Altering Cardiopulmonary Resuscitation (CPR) Education for Allied Health Care Providers Based on Self-Reported Experiences with Recertification
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Abstract
Health care providers (nurses, athletic trainers, and emergency medical services [EMS] personnel) are expected to perform high-quality cardiopulmonary resuscitation (CPR) regardless of their confidence. Also, regardless the design of CPR recertification courses, it is expected that health care providers perform high-quality CPR. The first goal of the study pertained to self-efficacy. This research investigated health care professionals reports of self-efficacy of CPR performance with the current CPR guidelines for a specific amount of time as well as over athletic equipment. Secondly, this research explored differences in recertification expectations and educational approaches between professions. Ninety-nine health care professionals (36 nurses, 36 athletic trainers, and 27 EMS personnel) completed a self-efficacy questionnaire and a CPR recertification questionnaire. For investigation one, raw data and, a 3X2 ANOVA model was estimated to test for differences between the professional groups and for the condition of athletic equipment in place. For investigation two, descriptive statistics, means, standard deviations, and frequencies were utilized to analyze the differences between professions in CPR recertification components. Health care providers claimed to have high levels of self-efficacy for CPR performance over an extended period of time, but a low level of self-efficacy when asked about performing CPR for an extended period of time over athletic equipment (40.09% of health care providers agreed/strongly agreed they could perform CPR for an extended period of time over athletic equipment). Nurses reported a lower total score for self-efficacy for CPR performance over protective athletic equipment when compared to athletic trainers and EMS personnel. Six percent of surveyed health care providers reported they trained on high-fidelity equipment in their most recent certification. Ninety-seven percent indicated that feedback directly from a manikin enhanced their ability to perform high-quality CPR. Only 41% of reported participation in booster sessions with 38% of nurses reporting participation every 3 months and 45% of athletic trainers never participated in booster session. The relationship between confidence and CPR quality must be explored further to ensure CPR education is revised. Also, because results provide baseline data clarifying differences between specific health care professions, deliberate practice specific to professionals for CPR education can occur.