The purpose of this research was to evaluate retention of cognitive knowledge, psychomotor skills and self-confidence on CPR 3 months after CPR training program. The sample consisted of 39 nursing students. We provided one rescuer CPR training program for nursing college students on the basis of AHA. The questionnaires for knowledge of CPR were developed 50 items based on AHA guidelines. Self-confidence were checked by 11 items questionnaires. The accuracy of CPR skills were checked by Skillreporter CPR training manikin and by researcher's evaluation based on CPR skill checklist. The results were as follows ; 1. The majority of participants didn't have any previously experiences of CPR training (76.9%). Only 15.1% previously took the CPR training with CPR practice. 2. In terms of self-confidence of CPR. The score were increased for 2 days (p>.001) but retention of self confidence was significantly statistical decreased in 3 months after training (p<.001). 3. There was a statistically significant decrement in mean of knowledge of CPR between 2 days and 3 months after CPR training (p<.001). 4. There was a statistically significant decrement in cognitive knowledge of CPR based on CPR skills checklist(p<.001). 5. Retention scores of psychomotor skills of CPR 3 months after training were 42.10% in numbers of adequate ventilation, 52.81% in numbers of adequate chest compression (p<.001) respectively. 6. Retention of passing rate on chest compressions of CPR 3 months after training was 27% (p<.001), on ventilation was 2.63% (p>.001). The error items with statistically significant differences 3 months after CPR training were too little ventilation (74.36%) and too little chest compressions (92.31%). The results of the study suggest that we need further evaluation of course components which could improve retention of CPR for all trainees.
Objective: Performing high quality cardiopulmonary resuscitation (CPR) is important for improving the survival rate with a good neurological outcome and fewer complications. The retention of accurate CPR knowledge is essential for providing high quality CPR. This study examined the effects of chest compression only CPR training on the retention of correct CPR knowledge. Methods: In December 2016, an interview survey to target the study population was conducted by trained interviewers, using a structured questionnaire. The respondents' general characteristics, status of CPR education, and knowledge and willingness regarding CPR were investigated. Pearson's chi-square tests and multivariate logistic regression analyses were used to determine which education-related factors affected the correct skill knowledge of performing CPR. Results: Among the respondents, there are 80 persons (17.4%) who answered correctly in the questions regarding the skills of performing CPR. The respondents who had a willingness to perform CPR to family and strangers were 90.2% and 44.9% respectively. Through multivariable analysis, the factors related to correct skill knowledge in performing CPR in the didactic with practice group were people who had undergone CPR training within 2 years (odds ratio [OR], 2.293; 95% confidence interval [CI], 1.311-4.009), and person who had undergone chest compression only CPR training (OR, 2.044; 95% CI, 1.033-4.042). Conclusion: Chest compression only type of CPR training and the experience of CPR education within 2 years were associated with accurate skill knowledge of performing CPR.
Purpose : The comparative effectiveness of without dispatcher-assisted telephone instruction CPR but received lectured and training(NDCPR) and without received lectured and training CPR but dispatcher-assisted telephone instruction(DCPR) in CPR. Methods : The CPR instruction to 774 students and faculties in universities and colleges. There selected without dispatcher-assisted telephone instruction CPR but received lectured and training(NDCRP) and without received lectured and training CPR but dispatcher-assisted telephone instruction(DCPR). Compare the effectiveness to sills performance of DCPR and NDCPR students and faculties of according to the CPR. Results : 397(51%) students and faculties was DCPR and 377(49%) students and faculties was NDCPR. There was no difference in the compression depth, hand position, adequacy of recoil, volume of ventilation, self-confidence, and willingness to do CPR between the two instructional methods. Conclusion : Under the guide of dispatcher-assisted CPR instruction integrated into mobil phone, novice could perform more effective CPR. This method could be used as a supplement to CPR practice and skill retention.
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.
Retention of CPR knowledge was assessed in a group of 86 police officers who participated in first aid and emergency rescue program on February, 2001 and 3 months later. Police officers were taken written test about CPR knowledge by American Heart Association Guidelines 2000 and competence level. Data were analyzed by Frequency, Percentage, Mean, paired t-test using SPSS program. The results for this study were as follows ; 1. In the post-test, the highest question was a rechecking time of circulation sign(98.8%), the lowest was a check for signs of circulation(17.4%), in 3months later, the highest question was a chest compression(94.2%), the lowest was a check for signs of circulation(1.2%), and a retention of CPR knowledge was a 71.7%. In 3months later, knowledge level was decreased compared to that of post-test(t=-9.09, p=.000). 2. In 3months later, the competence level was decreased compared to that of post-test(t=3.09, p=.003).
Background: This study was conducted to investigate the actual status of dental hygienists' CPR-related educational experiences and the actual status of dental hygienists' CPR license retention, and to investigate the differences and correlations among CPR-related knowledge, attitudes, and performance abilities. Methods: An online self-reported questionnaire was filled out by 200 dental hygienists nationwide from May 6 to 29, 2019. The data regarding the sociodemographic characteristics, CPR-related knowledge, attitudes, and performance abilities were collected and analyzed using the chi-square test, independent t-test, one-way ANOVA, and the Pearson correlation coefficient using IBM SPSS Statistics version 20.0. Results: Dental hygienists with CPR-related education experience showed high levels of knowledge in the area. Dental hygienists with CPR-related education experiences and dental hygienists with CPR licenses showed high CPR performance abilities. Positive correlations are observed among CPR-related knowledge, attitude, and performance abilities. Conclusion: As CPR-related education has been found to be of value and importance to dental hygienists, systematic educational programs as well as support for regular education will need to be implemented.
The purpose of this study was to evaluate the effects of CPR education programs on seafarers and the retention period of the knowledge. The subjects of this study were 40 seafarers who took safety training courses at the Korea Institute of Maritime and Fisheries Technology. The seafarers were tested for their knowledge and attitude before, immediately after, 1 month after, and 3 months after the CPR education program. Data were analyzed for frequency, percentage, ${\chi}^2-test$, and t-test, and ANOVA was measured repeatedly using an SPSS statistical program. Knowledge, attitude, and performance ability were significantly increased post-education as compared to pre-education. Knowledge, attitude and performance ability were consistent when tested after 1 month, but knowledge, attitude, and performance ability were significantly decreased when tested three months later. Therefore, to maintain knowledge, attitude, and skills in performing CPR, appropriate renewal times are necessary in regular seafarers' safety training centers and sailing vessels.
Purpose: The purpose of this study was to evaluate the effectiveness and retention period of immediate remediation for infant cardiopulmonary resuscitation (CPR) in child care teachers. Methods: This study used a nonequivalent comparison pre- and post-test design to measure knowledge about and confidence in infant CPR and an interrupted time-series design to determine skill performance. The experimental group (n=25) received both immediate remediation and video learning for infant CPR, and the comparison group (n=28) received video learning only. Knowledge and confidence were measured before and after 4 weeks. Their skill performance was tested immediately, and 4 weeks, 8 weeks, 12 weeks, and 24 weeks after intervention. Data analysis consisted of ${\chi}^2$ tests, t-tests, paired t-tests, and a generalized linear mixed model. Results: There were significant increases in knowledge and confidence within the experimental group. Skill performance showed a significant difference according to the group factor (F=10.81, p=.002) and measurement time (F=146.80, p<.001). The experimental group maintained significantly higher skill performance than did the comparison group. Conclusion: These findings support the necessity of immediate remediation education for infant CPR to maintain skill performance. In addition, appropriate renewal time and the improvement of training programs for child care teachers are necessary.
Purpose: Cardiopulmonary resuscitation (CPR) prevents tissue necrosis of the brain and cardiac muscle in the cardiac arrest patient and requires exact skills in order to increase survival rate. Through comparison of the training effects of feedback manikin and non-feedback manikin, this study present the effective CPR device to CPR instructors. Method: This CPR course for 80 students by using Resusci Anne $SkillReporter^{TM}$ (RASR; Laerdal Medical, Stavanger, Norway) and Actar 911 $Squadron^{TM}$ (A911; Vital Signs, New Jersey, USA) held on December 22, 2009. Thirty seven students and two assistants were placed in one laboratory, there were five RASR manikins which provide the LED performance indicator, not the metronome. Forty two students and two assistants were placed in the other laboratory, there were 20 A911 manikins which don't provide any feedback indicator. Chest compression scores and ventilation compression scores obtaining from two groups were analysed statistically by using independent t-test. Results: Chest compression scores, average depth (mm) was 37.5 in RASR and 41.80 A911 (p=.004), too depth (#) was 2.8 in RASR and 19.4 A911 (p=.005), average number per min (#/min) was 64.4 in RASR and 68.2 A911 (p=.038), wrong hand position (#/min) was 10.9 in RASR and 30.8 A911 (p=.040). Four items that showed better scores in group RASR had statistically significant difference. Ventilation compression scores, percent correct (%) was 40.6 in RASR and 20.6 A911 (p<.001), number correct (#) was 4.7 in RASR and 2.1 A911 (p=.002), too fast (#) was 0.9 in RASR and 2.9 A911 (p=.003), average volume (ml) was 536.5 in RASR and 707.1 A911 (p=.011). Also, three items that showed better scores in group RASR had statistically significant difference. Conclusions: Regarding the positive effect of CPR training feedback, comparison between the real-time visual feedback manikin (RASR) and the non-feedback manikin (A911) showed that RASR had better results than A911 in chest compression except average number per min (it means that we need harder chest manikin) and ventilation. Verification of the training effect in the real world such as CPR outcomes is also necessary. A proper application of manikin in training circumstances and research on retention of CPR skills will be needed.
Purpose: This research is based on experiments practiced with 6th grade students in primary school as subjects. They were trained in basic cardiopulmonary resuscitation theory and received actual training in CPR. Methods: The subjects were randomly sorted into two classes of the 6th grade students. The experimental group was composed of 35 students. The control group was composed of 32. The experimental group received basic CPR theoretical and practical education once and received a practical evaluation three times, with 4 weeks in between evaluations. The control group received CPR theoretical education before the study. The data was analyzed by ${\chi}^2$-test and t-test using the SPSS/WIN 12.0 program. Results: Hypothesis 1 was that the basic CPR knowledge score would begin to decrease right after the education and continue to decrease as time passed. The experimental group's knowledge score continued to increase 12 weeks after education, but there was no decrease in the control group's knowledge score (F=5.870, p=.000). Hypothesis 2 was that the basic CPR attitude score would decrease right after the education and continue as time passed. There was no significant difference in the experimental group's score after education, nor was there any change in the control group's score on this measure (F=3.986, p=.004). Hypothesis 3 was that the subjects' confidence in practicing CPR would decrease right after education and continue as time passed. There was a significant decrease in the experimental group's score, but no significant change in the control group's score on this measure (F=75.574, p=.000). Hypothesis 4 was that the practical accomplishment evaluation score of CPR would decrease as time passed. There was a significant decrease in the experimental group's score on this measure right after education (F=38.368, p=000). Conclusion: Retraining for basic CPR education will be needed in all aspects of the education/training at least every 4 weeks, to preserve the students' retention of learned material/training. This is because students' scores fell significantly four weeks after education/training.
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