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Nursery Assistants' Performance and Knowledge on Cardiopulmonary Resuscitation: Impact of Simulation-Based Training
Fabien Beaufils1,2,3, Aiham Ghazali4,5, Bettyna Boudier4
1Univ-Bordeaux, Centre de Recherche Cardio-thoracique de Bordeaux, Département de Pharmacologie, CIC 1401, Bordeaux, France.
Insights
Simulation-based training significantly improved nursery assistants' infant cardiopulmonary resuscitation (CPR) skills and knowledge, particularly chest compressions. These enhanced CPR skills were maintained for at least two months post-training.
Area of Science:
- Pediatric Emergency Medicine
- Cardiopulmonary Resuscitation Training
- Simulation-Based Education
Background:
- Child cardiac arrest, though rare, is more common in infants, necessitating immediate cardiopulmonary resuscitation (CPR).
- Simulation-based training (SBT) is known to improve healthcare providers' CPR performance.
- The effectiveness of basic life support (BLS) CPR performance among laypeople, such as nursery assistants, remains less understood.
Purpose of the Study:
- To evaluate the impact of simulation-based training (SBT) on the CPR performance and knowledge of nursery assistants (non-healthcare providers).
- To assess the retention of CPR skills among nursery assistants two months after training.
Main Methods:
- Twenty-seven nursery assistants participated in two teaching (T1, T2) and two evaluation (E1, E2) sessions.
- Infant CPR performance on a manikin was assessed using automated Resusci Baby QCPR® (QCPR Global Score) and an observer checklist (MCPR Global-Score).
- Nursery assistants' theoretical CPR knowledge was evaluated via questionnaires before and after training sessions.
Main Results:
- Significant improvements were observed in both QCPR Global-Score (42.4% to 55.1%) and MCPR Global-Score (50.0% to 72.3%) after SBT (p < 0.001).
- Theoretical knowledge scores increased substantially from 16.9 to 35.2 (p < 0.001), with improvements mainly in chest compression techniques.
- Enhanced CPR performance and knowledge were sustained two months post-training, indicating long-term skill retention.
Conclusions:
- Simulation-based training effectively enhances infant CPR knowledge and skills, particularly chest compressions, among nursery assistants.
- The MCPR Global-Score checklist is a valuable tool for assessing CPR performance quality.
- SBT offers a viable method for improving layperson CPR competency in managing infant cardiac arrest.
Abstract:
Background: Child cardiac arrest is rare, but more frequent among infants, requiring immediate cardiopulmonary resuscitation (CPR). Many studies have reported that simulation-based training (SBT) increased CPR performance of healthcare providers. However, the CPR performance of laypeople using basic life support remains poorly known. The aim of this study was to assess nursery assistants' (non-healthcare providers) CPR performance and knowledge, before and after SBT. Methods: The study was carried out from January to June 2018 in the city of Poitiers, France. Two teaching sessions (T1 and T2) and two evaluation sessions (E1 and E2) were performed. Performance in infant CPR on a manikin at E1 and E2 were videotaped and assessed automatically with Resusci Baby QCPR® and a SimPad PLUS SkillReporter (QCPR Global Score and skills) and by an observer using an original CPR performance checklist (MCPR Global-Score and skills). Nursery assistant's CPR knowledge was assessed by a questionnaire at the beginning and the end of the session T1, E1, and E2. Results: Twenty-Seven nursery assistants over 30 contacted were included. There was an improvement between E1 and E2 in QCPR Global-Score (E1: 42.4 ± 23.6 vs. E2: 55.1 ± 23.7%, p = 0.032), MCPR Global-Score (E1: 50.0+11.9 vs. E2: 72.3+8.5%; p < 0.001) and theoretical knowledge with score (over 45) of 16.9+5.4 before T1 and 35.2+2.7 after E2, respectively (p < 0.001). The improvement mainly concerned QCPR and MCPR compression steps scores. MCPR Global-Score was strongly correlated to QCPR Global-Score (r = 0.61; p < 0.01) and predictive to CPR quality determined by QCPR Global-Score (AUC = 0.77; p < 0.01) with a high sensitivity and negative predictive values. Moreover, these improvements were maintained 2 months after training with no difference between scores obtained by the three groups 15, 30, or 60 days after simulation-based training session T2. Conclusion: SBT could significantly improve knowledge and skills in infant CPR management by nursery assistants especially for chest compression. CPR performance checklist appeared as an interesting tool to assess CPR performance quality.
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