Simulation Intervention With Manikin-Based Objective Metrics Improves CPR Instructor Chest Compression Performance Skills Without Improvement in Chest Compression Assessment Skills

Al-Rasheed, Rakan S.; Devine, Jeffrey; Dunbar-Viveiros, Jennifer A.; Jones, Mark S.; Dannecker, Max; Machan, Jason T.; Jay, Gregory D.; Kobayashi, Leo

doi:10.1097/sih.0b013e31828e716d

Cited by 19 publications

(18 citation statements)

References 14 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Adequacy of chest compression rate or depth in a given scenario was defined as either an average within the specified parameters or meeting the specified parameter for >80% of the compressions analysed. 17 The >80% adequate analysis was undertaken to confirm that the analysis using averages was not being adversely affected by outliers. 15 Chest compression fraction was calculated by the Laerdal SimMan 3G as amount of time compressions that were performed divided by the amount of time that compressions were indicated and reported as a percentage.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of instructor assessment of chest compression quality during simulated resuscitation

Brennan

McGraw

Brooks

2016

CJEM

View full text Add to dashboard Cite

Objectives: The 2010 American Heart Association Guidelines stress the importance of high quality cardiopulmonary resuscitation (CPR) as a predictor of survival from cardiac arrest. However, resuscitation training is often facilitated and evaluated by instructors without access to objective measures of CPR quality. This study aims to determine whether instructors experienced in the area of adult resuscitation (emergency department staff and senior residents) can accurately assess the quality of chest compressions as a component of their global assessment of a simulated resuscitation scenario. Methods: This is a prospective observational study in which objective chest compression quality data (rate, depth, and fraction) were collected from the simulation manikin and compared to subjective instructor assessment. Data were collected during weekly simulation training sessions for residents, medical students, and nursing students. Results: We included data from 24 simulated resuscitation scenarios assessed by 1 of 15 instructors. Subjective assessment of chest compression quality identified an adequate compression rate (100-120 compressions per minute) with a sensitivity of 0.17 (confidence interval [CI] 0.02-0.32) and specificity of 0.06 (CI −0.04-0.15), adequate depth (>50 mm) with a sensitivity of 0 and specificity of 0.38 (CI 0.18-0.57), and adequate fraction (>80%) with a sensitivity of 1 and a specificity of 0.25 (CI 0.08-0.42). Conclusion: Instructor assessment of chest compression rate, depth, and fraction demonstrates poor sensitivity and specificity when compared to the data from the simulation manikin. These results support the use of objective and technologically supported measures of chest compression quality for feedback during resuscitation education using simulators. RÉSUMÉObjectif: Dans les lignes directrices de 2010 de l'American Heart Association, on insiste sur l'importance de la qualité de la réanimation cardiopulmonaire (RCP) comme facteur prévisionnel de survie à un arrêt cardiaque. Toutefois, les séances de formation de réanimation sont souvent données et évaluées par des instructeurs, sans mesure objective de la qualité de la RCP. L'étude visait à déterminer si les instructeurs expérimentés dans le domaine de la réanimation chez les adultes (personnel au service des urgences, résidents séniors) pouvaient évaluer avec exactitude la qualité des compressions thoraciques, et ce, comme l'un des éléments de l'évaluation globale de scénarios de réanimation. Méthode: Il s'agit d'une étude d'observation prospective, dans laquelle il y a eu collecte de données objectives sur la qualité des compressions thoraciques (fréquence, profondeur, fraction) à partir de simulations sur mannequin, et comparaison avec l'évaluation subjective des instructeurs. Les données ont été recueillies durant les séances hebdomadaires de simulation, préparées à l'intention des résidents, des étudiants en médecine et des étudiants en soins infirmiers. Résultats: Les données recueillies provenaient de 24 séances de simula...

show abstract

Section: Discussionmentioning

confidence: 99%

Accuracy of instructor assessment of chest compression quality during simulated resuscitation

Brennan

McGraw

Brooks

2016

CJEM

View full text Add to dashboard Cite

show abstract

“…Even with the use of real-time feedback devices, experienced CPR instructors have difficulty in their accuracy of visual assessment of CPR quality. 19 Further, in a study conducted after real CPA events, team leaders were unable to recall significant CPR mistakes made during the CPA resuscitation. 18 Our results confirm what previous studies have shown, but are unique in that we specifically examined the accuracy of real-time assessment on specific CPR metrics, as opposed to previous studies 17, 18 that have surveyed providers following arrests.…”

Section: Discussionmentioning

confidence: 98%

“…18 Furthermore, with handson feedback of CPR performance, visual assessment of CPR quality does not improve even in skilled CPR instructors. 19 No studies to date have examined the accuracy of visual assessment of CPR quality. Additionally, the optimal positioning of the observer relative to the patient for accurate assessment has yet to be determined.…”

Section: Introductionmentioning

confidence: 99%

Visual assessment of CPR quality during pediatric cardiac arrest: Does point of view matter?

et al. 2015

View full text Add to dashboard Cite

“…Novice instructors are more likely to make a fail decision than trained assessors in learner assessment (Thorne, Jones, Harvey, Hulme, & Owen, 2013). Similarly, even experienced BLS instructors show low accuracy of visual assessment for CPR quality via video review (Al- Rasheed et al, 2013). The overall accuracy of visual assessment of CPR quality has been reported to be 65.6% (Jones, Lin, Nettel-Aguirre, Gilfoyle, & Cheng, 2015).…”

Section: Competence Of Basic Life Support Instructorsmentioning

confidence: 99%

“…In resuscitation training, the competence of the instructor is important to guarantee optimal CPR performance of health-care professionals by standardized education (Al-Rasheed et al, 2013;Morley et al, 2015). Regarding the effect of structured education on CPR instructors, BLS instructors who have participated in the assessment training program show increased post-test confidence in assessing candidates compared to pre-test (Thorne, Jones, Coffin, Hulme, & Owen, 2015).…”

Section: Competence Of Basic Life Support Instructorsmentioning

confidence: 99%

Competence‐based training needs assessment for basic life support instructors

Kim

Roh

2018

Nursing & Health Sciences

View full text Add to dashboard Cite

Basic life support instructors play an important role in the planning, implementation, and evaluation of basic life support education. However, little is known about basic life support instructors' competence. The aim of the present study was to identify basic life support instructors' competence attributes and assess their competence‐based training needs according to their expertise. This was a descriptive survey study to identify the educational needs of basic life support instructors using importance and performance analysis. A Web‐based survey with a 29 item Competence Importance–Performance scale was undertaken with a convenience sample of 213 Korean instructors. Factor analysis identified several important factors for the competence of instructors: assessment, professional foundations, planning and preparation, educational method and strategies and evaluation. The importance and performance analysis matrix showed that training priorities for novice instructors were communication with learners and instructors, learner motivation, educational design, and qualifications of instructors, whereas checking equipment status and educational environment had the highest training priority for experienced instructors. Assessment was the most important factor in basic life support instructor's competence. A competence‐based training program is needed according to basic life support instructors' expertise.

show abstract

Simulation Intervention With Manikin-Based Objective Metrics Improves CPR Instructor Chest Compression Performance Skills Without Improvement in Chest Compression Assessment Skills

Abstract: Real-time compression feedback during simulation improved CPR-I/C's chest compression performance skills without comparable improvement in chest compression assessment skills.

Cited by 19 publications

References 14 publications

Accuracy of instructor assessment of chest compression quality during simulated resuscitation

Accuracy of instructor assessment of chest compression quality during simulated resuscitation

Visual assessment of CPR quality during pediatric cardiac arrest: Does point of view matter?

Competence‐based training needs assessment for basic life support instructors

Contact Info

Product

Resources

About