• The Korean Journal of Emergency Medical Services
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• v.26 no.3
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• pp.161-184
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• 2022

Purpose: This study aimed to develop a cardiopulmonary resuscitation training program for firefighters (FD-CPR) to help improve the survival rate after cardiac arrest on the fireground. Methods: The FD-CPR was developed following 3 steps of the FD-CPR instructional design based on the behaviorism theory. The content of the program was validated by a group of 7 experts using the contents validity index (CVI) and through a pilot-test. Results: A scenario consisting of 7 procedures, and a skill performance evaluation tool consisting of 16 questions were developed. The evaluation tool average score for the difficulty test was 41.16% (even) and that for the discrimination test was 0.32 (high). Subsequently, an 80 min training program was developed. As verified by the 7 experts through the CVI, it was as high as 1.0. Conclusion: The FD-CPR developed domestically for the first time in this study was effective in enhancing the CPR performance skills of the firefighters. If FD-CPR is added to the curriculum at the Fire Service Academy educational course for the new firefighters, the CPR performance skills could be maintained. Furthermore, the program can facilitate a better survival rate for colleagues having cardiac arrest on the field.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.16 no.4
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• pp.430-437
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• 2009

Purpose: This study was designed to provide a systematic understanding of nursing students' knowledge, attitude and ability to perform cardiopulmonary resuscitation (CPR). Fundamental data regarding CPR education was processed in order to analyze factors influencing knowledge, attitude and ability. Methods: A total of 663 nursing students from G city and South Jeolla Province participated in this study during March and April 2009. Questionnaires were used to gather the data. Descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients with SPSS WIN 12.0 were used for data analysis. Results: The mean score for knowledge regarding CPR was 7.84 of a total possible score of 15, for attitude, 39.90 of a total possible score of 55 and for performance ability, 40.17 of a total possible score of 75. There was a positive correlation between CPR knowledge, attitude and performance ability. As knowledge increased so did attitude and performance ability. Conclusion: In order to develop positive attitudes in nursing students toward the performance of CPR, we need to strengthen education related to CPR and create effective education programs which are focused particularly on practical training for the students.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.4
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• pp.460-469
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• 2010

Purpose: This study was done to identify the relationship of knowledge of cardiopulmonary resuscitation (CPR), general characteristics associated with CPR and attitude toward CPR by college students. Method: The research design for this study was a descriptive survey design with a convenience sample. Data collection was done using self-report questionnaires with 424 college students. The collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient and multiple linear regression. Results: Most of the students had received CPR training (58.3%) and 17% of the students had given help on request in an emergency situation. But only 11.3% of them performed CPR. The mean scores for knowledge of CPR and attitude toward CPR by students were $5.79{\pm}2.41$, $33.8{\pm}6.53$, respectively. The 18.3% of explained variance for attitude toward CPR was significantly explained by gender, age, having received CPR training and knowledge of CPR. Conclusion: Based on the findings of this study the development of CPR training programs which are tailored to personal characteristics of college students are necessary to improve attitudes toward CPR. Further nursing research is needed on the characteristics of college students associated with attitude toward cardiopulmonary resuscitation.

• Journal of Korean Critical Care Nursing
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• v.6 no.2
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• pp.24-36
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• 2013

Propose: This study was to investigate the educational effect and retention of repeated simulation-based basic life support (BLS) training for nursing students. Methods: A comparison group design with pretest and posttest was used. A total of 35 nursing students (18 for the experimental group, 17 for the control group) participated in the study. A repeated simulationbased BLS training program which include a lecture, skills training, and two repeated sessions of simulation practice and debriefing was provided twice for experimental group. Knowledge, self-efficacy, and skill performance of cardiopulmonary resuscitation (CPR) were measured three times: at baseline, week 2, and week 6. Descriptive analysis, repeated measures ANOVA, and t-test were used for data analyses. Results: Knowledge, self-efficacy and skill performance of CPR were not significantly changed by group assignment, by the time, and interaction of group by time. Effectiveness of intervention was not maintained until Week 6. Conclusion: The results suggest that the timing of repeat education, total training time, and students' mastery of CPR performance should be considered when developing simulation-based programs to improve and maintain students' CPR knowledge, self-efficacy, and skill performance.

• Korean Journal of Adult Nursing
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• v.28 no.2
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• pp.169-179
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• 2016

Purpose: The purpose of this study was to investigate the effects of simulation-based training (SBT) for basic life support (BLS) utilizing video-assisted debriefing (VAD) about non-technical skills (NTSs) and technical skills (TSs). The goal of the proposed study is the evaluation of a teaching method about the correct application of cardiopulmonary resuscitation (CPR). Methods: The study design was a control group pre- and post-test non-synchronized experimental design. The sample included twelve teams of 36 nursing students. Both the experimental and the control groups received the SBT for BLS. Only the experimental groups received VAD where as the control groups had a verbal debriefing. Raters who used checklists for TSs and NTSs evaluated both groups. Data were analyzed by the SPSS 20.0 using Cronbach's ${\alpha}$, Intraclass Correlation Coefficient (ICC), Mann-Whitney U test and Willcoxon signed rank test. Results: The experimental groups scored higher than the control groups in both TSs (p=.004) and the NTSs (p=.008). Conclusion: The findings of this study suggest that NTSs are an important factor that lead CPR successfully, so VAD can be used as an efficient teaching-learning strategy in the SBT for BLS for nursing students and nurses.

• Journal of Korea Entertainment Industry Association
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• v.14 no.7
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• pp.477-485
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• 2020

This study is a random allocation similar experimental study to compare and analyze the difference in BVM (Bag-Valve-Mask) ventilation volume according to the characteristics of the rescuer's hand and the type of mask using a standardized mannequin. To this end, the Basic Life Resuscitation Education Center of D University in gwangju. Recruiting 39 students who have completed the basic resuscitation course for emergency medical personnel and the Korean-style specialized cardiac rescue course, In addition to measuring the physical characteristics of the hand, the average amount of ventilation per minute using a bag-mask was measured and analyzed. As a result, the type of mask that was not most affected by the characteristics of the hand and provided adequate Minute Ventilation was the soft type (tube, silicone) mask. On the other hard (tube, silicone) masks were found to be unsuitable for general use as they were greatly affected by the characteristics of workers' hands. COVID-19 is currently increasing the risk of transmission to paramedics and patients. Considering this situation, the universal use of a semi-permanent hard-type mask, which is disadvantageous not only for preventing infection but also for proper ventilation, should be avoided. In addition to the ease of use, it should be actively utilized in the field by supplying a soft type mask that can provide stable ventilation even with 'predominance recognition' and proper ventilation.

• Journal of Chest Surgery
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• v.31 no.12
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• pp.1147-1158
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• 1998

Background: Portable cardiopulmonary bypass(CPB) technique has been used increasingly as a potent and effective option for emergency cardiopulmonary resuscitation(CPR) because it can maintain more stable hemodynamics and provide better survival than conventional CPR techniques. This study was designed to develop a prototype of Korean portable CPB system and, by applying it to CPR, to discriminate whether it would be superior to standard open-chest CPR. Material and Method: By using adult mongrel dogs, open-chest CPR(OCPR group, n=4) and portable-CPB CPR(CPB group, n=4) were compared with respects to restoration of spontaneous circulation(ROSC), hemodynamics, effects on blood cells, blood gas patterns, biochemical markers, and survivals. Ventricular fibrillation-cardiac arrest(VF-CA) of arrest(VF-CA) of 4 minutes followed by basic life support(BLS) of 15 minutes was applied in either group, which was standardized by the protocol of American Heart Association. Then, advanced life support(ALS) was applied to either group under the support of internal cardiac massage or CPB. ALS was maintained until ROSC was achieved but not longer than 30 minutes regardless of the presence of ROSC. All of the measured values were expressed as means±SD percent change from baseline. Result: During the early ALS, higher mean arterial pressure was maintained in CPB group than in OCPR group(90±19 vs. 71±32 %; p<.05) and lower mean pulmonary arterial pressure was also maintained in CPB group than in OCPR group(105±24 vs. 146±6%; p<.05). ROSC was achieved in all dogs. Post-ROSC levels of hematocrit, RBC, and platelet were decreased and plasma free hemoglobin was increased significantly in CPB group compared to OCPR group(p<.05). Changes in blood gas patterns, lactate, and CK-MB levels were not different between groups. Early mortality was seen in 3 dogs in OCPR group(survival time 31±36 hours) and 2 in CPB group(228±153 hours, p=ns). The remainders in both groups showed prolonged survival. Conclusion: These findings indicate that portable CPB can be effective to maintain stable hemodynamics during cardiac arrest, to achieve ROSC and to prolong survival. Further study is needed to refine the portable CPB system and to meet clinical challenges.

• The Journal of Korean Academic Society of Nursing Education
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• v.16 no.2
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• pp.301-311
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• 2010

Purpose: The study was done to identify variations in Nurses' CPR knowledge, attitude and performance before and after BLS Education. Method: This study was designed to evaluate the differences in Nurses' CPR knowledge, attitude and performance. For the study we selected 167 nurses working in Daegu K University hospital. The study group was given a test before (pre test) and after (post test) BLS education. The BLS education was given by two BLS instructors certified by the American Heart Association, using a DVD and manikin. Result: The results showed a statistically significant difference the nurse's knowledge, belief, emotion and performance but there was no significant difference in their behavior after BLS education. CPR knowledge and performance was higher among emergency room nurses compared to surgical ward nurses. Conclusion: CPR education has shown to have a positive effect on nurses' attitudes towards CPR. It also improved their related knowledge and performance. Therefore, cardiopulmonary education should be given continuously, and different steps of CPR education programs need to be developed in order to fill the knowledge deficiency gap.

• Journal of East-West Nursing Research
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• v.19 no.2
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• pp.121-127
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• 2013

Purpose: The purpose of this study was to determine the effects of knowledge and attitude on self efficacy of cardiopulmonary resuscitation (CPR) in the fifth and the sixth grade of elementary school students. Methods: The participants were 242 elementary school students from A city. Data were collected from August 26 to August 27, 2013 using a questionnaire. Data analysis was performed by SPSS/WIN 19.0 using ANOVA, t-test, Pearson correlation and stepwise multiple regression. Results: Factors affecting on self efficacy to CPR were attitude (${\beta}=.54$), religion (${\beta}=-.16$), recognition (${\beta}=.15$) and knowledge (${\beta}=.13$). These factors explain 47.0% of the variance in self efficacy. Conclusion: The results of this study show that attitude to CPR has the strongest influence on efficacy. Based on the results of this study, we suggest that customized programs and further research by using 2010 guideline are needed to develop for elementary school students.

• Journal of the Korean Society of School Health
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• v.24 no.1
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• pp.1-11
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• 2011

Purpose: This study is a non-equivalent control group pre-post design, which attempted to observe the effects of Basic Life Support Education on undergraduate students' CPR Knowledge and Attitude. Methods: The subjects were 96 undergraduates in Jeonbuk. They were divided into two groups: an experimental group of 46 students and a control group of 50 students. The BLS education was given by three BLS instructors certified by the American Heart Association using a DVD. Data were collected from October 20 to November 15, 2010 and analyzed, using the ${\chi}^2$ test, t-test, and ANCOVA. Results: There were significant differences between the experimental group and the control group in the levels of CPR Knowledge and Attitude. The 1st hypothesis, that the CPR knowledge scores for the experimental group would be higher than those of the control group, was supported (F=157.58, p=.000). The 2nd hypothesis, that the CPR attitude scores for the experimental group would be higher than those of the control group, was supported (F=23.78, p=.000). Conclusion: This study showed that BLS education had a positive influence on undergraduate students' knowledge and attitudes toward CPR. We expect that BLS education will contribute to spreading knowledge of CPR and reducing mortality among heart attack victims, and we can see from this study how CPR training in combination with theory and clinical practice develops knowledge and practical ability.