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Implementation of the RQI System: Baseline Skills and Self-Report Competence and Confidence Data From 12 NLN
Suzan Kardong-Edgren1, Donna Nikitas, Elizabeth Gavin
1About the Authors Suzan Kardong-Edgren, PhD, RN, ANEF, FSSH, FAAN, is associate professor, MGH Institute of Health Professions, Boston, Massachusetts. Donna Nikitas, PhD, RN, NEA-BC, CNE, FNAP, FAAN, is dean, Rutgers University School of Nursing-Camden, Camden, New Jersey. Elizabeth Gavin, MSN, RN, is simulation specialist, Barnes Jewish Hospital, St. Louis, Missouri. Heiddy DiGregorio, PhD, APRN, PCNS-BC, CHSE, CNE, is director, Simulation and Interprofessional Education, University of Delaware Health Sciences, Newark, Delaware. Dama O'Keefe, DNP, APRN, FNP, is dean, Anderson University in Anderson Indiana. Angela G. Opsahl, DNP, RN, CPHQ, is with Indiana University School of Nursing-Bloomington, Bloomington, Indiana. Patricia A. Sharpnack, DNP, RN, CNE, NEA-BC, ANEF, FAAN, is dean and Strawbridge Professor, Breen School of Nursing and Health Professions, Ursuline College, Pepper Pike, Ohio. For more information, contact Dr. Opsahl at agopsahl@iu.edu.
Nursing students piloting the Resuscitation Quality Improvement (RQI) program showed varied baseline cardiopulmonary resuscitation (CPR) skills. Frequent practice and assessment are crucial for improving CPR competence and confidence in healthcare professionals.
Area of Science:
- Medical Education
- Emergency Medicine
- Nursing Education
Background:
- The Resuscitation Quality Improvement (RQI) program aims to standardize and enhance cardiopulmonary resuscitation (CPR) training.
- Piloting the RQI program in nursing programs provides insights into current CPR skill levels and confidence among future healthcare providers.
Purpose of the Study:
- To evaluate the baseline cardiopulmonary resuscitation (CPR) skills, competence, and confidence of participants in nursing programs implementing the RQI program.
- To identify areas for improvement in CPR training and assessment for nursing students and faculty.
Main Methods:
- Implementation of the RQI program across 12 nursing programs.
- Assessment of baseline CPR skills, including adult and infant compressions and ventilations, with RQI feedback initially disabled.
- Collection of self-reported data on competence and confidence in CPR skills.
Main Results:
- 45% of participants passed adult CPR skills (compressions and ventilations).
- 31% passed infant compressions and 34% passed infant ventilations.
- 45% reported confidence in adult CPR skills, while 32% felt confident in infant CPR skills.
Conclusions:
- A significant proportion of nursing students and faculty demonstrated suboptimal baseline CPR skills.
- Confidence levels in CPR skills, particularly for infant resuscitation, were moderate to low.
- Regular, frequent opportunities for CPR skill practice and objective assessment are essential for all nursing professionals, irrespective of prior experience.
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