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

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. Method...

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Main Authors: M. Mäkinen, M. Castrén, J. Nurmi, L. Niemi-Murola
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2016/3701468
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author M. Mäkinen
M. Castrén
J. Nurmi
L. Niemi-Murola
author_facet M. Mäkinen
M. Castrén
J. Nurmi
L. Niemi-Murola
author_sort M. Mäkinen
collection DOAJ
description 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.
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spelling doaj-art-b06f7a6b50194cc580f646377362e8052025-02-03T01:27:53ZengWileyEmergency Medicine International2090-28402090-28592016-01-01201610.1155/2016/37014683701468Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and TrainingM. Mäkinen0M. Castrén1J. Nurmi2L. Niemi-Murola3Department of Anaesthesia and Intensive Care Medicine, Helsinki University Hospital, HUS, Stenbäckinkatu 9, 00029 Helsinki, FinlandDepartment of Clinical Science and Education and Section of Emergency Medicine, Karolinska Institutet, Södersjukhuset, Solnavägen 1, 17177 Stockholm, SwedenDepartment of Anaesthesia and Intensive Care Medicine, Helsinki University Hospital, HUS, Stenbäckinkatu 9, 00029 Helsinki, FinlandDepartment of Anaesthesia and Intensive Care Medicine, Helsinki University Hospital, HUS, Stenbäckinkatu 9, 00029 Helsinki, FinlandObjectives. 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.http://dx.doi.org/10.1155/2016/3701468
spellingShingle M. Mäkinen
M. Castrén
J. Nurmi
L. Niemi-Murola
Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training
Emergency Medicine International
title Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training
title_full Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training
title_fullStr Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training
title_full_unstemmed Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training
title_short Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training
title_sort trainers attitudes towards cardiopulmonary resuscitation current care guidelines and training
url http://dx.doi.org/10.1155/2016/3701468
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