The introduction of Booster Cardio Pulmonary Resuscitation Training fro nurses working in Accident and Emergency Department
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The quality of cardiopulmonary resuscitation (CPR) is an important determinant of survival from cardiac arrest. However, the evidence suggests that retention of BLS knowledge and skills is reduced. The aim of this organizational development (O.D.) project was to improve retention of CPR psychomotor skills for nurses working in Accident and Emergency (A/E) Department in a tertiary care hospital through the introduction of booster CPR simulation training.
Pre and post testing of the staffs' CPR skills were done according to their availability in the unit. After filling up the survey questionnaire, an adopted CPR skills checklist was utilized in the pretest session following a CPR scenario. After debriefing, an interactive on spot training was provided. Later, participants undertook an unscheduled post-test after four weeks that included the same pretest items.
Kirkpatrick's model was employed to evaluate the booster CPR simulation training. Twenty-seven nurses working in A/E department were included. The effectiveness of CPR simulation training was shown in the project by an overall improvement in CPR skills and BLS scores post training (average score of 17.85 comparing to 16.00 pre-training, P= 0.001). Besides, there was an increase in the efficiency of conducting individual CPR skills like chest compression and assisting ventilation.
The project provided data on the efficacy of such simulation sessions on the skills and performance of nurses which will guide the management to update the CPR policy in the organization. Refreshment BLS training sessions for nurses are highly recommended to increase the readiness of nurses to implement their knowledge and skills in performing high-quality CPR. Improving quality of care for those critical patients will improve their survival rates post-cardiac arrest.