp down fears and instill in these nurses that their primary role in a code is always to initiate monitoring as soon as possible and defibrillate if indicated.…”

mentioning

confidence: 99%

Re: Education for cardiac arrest – Treatment or prevention?

Stewart

2015

Resuscitation

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Focused nurse-defibrillation training: a simple and cost-effective strategy to improve survival from in-hospital cardiac arrest

Cited by 7 publications

References 23 publications

Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training

Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training

ILCOR’s revised Covid-19 defibrillation recommendation requires a new approach to training

Re: Education for cardiac arrest – Treatment or prevention?

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