Evaluation of a course for the training of nursing professionals in urgency and emergency

Thaisa Vieira Sonnberger, Gustavo Lenci Marques, Flavia Klas Blanski Pinheiro

Abstract


AIMS: This work aims to evaluate a course model for the training of the nursing team in emergency care, as well as establishing the period which the knowledge acquired in the course is still memorized and when the course should be reministered to guarantee the professional’s proficiency.
METHODS: We selected 45 nursing professionals who worked at the Cardiology Units of the Hospital de Clínicas of the Federal University of Paraná. In this group, a pre-test of 20 multiple choice questions was applied, mentioning the previous knowledge of the team. After the pre-test, a two-hour theoretical-practical course was given on the recognition of severe patients and initial management of a cardiorespiratory arrest, practicing ventilation maneuvers and chest compression on a manikin. After the course, the same test was reapplied to identify if there was improvement in the number of correct answers. Within three and six months the test was again applied in order to establish the knowledge storage rate over that period.
RESULTS: We observed that the average accuracy in the pre-test was 9.4±3.3 questions. In the immediate post-test, there was an increase in the mean of correct answers to 15.3±2 questions. After three months, the average number of correct answers fell to 12±3.1 questions and after six months was 10±3.3 questions. It was also possible to identify that the professionals who worked in the Intensive Care Unit and Hemodynamics presented a greater number of correct answers (12.6±3.4) when compared to the professionals who worked in the Infirmary (9.4±4.4). Performing a regressive analysis, we observed a statistically significant improvement in the test results shortly after the training and in three months (p < 0.05) – which did not occur in the time of six months.
CONCLUSION: We can infer from the improvement in the number of correct answers to the questionnaire that the theoretical-practical course model was effective in promoting the training of nursing professionals. However, the fixation of knowledge decays over the months, returning to values close to the initial within six months.


Keywords


Cardiopulmonary Resuscitation, Training, Nursing Team, Heart Arrest, Knowledge Management.

References


World health statistics 2018: monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization; 2018. [updated 2019 April; cited 2019 April 13]. Available from: https://apps.who.int/iris/bitstream/handle/10665/272596/ 9789241565585-ng.pdf?ua=1&ua=1

Plagisou L, Tsironi M, Zyga S, Moisoglou I, Maniadakis N, Prezerakos P. Assessment of nursing staffs theoretical knowledge of cardiovascular resuscitation in an NHS public hospital. Hell J Cardiol. 2015;56(2):149-53. https://doi.org/10.1016/j.resuscitation.2016.07.089

Ciurzynski SM, Gottfried JA, Pietraszewski J, Zalewski M. Impact of Training Frequency on Nurses’ Pediatric Resuscitation Skills. J Nurses Prof Dev. 2017;33(5):E1-7. https://doi.org/10.1097/nnd.0000000000000386

Boyde M, Wotton K. A review of nurses’ performance of cardiopulmonary resuscitation at cardiac arrests. J Nurses Staff Dev. 2001;17(5):248-55. https://doi.org/10.1097/00124645-200109000-00008

Bukiran A, Erdur B, Ozen M, Bozkurt AI. Retention of nurses’ knowledge after basic life support and advanced cardiac life support training at immediate, 6-month, and 12-month post-training intervals: A longitudinal study of nurses in Turkey. J Emerg Nurs. 2014;40(2):146-52. https://doi.org/10.1016/j.jen.2012.08.011

Miranda FBG, Mazzo A, Pereira Junior GA. Uso da simulação de alta fidelidade no preparo de enfermeiros para o atendimento de urgências e emergências: revisão da literatura (Use of high fidelity simulation in the preparation of nurses for urgency and emergency care: scoping review). Sci Med. 2018;28(1):ID28675. http://doi.org/10.15448/1980-6108.2018.1.28675.

Sullivan N. An integrative review: Instructional strategies to improve nurses’ retention of cardiopulmonary resuscitation priorities. Int J Nurs Educ Scholarsh. 2015;12(1):1-7. https://doi.org/10.1515/ijnes-2014-0012

Brião RC, Souza EN, Castro RA, Rabelo ER. Estudo de coorte para avaliar o desempenho da equipe de enfermagem em teste teórico, após treinamento em parada cardiorrespiratória. Rev Lat Am Enfermagem. 2009;17(1):1-6. https://doi.org/10.1590/s0103-507x2006000200007

Hamilton R. Nurses’ knowledge and skill retention following cardiopulmonary resuscitation training: a review of the literature. J Adv Nurs. 2005;51(3):288-97. https://doi.org/10.1111/j.1365-2648.2005.03491.x

Niles DE, Nishisaki A, Sutton RM, Elci OU, Meaney PA, OʼConnor KA, Leffelman J, Kramer-Johansen J, Berg RA, Nadkarni V. Improved Retention of Chest Compression Psychomotor Skills With Brief “Rolling Refresher” Training. Simul Healthc J Soc Simul Healthc. 2017;12(4):213-29. https://doi.org/10.1097/sih.0000000000000228

Cecilio-Fernandes D, Cnossen F, Jaarsma DADC, Tio RA. Avoiding surgical skill decay: a systematic review on the spacing of training sessions. J Surg Educ. 2018; 75:471-80. https://doi.org/10.1016/j.jsurg.2017.08.002

Kleinman ME, Brennan EE, Goldberger ZD, Terry M, Bobrow BJ, Gazmuri RJ, Travers AH, Rea T. Part 5: adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132:S414-S435.

https://doi.org/10.1161/cir.0000000000000259

Travers AH, Perkins GD, Berg RA, Castren M, Considine J, Escalante R, Gazmuri RJ, Koster RW, Lim SH, Nation KJ, Olasveengen TM, Sakamoto T, Sayre MR, Sierra A, Smyth MA, Stanton D, Vaillancourt C; Basic Life Support Chapter Collaborators. Part 3: adult basic life support and automated external defibrillation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation. 2015;132(suppl 1):S5-S83. https://doi.org/10.1161/cir.0000000000000272

Masarotto G, Varin C. Gaussian copula marginal regression. Electron J Stat. 2012;6:1517-49. https://doi.org/10.1214/12-ejs721

R Development Core Team. R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria. Copenhagen: GBIEF; 2016.

Touloumis A, Agresti A, Kateri M. Generalized Estimating Equations for Multinomial Responses Using a Local Odds Ratio Parameterization. Biometrics. 2013;69(3):633-40. https://doi.org/10.1111/biom.12054

Gebremedhn EG, Gebregergs GB, Anderson BB, Nagaratnam V. Attitude and skill levels of graduate health professionals in performing cardiopulmonary resuscitation. Adv Med Educ Pract. 2017;8:43-50. https://doi.org/10.2147/amep.s114726

Jenkin AM. Nurses’ attitudes to the teaching and training of cardio-pulmonary resuscitation. J Clin Nurs. 1994;3: 193-4. https://doi.org/10.1111/j.1365-2702.1994.tb00385.x

O’Donnell C. A survey of opinion amongst trained nurses and junior medical staff on current practices in resuscitation. J Adv Nurs. 1990;15:1175-80. https://doi.org/10.1111/j.1365-2648.1990.tb01710.x

Dane FC, Russell-Lindgren KS, Parish DC, Durham MD, Brown TD. In-hospital resuscitation: association between ACLS training and survival to discharge. Resuscitation. 2000; 47:83-7. https://doi.org/10.1016/s0300-9572(00)00210-0

Braslow A, Brennan RT, Newman MM, Bircher NG, Batcheller AM, Kaye W. CPR training without an instructor: development and evaluation of a video self-instructional system for effective performance of cardiopulmonary

resuscitation. Resuscitation. 1997;34(3):207-20. https://doi.org/10.1016/s0300-9572(97)01096-4

Batcheller A, Brennan RT, Braslow A, Urritia A, Kaye W. CPR performance of subjects over forty is better following half-hour video self instruction compared to traditional four-hour classroom. Resuscitation. 2000;43(2):101-10. https://doi.org/10.1016/s0300-9572(99)00132-x

Cummins RO, Hazinski MF. Cardiopulmonary resuscitation techniques and instruction: when does evidence justify revision? Ann Emerg Med. 1999;34(6):780-4. https://doi.org/10.1016/s0196-0644(99)70105-8

Leary M, Abella B. The challenge of CPR quality: Improvement in the real world. Resuscitation. 2008;77:1-3. https://doi.org/10.1016/j.resuscitation.2008.02.005

Todd KH, Braslow A, Brennan RT, Lowery DW, Cox RJ, Lipscomb LE, Kellermann AL. Randomized, controlled trial of videos self instruction versus traditional CPR training. Ann Emerg Med. 1998;31:364-9. https://doi.org/10.1016/s0196-0644(98)70348-8

Mduma E, Ersdal H, Svensen E, Kidanto H, Auestad B, Perlman J. Frequent brief on-site simulation training and reduction in 24-h neonatal mortality: An educational intervention study. Resuscitation. 2015;93:1-7. https://doi.org/10.1016/j.resuscitation.2015.04.019

Barbosa GS, Bias CGS, Agostinho LS, Oberg LMCQ, Lopes ROP, Sousa RMC. Eficácia da simulação na autoconfiança de estudantes de enfermagem para ressuscitação cardiopulmonar extra-hospitalar: um estudo quase experimental (Effectiveness of simulation on nursing students’ self-confidence for intervention in out-of-hospital cardiopulmonar resuscitation: a quase-experimental study). Sci Med. 2019;29(1):e32694. https://doi.org/10.15448/1980-6108.2019.1.32694

Nori, MJ, Saghafinia M, Motamedi MHK, Hosseini SMK. CPR training for nurses: how often is it necessary? Iran Red Crescent Med. J. 2012;14(2):104-7.




DOI: http://dx.doi.org/10.15448/1980-6108.2019.3.34203

e-ISSN: 1980-6108 | ISSN-L: 1806-5562


Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.