Effect of real-time feedback device compared to use or non-use of a checklist performance aid on post-training performance and retention of infant cardiopulmonary resuscitation: A randomized simulation-based trial

IF 2.1 4区 医学 Q2 EMERGENCY MEDICINE Australasian Emergency Care Pub Date : 2023-03-01 DOI:10.1016/j.auec.2022.07.005
Daniel Aiham Ghazali , Raphaëlle Rousseau , Cyril Breque , Denis Oriot
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Abstract

Introduction

This study aims to determine the best method for achieving optimal performance of pediatric cardiopulmonary resuscitation (CPR) during simulation-based training, whether with or without a performance aid.

Methods

In this randomized controlled study, 46 participants performed simulated CPR in pairs on a Resusci Baby QCPR™ mannequin, repeated after four weeks. All participants performed the first simulation without performance aids. For the second simulation, they were randomly assigned to one of three groups with stratification based on status: throughout CPR, Group A (n = 16) was the control group and did not use a performance aid; Group B (n = 16) used the CPR checklist; Group C (n = 14) used real-time visualization of their CPR activity on a feedback device. Overall performance was assessed using the QCPR™.

Results

All groups demonstrated improved performance on the second simulation (p < 0.01). Use of the feedback device resulted in better CPR performance than use of the CPR checklist (p = 0.02) or no performance aid (p = 0.04). Additionally, participants thought that the QCPR™ could effectively improve their technical competences.

Conclusions

Performance aid based on continuous feedback is helpful in the learning process. The use of the QCPR™, a real-time feedback device, improved the quality of resuscitation during infant CPR simulation-based training.

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实时反馈装置与使用或不使用检查表对训练后婴儿心肺复苏表现和保留的影响:一项随机模拟试验
引言本研究旨在确定在基于模拟的训练中实现儿童心肺复苏(CPR)最佳性能的最佳方法,无论是否使用性能辅助。方法在这项随机对照研究中,46名参与者在Resusci Baby QCPR上进行了模拟心肺复苏™ 人体模型,四周后重复。所有参与者在没有表演辅助的情况下进行了第一次模拟。在第二次模拟中,他们被随机分配到三组中的一组,并根据状态进行分层:在整个心肺复苏过程中,A组(n=16)是对照组,不使用性能辅助;B组(n=16)采用心肺复苏检查表;C组(n=14)在反馈设备上使用他们的CPR活动的实时可视化。使用QCPR评估总体绩效™.结果所有组在第二次模拟中都表现出了更好的表现(p<0.01)。使用反馈设备比使用CPR检查表(p=0.02)或没有表现辅助(p=0.04)能带来更好的CPR表现。此外,参与者认为QCPR™ 可以有效地提高他们的技术能力。结论基于持续反馈的绩效辅助对学习过程有帮助。QCPR的使用™, 实时反馈设备改进了在基于婴儿CPR模拟的训练期间的复苏质量。
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来源期刊
Australasian Emergency Care
Australasian Emergency Care Nursing-Emergency Nursing
CiteScore
3.30
自引率
5.60%
发文量
82
审稿时长
37 days
期刊介绍: Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.
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