Cardiopulmonary Arrest and Resuscitation—Emergency Nurses' Knowledge in Croatia

Authors

  • Sandro Vidmanić
  • Biljana Kurtović
  • Adriano Friganovic

DOI:

https://doi.org/10.1891/WFCCN-D-20-00019

Keywords:

cardiopulmonary resuscitation, emergency medicine, nurses, theoretical knowledge

Abstract

Background: Healthcare workers' education is one of the most important factors in quality improvement and efficiency of caring for patients with cardiopulmonary arrest. Nurses with high-quality training are important members of the resuscitation team and have great influence on the quality of the resuscitation process and outcome.

Aim: To determine the level of knowledge of cardiopulmonary resuscitation of nurses in emergency medicine centers by level of education; and to determine the relationship between knowledge level and additional training and work experience.

Material and Methods: A cross-sectional descriptive multicenter study was conducted. The participants were nurses from Emergency Departments in three University Hospitals in Croatia. Overall, the sample was comprised of 91 emergency room nurses. Data were collected by a questionnaire specifically prepared for this study.

Results: Knowledge of nurses in emergency room was not adequate in general. There was no relationship between the level of knowledge of cardiopulmonary resuscitation and nurses' educational level, but there was a statistically significant positive relationship between knowledge level and additional training (p = .028) and work experience (p = .038).

Conclusion: The results of this study show the need for re-evaluation of the educational curricula for nurses in emergency medicine, aimed at standardizing formal educational models. Remodeling of nurse education is the key issue in ensuring good quality education and clinical skills for nurses in the field of emergency medicine and safe nursing care.

References

Bukiran, A., Erdur, B., Ozen, M., & Bozkurt, A. I. (2014). Retention of nurses' knowledge after basic life support and advanced cardiac life support training at immediate, 6-month, and 12-month post-training intervals: A longitudinal study of nurses in Turkey. Journal of Emergency Nursing, 40(2), 146–152.

?ana?ija, M. (2014). Retrospektivna analiza usvojenog teorijskog znanja medicinskih sestara/tehni?ara na te?ajevima neposrednog održavanja života, Master thesis, Zagreb: Sveu?ilište u Zagrebu, Medicinski fakultet. (In Croatian)

Carlo, W. A., Wright, L. L., Chomba, E., McClure, E. M., Carlo, M. E., Bann, C. M., Collins, M., & Harris, H. (2009). Educational impact of neonatal resuscitation program in low-risk delivery centres in a developing country. The Journal of Pediatrics, 154(4), 504–508. https://doi.org/10.1016/j.jpeds.2008.10.005

de Almeida, A. O., Araújo, I. E., Dalri, M. C., & Araujo, S. (2011). Theoretical knowledge of nurses working in nonhospital urgent and emergency care units concerning cardiopulmonary arrest and resuscitation. Revista Latino-Americana de Enfermagem, 19(2), 261–268.

Goyal, A., Chhabra, L., & Sciammarella, J. C. (2020, August15). Defibrillation. In StatPearls [Internet]. StatPearls. Publishing 2020. https://www.ncbi.nlm.nih.gov/books/NBK499899/

Hulme, J., Perkins, G. D., Baldock, C., & MacNamara, A. (2003). Use of advanced life support skills. Resuscitation, 58(1), 59–63.

Hunyadi-Anti?evi?, S. (2011). Analiza ?imbenika koji utje?u na osposobljenost polaznika organiziranog programa trajnog usavršavanja iz podru?ja reanimacije. doctoral dissertation, Zagreb: Sveu?ilište u Zagrebu, Medicinski fakultet. In Croatian

Hunyadi-Anti?evi?, S., & Lojna Funtak, I. (2013). Napredno održavanje života: smjernice Europskog vije?a za reanimatologiju 2010. godine. Medicinska naklada. In Croatian

Kaihula, W. T., Sawe, H. R., Runyon, M. S., & Murray, B. L. (2018). Assessment of cardiopulmonary resuscitation knowledge and skills among healthcare providers at an urban tertiary referral hospital in Tanzania. BMC Health Services Research, 4(18), 935.

Leg?evi?, M., Reži?, S., & Friganovi?, A. (2019). Osvrt na smjernice temeljnih postupaka oživljavanja/A review of guidelines for basic life support. Sestrinski glasnik, 24(2), 94–98. (In Croatian)

Lott, C., Abbas Khalifa, G., Domanovits Ballance, H., Lockey, A., Perkins, G., & et al. (2015). Advanced life support course manual: ERC guidelines 2015 edition. European Resuscitation Council.

Panchal, A. R., Bartos, J. A., Cabañas, J. G., Donnino, M. W., Drennan, I. R., & Hirsch, K. G. (2020). Part 3: Adult basic and advanced life support: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care & Adult Basic and Advanced Life Support Writing Group. Circulation, 142(16_suppl_2), S366–S468.

Pepera, G., Xanthos, ?, Lilios, A., & Xanthos, T. (2019). Knowledge of cardiopulmonary resuscitation among Greek physiotherapists. Monaldi Archives for Chest Disease, 89(3): 1–6.

Prytherch, D. R., Smith, G. B., Schmidt, P. E., & Featherstone, P. I. (2010). ViEWS – Towards a national early warning score for detecting adult in-patient deterioration. Resuscitation, 81(8), 932–937.

Rajeswaran, L., Cox, M., Moeng, S., & Tsima, B. M. (2018). Assessment of nurses' cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana. African Journal of Primary Health Care & Family Medicine, 10(1), e1–e6.

Smith, G. B. (2010). In-hospital cardiac arrest: Is it time for an in-hospital ‘‘chain of prevention’’?Resuscitation, 81(9), 1209–1211.

Smith, K. K., Gilcreast, D., & Pierce, K. (2008). Evaluation of staff's retention of ACLS and BLS skills. Resuscitation, 78(1), 59–65.

Soltan, M., & Kim, M. (2016). The ABCDE approach explained. The BMJ, 355, i4512.

Søreide, E., Morrison, L., Hillman, K., Monsieurs, K., Sunde, K., Zideman, D., Eisenberg, M., Sterz, F., Nadkarni, V. M., Soar, J., & Nolan, J. B. (2013). The formula for survival in resuscitation. Resuscitation, 84(11), 1487–1493. https://doi.org/10.1016/j.resuscitation.2013.07.020

Souza, B., Lopes, M. C., Okuno, M. F., Batista, R. E., Góis, A. F., & deCampanharo, C. R. (2019). Identification of warning signs for prevention of in-hospital cardiorespiratory arrest. Revista Latino-Americana de Enfermagem, 27, e3072.

Yannopoulos, D., Aufderheide, T. P., Abella, B. S., Duval, S., Frascone, R. J., Goodloe, J. M., Mahoney, B. D., Nadkarni, V. M., Halperin, H. R., O'Connor, R., Idris, A. H., Becker, L. B., & Pepe, P. E. (2015). Quality of CPR: An important effect modifier in cardiac arrest clinical outcomes and intervention effectiveness trials. Resuscitation, 94, 106–113.

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Published

2021-05-01