Evaluation of Cardiopulmonary Resuscitation (CPR) Practice of Nurses at a Tertiary Hospital

Nurses are usually the members of the health team who first reach the patients with cardiopulmonary arrest. The theoretical and practical training of the nurses on basic life support (BLS) is important. The study was designed to assess the cardiopulmonary resuscitation (CPR) knowledge and practice of the all nurses who attended BLS course in a tertiary care hospital. The participants were asked to respond to the questions about CPR training information, CPR experiences, and self-confidence in this area before the training. After the questionnaire the participants’ CPR performances on the model were evaluated and the steps are repeated after training. A total of 287 nurses had the training course and all of them were recruited in the study. 11.8% of the participants did not receive any practical training. Only 43.2% of them performed effective CPR. Previous practical training did not show any difference for effective CPR (41.9% versus 52.9% p = 0.222). Those with CPR experience carried out significantly more effective CPR (49.3% versus 27.5% p = 0.001). The ones with real-life CPR experience reported significantly more selfconfidence (91.3% versus 66.3%, p

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1.Cooper S, Cade J. Predicting survival, inhospital cardiac arrests: resuscitation survival variables and training effectiveness. Resuscitation 1997; 35: 17-22.

2. Berg RA, Hemphill R, Abella BS, et al. Part 5: adult basic life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122: 685-705.

3. Highlights of the 2018 Focused Updates to the American Heart Association Guidelines for CPR and ECC: Advanced Cardiovascular Life Support and Pediatric Advanced Life Support. Available from: https://eccguidelines.heart.org/wpcontent/uploads/2018/10/2018-FocusedUpdates_Highlights.pdf

4. Pareek M, Parmar V, Badheka J, Lodh N. Study of the impact of training of registered nurses in cardiopulmonary resuscitation in a tertiary care centre on patient mortality. Indian J Anaesth 2018; 62: 381-384.

5. Castillo J, Gallart A, Rodriguez E, Castillo J, Gomar C. Basic life support and external defibrillation competences after instruction and at 6months comparing face-to-face and blended training. Randomised trial. Nurse Educ Today 2018; 65: 232-238.

6. Rajeswaran L, Cox M, Moeng S, Tsima BM. Assessment of nurses' cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana. Afr J Prim Health Care Fam Med 2018; 10: 1-6.

7. Brião RdC, Souza ENd, Castro RAd, Rabelo ER. Cohort study to evaluate nursing team performance in a theoretical test after training in cardiopulmonary arrest. Rev Lat Am Enfermagem 2009; 17: 40-45.

8. Kara F, Yurdakul A, Erdoğan B, Polat E. Bir Devlet Hastanesinde Görev Yapan Hemşirelerin Güncel Temel Yaşam Desteği Bilgilerinin Değerlendirilmesi. Mehmet Akif Ersoy Universitesi Sağlık Bilimleri Enstititüsü Dergisi 2015; 3: 17-26.

9. 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: 146- 152.

10. O'Steen DS, Kee CC, Minick MP. The retention of advanced cardiac life support knowledge among registered nurses. J Nurs Staff Dev 1996; 12: 66-72.

11. Smith KK, Gilcreast D, Pierce K. Evaluation of staff's retention of ACLS and BLS skills. Resuscitation 2008; 78: 59-65.

12. Heard DG, Andresen KH, Guthmiller KM, et al. Hands-Only Cardiopulmonary Resuscitation Education: A Comparison of On-Screen With Compression Feedback, Classroom, and Video Education. Ann Emerg Med 2018; S0196-0644(18)31286-31281.

13. Anderson R, Sebaldt A, Lin Y, Cheng A. Optimal training frequency for acquisition and retention of high-quality CPR skills: A randomized trial. Resuscitation 2018; S0300- 9572(18)31068-31062.

14. Ersoy G SS, Gedik H, Yenal S, Üstünkarlı N, Tırpan K, Türkmen S. Paramedik öğrencilerinin CPR (kardiyopulmoner resusitasyon) bilgi düzeylerinin ve bunu etkileyen faktörlerin incelenmesi. Acil Tıp Dergisi 2003; 1: 27-32.