• 성인간호학회지
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• 제27권2호
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• pp.146-155
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• 2015

Purpose: The aim of this descriptive study was to explore the relationship between non-technical skills (NTSs) and cardiopulmonary resuscitation (CPR) performance of nurses' teams in simulated cardiac arrest in the hospital. Methods: The sample was 28 teams of nurses in one university hospital located in Seoul. A high fidelity simulator was used to enact simulated cardiac arrest. The nurse teams were scored by raters using both the CPR performance checklist and the NTSs checklist. Specifically the CPR performance checklist included critical actions; time elapsed to initiation of critical actions, and quality of cardiac compression. The NTSs checklist was comprised of leadership, communication, mutual performance monitoring, maintenance of guideline, and task management. Data were collected directly from manikin and video recordings. Results: There was a significant difference between the medians of the NTSs and CPR performance (Mann Whitney U=43.5, p=.014). In five subcategories, communication (p=.026), mutual performance monitoring (p=.005), and maintenance of guideline (p=.003) differed significantly with CPR performance in medians. Leadership (p=.053) and task management (p=.080) were not significantly different with CPR performance. Conclusion: The findings indicate that NTSs of teams in addition to technical skills of individual rescuers affect the outcome of CPR. NTSs development and assessment should be considered an integral part of resuscitation training.

• 한국임상보건과학회지
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• 제6권2호
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• pp.1189-1198
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• 2018

Purpose. The study was basic materials are provided to identify differences in the knowledge, attitude and performance of cardiopulmonary resuscitation(CPR) depending on the characteristics of child care teachers, and to develop an education program that will enable you to improve your future CPR performance. Methods. This study was conducted on 147 child care teachers. The questionnaire of the previous study was corrected and 48 total questions were used. Using spss 22.0 frequency analysis, T-test, ANOVA and Duncan-test were performed. Results. The knowledge level of 50s was higher those in their 20s. The higher the satisfaction level with education, the more positive was about CPR(p<.001). The more CPR training, the higher the performance(p<.01). The was a positive correlation between CPR attitude and performance ability(r=.355, p<.001). Conclusion. In order to have a positive influence on the CPR of child care teachers, the number of education should be increased and the level of education satisfaction should be managed to increase.

• 한국산학기술학회논문지
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• 제12권12호
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• pp.5759-5765
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• 2011

본 연구의 목적은 간호대학생을 대상으로 심폐소생술 이론교육과 실습교육을 병행한 실험군과 이론교육만 받은 대조군 간의 교육 효과를 비교하여 향후 간호대학생의 심폐소생술 교육에 효과적인 방법을 적용하기 위한 기초자료를 제공하기 위함이다. 본 연구는 D시 소재 D대학 간호대학생 72명(실험군 36명, 대조군 36명)을 대상으로 하였으며, 자료수집은 2011년 8월 22일에서 8월 24일까지 이루어졌다. 수집된 자료는 SPSS WIN 18.0 Version 프로그램을 사용하여 실수, 백분율, $x^2$-test, t-test, paired t-test로 분석하였다. 연구결과 심폐소생술 교육은 간호대학생의 심폐소생술 수행능력과 자기효능감을 향상시켰으며, 특히 이론과 실습을 병행한 심폐소생술 교육이 더 효과적인 것으로 나타났다. 따라서 간호대학생의 심폐소생술 교육시 단순히 지식을 향상시키는데 초점을 맞추기 보다는 이론과 실습을 병행한 교육이 필요하며, 이는 간호대학생이 예측하지 못한 상황에서도 정확하고 신속한 심폐소생술을 수행하는데 도움을 줄 것이다.

• Child Health Nursing Research
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• 제20권4호
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• pp.304-313
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• 2014

목적 본 연구는 보육교사들의 심폐소생술에 대한 지식, 태도 및 수행능력을 파악하고, 이들 변수의 상관관계와 수행능력에 영향을 미치는 요인을 파악함으로써 보육교사들의 심폐소생술 수행능력을 증진시키기 위한 맞춤형 교육프로그램을 개발하는 데 필요한 기초자료를 제공하고자 시도되었다. 방법 본 연구의 대상자는 220명으로 경상남도 A시에 소재하는 어린이집에 근무하는 보육교사이다. 자료수집 기간은 2013년 7월 1일부터 31일 까지였으며, 측정도구는 심폐소생술 지식과 태도는 Park 등(2006)의 도구, 수행능력은 Choi (2008)의 도구로 측정하였으며, 자료는 SPSS/WIN 18.0 프로그램을 이용하여 분석하였다. 결과 심폐소생술에 대한 지식은 100점 만점에 평균 45.88점(평균 평점 0.46점)이었고, 심폐소생술에 대한 태도는 5점 중 평균 평점 3.69점, 심폐소생술 수행능력은 5점 중 평균 평점 2.65점으로 나타났다. 심폐소생술 지식과 수행능력은 교육경험에 따라 차이가 있는 것으로 나타났다. 심폐소생술 수행능력에 영향을 미치는 요인은 심폐소생술 교육경험이 가장 큰 영향을 미치는 요인으로 나타났고, 그 다음이 태도, 지식 순으로 나타났으며, 심폐소생술 수행능력에 대한 이들 요인의 설명력은 29.4%로 나타났다. 결론 본 연구결과 보육교사들의 심폐소생술에 대한 지식, 태도 및 수행능력은 심폐소생술이 필요한 응급상황에서 정확한 심폐소생술을 수행하기에는 높지 않았음을 확인하였다. 심폐소생술 수행능력에 영향을 미치는 요인에는 교육경험이 가장 큰 요인으로 나타났다. 따라서 아동의 기도폐쇄나 심정지의 상황에서 보육교사들이 심폐소생술에 대한 정확한 지식과 적극적 태도를 가지고 심폐소생술을 올바로 수행할 수 있는 능력을 갖추게 하기 위한 효과적인 교육전략이 필요한 것으로 생각된다.

• 한국치위생학회지
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• 제16권6호
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• pp.1067-1078
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• 2016

Objectives: The aim of this study was to investigate the effect of cardiopulmonary resuscitation (CPR) education in dental hygiene students. Methods: A self-reported questionnaire was completed by fifty dental hygiene students in May 2016 before and after CPR education. The questionnaire consisted of knowledge, attitude, confidence, and performance of CPR skill. Performance test by professionals was measured to evaluate capability of skill after CPR education. Results: Scores of the knowledge increased from 4.35 to 12.24 after education (p<0.001). Scores of attitude increased from 51.86 to 58.92 (p<0.001). Scores of confidence changed from 56.66 to 85.02 (p<0.001). Scores of self-capability of skill increased from 44.90 to 74.02 (p<0.001). 5. The average score of capability of skill by professional test was 24.47. Conclusions: CPR education improved the knowledge, attitude, confidence and capability of skill in dental hygiene students. The development and education of CPR program will make the students perform bystander CPR in the emergency situation actively.

• 한국컴퓨터정보학회논문지
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• 제21권9호
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• pp.107-112
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• 2016

In this paper, we propose the effects of military cardiopulmonary resuscitation(CPR) on the quality of debriefing and feedback device training. The key idea of combination debriefing and feedback device training is to maximize effects of CPR. The participants of the research were non-medic soldiers in ROK army, and had not undergone any professional CPR training before. Each group of soldier was randomized to perform of military CPR by using training method in each group. After 5 minutes of performing CPR, each D, F, DF group showed significant improvement in CPR performance. When comparing each group, the rate of success in CPR performance in DF group was significantly higher than that of F group with the average difference of 11.160(p<.01) points. In summation, the training programs that DF received seemed to be more efficient and effective than that of D and F. The fatigue level was evaluated by comparing the lactate concentration in blood after performing CPR. Through this experiment, we show that the training programs that DF received is more efficient and effective than that of D and F.

• International Journal of Internet, Broadcasting and Communication
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• 제13권1호
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• pp.229-237
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• 2021

This study aimed to help build a quality control program to improve cardiac arrest treatment via analysis of medical records in a local tertiary general hospital to evaluate factors that influence clinical outcomes of in-hospital cardiac arrest. At first, the medical records of in-hospital cardiac arrest were analyzed, and targeted surveys about functional and structural factors associated with cardiopulmonary resuscitation (CPR) were conducted amongst the workforce in charge of cardiac arrest treatment. From January 2012 through June 2013, a total of 486 adult cases of in-hospital cardiac arrests, except for those occurring in the emergency room, were enrolled in this study. Among the patients, those of recovery of spontaneous circulation were 57.8%; 13.8% of patients were discharged alive; 8.9% of patients were discharged without significant neurologic sequela. Despite CPR is usually successful when administered as quickly as possible, in this analysis showed that prompt reaction after initial recognition was significantly lower in nurses compared with doctors. Analysis of survey results showed that confidence in performing CPR was significantly associated with the experience of CPR in doctors, while in nurses educational experience showed a correlation. In order to improve quality of in-hospital CPR system maintaining and increasing confidence of CPR performance is the most important factor. Therefore it can be helpful to develop and apply a phased, customized education program using training simulators as well as personalizing them to increase the personnel's confidence in CPR performance.

• 기본간호학회지
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• 제18권2호
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• pp.201-209
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• 2011

Purpose: The purpose of this study was to evaluate the learning experience, knowledge, and performance of cardiopulmonary resuscitation (CPR) in newly graduated nurses, and to identify differences related to learning experience. Methods: The participants were 114 new nurses in the hospital. They were asked to complete a questionnaire, which included CPR learning experience. They were evaluated by a written test and a skill test using a manikin and check list. Results: All participants attended CPR lectures and underwent practice while in university. Only 12.28% of participants were taught by a certified Basic Life Support (BLS) instructor. The mean scores of the written and skill tests were $79.82{\pm}12.69$ and $64.41{\pm}11.71$, respectively. The nurses lacked CPR knowledge related to checking breathing, the frequency of 30 chest compressions, compression rate, and automated external defibrillator use. They also lacked skill in performing CPR related to checking breathing and pulse and giving 2 breaths. CPR performance differed according to learning time (p=.047) and BLS educator (p=.029). Conclusion: The findings of this study reveal that CPR performance by newly graduated nurses is poor and suggest that CPR education by trained instructors, practice-based education, and reeducation programs must be provided to newly graduated nurses in the hospital.

• 한국간호교육학회지
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• 제23권1호
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• pp.86-94
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• 2017

Purpose: This study was conducted to identify the effects of cardiopulmonary resuscitation (CPR) practice education on CPR knowledge, attitude, confidence, learning satisfaction and performance of the personal assistants for the disabled. Methods: This is a quasi-experimental study with a non-equivalent control group. The participants were 62 personal assistants for the disabled. Thirty-one subjects were assigned to an experimental group and the remaining subjects were assigned to a control group. The date collected were analyzed using the IBM SPSS Statistics 20.0 program by descriptive statistics, $x^2$-test, Fisher's exact test, and t-test. Results: CPR practice education was found to have a meaningful effect on CPR knowledge (p<.001), learning satisfaction (p<.001), and performance (p<.001) of the personal assistants for the disabled. Conclusion: Considering these results, it would be useful to develop CPR practice curriculum to enhance CPR knowledge, attitude, confidence, learning satisfaction and performance of the personal assistants for the disabled.

• 대한의용생체공학회:의공학회지
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• 제28권4호
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• pp.556-568
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• 2007

Unsatisfied results of return of spontaneous circulation (ROSC) estimates were caused by the fact that the predictability of the predictors was insufficient. This unmet estimate of the predictors may be affected by transitional events due to behaviors which occur during cardiopulmonary resuscitation (CPR). We thus hypothesized that the discrepancy of ROSC estimates found in statistical characteristics due to transitional CPR events, may affect the performance of the predictors, and that the performance of the classifier dichotomizing between ROSC and No-ROSC might be different during CPR. In a canine model (n=18) of prolonged ventricular fibrillation (VF), standard CPR was provided with administration of two doses of epinephrine 0 min or 3 min later of the onset of CPR. For the analysis of the likelihood of a successful defibrillation during CPR, Support Vector Classification was adopted to evaluate statistical peculiarity combining time and frequency based predictors: median frequency, frequency band-limited power spectrum, mean segment amplitude, and zero crossing rates. The worst predictable period showed below about 1 min after the onset of CPR, and the best predictable period could be observed from about 1.5 min later of the administering epinephrine through 2.0-2.2 min. As hypothesized, the discrepancy of statistical characteristics of the predictors was reflected in the differences of the classification performance during CPR. These results represent a major improvement in defibrillation prediction can be achieved by a specific timing of the analysis, as a change in CPR transition.