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Standardized Model of Ventricular Fibrillation and Advanced Cardiac Life Support in Swine
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Assessing advanced life support (ALS) competence: Victorian practices.

Julie L Preston1, Judy Currey, Glenn M Eastwood

  • 1Epworth Eastern Hospital, Victoria, Australia. jlpreston@optusnet.com.au

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
|June 23, 2009
PubMed
Summary

Ongoing Advanced Life Support (ALS) assessments for nurses in Victorian intensive care units show varied methods and frequency. Many nurses avoid these skill assessments, suggesting a need for alternative strategies to maintain resuscitation competency.

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Area of Science:

  • Medical Education and Training
  • Nursing Practice
  • Emergency Medicine

Background:

  • Advanced Life Support (ALS) assessments are crucial for evaluating nurses' recognition and management of cardiac arrest events according to resuscitation guidelines.
  • While initial ALS education assessments are supported by evidence, guidance on ongoing assessment methods, format, and frequency for nurses remains limited.

Purpose of the Study:

  • To investigate the current methods employed by educators for assessing nurses' Advanced Life Support (ALS) skills and knowledge in Victorian intensive care units.

Main Methods:

  • A descriptive study utilizing telephone interviews with intensive care educators.
  • Data were collected from 20 educators across public and private Level 2 and Level 3 intensive care units in Victoria.
  • Content analysis was used to analyze the collected interview data.

Main Results:

  • All educators used scenarios for ALS skills assessment, with 60% incorporating an additional theoretical test.
  • Significant variability was observed in assessment frequency, timing, personnel, and assessor/participant ratios.
  • Most (95%) educators reported annual ALS competency assessments, but nurses frequently avoided these evaluations.

Conclusions:

  • Ongoing ALS assessment methods in Victorian intensive care units exhibit considerable variability, with some units adhering to evidence-based practices.
  • The purpose and methods of annual ALS assessments warrant careful consideration to ensure effective resource allocation and strategy development.
  • Regular practice sessions may be a more effective alternative to traditional assessments for maintaining nurses' ALS skills and knowledge, though further research is needed.