Repository logo
  • English
  • 中文
Log In
Have you forgotten your password?
  1. Home
  2. College of Medicine / 醫學院
  3. Nursing / 護理學系所
  4. The Exploration of CPR Performance in ED Nursing Staff Using the Digital-simulated Manikin System and Video Film Teaching
 
  • Details

The Exploration of CPR Performance in ED Nursing Staff Using the Digital-simulated Manikin System and Video Film Teaching

Date Issued
2015
Date
2015
Author(s)
Lu, Wen-Hua
URI
http://ntur.lib.ntu.edu.tw//handle/246246/277634
Abstract
The American Heart Association (AHA) published the 2010 AHA Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) based on evidence-based medical research findings in recent years, as well as changed its emergency rescue procedure for the first time. The Guidelines repeated emphasized the importance of high quality of CPR (high frequency and deep compression, 1:1 compression-release ratio and to continue uninterrupted). Although this is an essential technique of the emergency nursing staff and is almost practiced every day, currently in Taiwan, there are no rules for evaluation and review of CPR techniques, and the quality of CPR was not evaluated objectively as well. The purposes of this study were to (1) investigate the demographic characteristics and working experiences ( i.e., of the emergency nursing staff, including gender, age, nursing skill level, work experiences and emergency experiences) and CPR related knowledge influenced the quality CPR techniques implemented (including depth, frequency, 1:1 compression-release ratio and frequency of un-interruption); (2) to explore whether the retention of high quality CPR skill diminishes with time, and (3) to investigate the effectiveness of instructional video on the retention of high quality CPR skill. This longitudinal, correlation with pre- and post-test in one group study investigated the current status of CPR skills in emergency nursing staff, and further explore whether CPR skills change with time, and examine the effect of instructional video on the retention of high quality CPR skill. The eligible participants were clinical nursing staff members from an emergency ward at a teaching hospital in northern Taiwan. The purpose sampling was used to recruite the nurses and collected data every 3 months for four times. The data for the first time was used to explore the baseline status analysis; Before the day for collecting the fourth data, instructional video were applied and the fourth recruitment in order to examine the immediate effect of the video. Measurement for collecting outcomes included digital CPR simulator, the demographic and work experience survey, a 20-item CPR knowledge test and CPR instructional video. After the data was collected, descriptive statistics were used to analyze the baseline information. The evaluation of nursing staff performing high quality CPR techniques and factors affecting CPR skills were analyzed with inferential statistics such as chi-square analysis and logistic regression analysis. The retention of CPR skills with time and effectiveness of CPR instruction video were evaluated by generalized estimating equation. Totally, 77 nurses were completed the first survey, and 33 nurses were completed the four times of data collection. The results has shown that generally the high quality CPR implementation by the ursing staff was poor and only one nurse reached the high quality CPR. The factors associated with high quality CPR included gender, emergency work experiences, total nursing work experiences and frequency of CPR training. In addition, we found that the CPR skills were diminishing by time after 6 months, especially on compression-release ratio, which was decreased from 0.896 to 0.808(p < 0.05). For depth of chest compression, we found that it decreased from 55.363 mm to 54.211 mm (p = 0.209). Although it was statistically non-significant, we nevertheless noted a decreasing trend. After intervention with instructional video, we found that the compression-release ratio has increased by 0.618(p<0.05) after intervention, indicating good results from instructional video. The factors associated with high quality CPR were age, gender, N level, total nursing work experiences, emergency work experiences, and frequency of CPR training. Study limitations were with small sample size due to longer recruitment preiod for one year, physical strength involved and low willingness to participate. Moreover, since participants were recruited from only one hospital in northern Taiwan, the results could not be generalized to other institutions. It is recommended to have regular clinical training and evaluation of CPR skills in clinical settings and the re-evaluation period is recommended at very 6 months after CPR training in order to maintain high quality CPR.
Subjects
Emergency room
nursing staff
demographic characteristics
instructional video
Type
thesis
File(s)
Loading...
Thumbnail Image
Name

ntu-104-R99426031-1.pdf

Size

23.32 KB

Format

Adobe PDF

Checksum

(MD5):ec4b1926b3736a84192cfc7fe15bf0cf

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

  • 請確認所上傳的全文是原創的內容,若該文件包含部分內容的版權非匯入者所有,或由第三方贊助與合作完成,請確認該版權所有者及第三方同意提供此授權。
    Please represent that the submission is your original work, and that you have the right to grant the rights to upload.
  • 若欲上傳已出版的全文電子檔,可使用Open policy finder網站查詢,以確認出版單位之版權政策。
    Please use Open policy finder to find a summary of permissions that are normally given as part of each publisher's copyright transfer agreement.
  • 網站簡介 (Quickstart Guide)
  • 使用手冊 (Instruction Manual)
  • 線上預約服務 (Booking Service)
  • 方案一:臺灣大學計算機中心帳號登入
    (With C&INC Email Account)
  • 方案二:ORCID帳號登入 (With ORCID)
  • 方案一:定期更新ORCID者,以ID匯入 (Search for identifier (ORCID))
  • 方案二:自行建檔 (Default mode Submission)
  • 方案三:學科館員協助匯入 (Email worklist to subject librarians)

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science