Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training

Abstract

Objectives. Studies have shown that healthcare personnel hesitate to perform defibrillation due to individual or organisational attitudes. We aimed to assess trainers' attitudes towards cardiopulmonary resuscitation and defibrillation (CPR-D), Current Care Guidelines, and associated training. Methods. A questionnaire was distributed to CPR trainers attending seminars in Finland (N = 185) focusing on the updated national Current Care Guidelines 2011. The questions were answered using Likert scale (1 = totally disagree, 7 = totally agree). Factor loading of the questionnaire was made using maximum likelihood analysis and varimax rotation. Seven scales were constructed (Hesitation, Nurse's Role, Nontechnical Skill, Usefulness, Restrictions, Personal, and Organisation). Cronbach's alphas were 0.92–0.51. Statistics were Student's t-test, ANOVA, stepwise regression analysis, and Pearson Correlation. Results. The questionnaire was returned by 124/185, 67% CPR trainers, of whom two-thirds felt that their undergraduate training in CPR-D had not been adequate. Satisfaction with undergraduate defibrillation training correlated with the Nontechnical Skills scale (p < 0.01). Participants scoring high on Hesitation scale (p < 0.01) were less confident about their Nurse's Role (p < 0.01) and Nontechnical Skills (p < 0.01). Conclusion. Quality of undergraduate education affects the work of CPR trainers and some feel uncertain of defibrillation. The train-the-trainers courses and undergraduate medical education should focus more on practical scenarios with defibrillators and nontechnical skills.

Nurses’ perceptions of self-efficacy in cardiopulmonary resuscitation at a private hospital in Selangor

“…The greater the nurses' resuscitation self-efficacy in responding to emergency situation, the greater would be the expectation for consistently strong determinants and predictors of the level of accomplishment towards successful patient survival. 4 The findings of this study indicated that the nurses working in the private hospital have a relatively high sense of self-efficacy in CPR resuscitation. Congruently, Mäkinen et al (2016; 2014) [4][5] stated that in Greece and Sweden, nurses' self-efficacy is associated with satisfactory performance of CPR skills, even though an effective resuscitation requires a combination of competencies in knowledge, technical and non-technical skills.…”

“…4 The findings of this study indicated that the nurses working in the private hospital have a relatively high sense of self-efficacy in CPR resuscitation. Congruently, Mäkinen et al (2016; 2014) [4][5] stated that in Greece and Sweden, nurses' self-efficacy is associated with satisfactory performance of CPR skills, even though an effective resuscitation requires a combination of competencies in knowledge, technical and non-technical skills. However, several studies reported that there were gaps between recommendations from recommended guidelines and reality in CPR training, and the gap between training frequency and real resuscitation experience.…”

“…13 Some nurses have been found to have limited confidence and are fearful to initiate CPR on patients. 4 To date, limited studies have been conducted on nurses' perception of self-efficacy in cardiopulmonary resuscitation in Malaysia. In a recent hospital audit, researchers were informed that nurses were not confident in the activation of code blue, and demonstrated inadequate quality of CPR.…”