Journal List > J Korean Acad Nurs > v.42(3) > 1002814

TOOLS
Kim, Lee, Lee, and Kim: Nurses’ Cardiopulmonary Resuscitation Performance during the First 5 minutes in In-Situ Simulated Cardiac Arrest
Original Article

J Korean Acad Nurs 2012;42(3):361-368.

Published online: 12 June 2012

DOI: https://doi.org/10.4040/jkan.2012.42.3.361

Nurses’ Cardiopulmonary Resuscitation Performance during the First 5 minutes in In-Situ Simulated Cardiac Arrest

Eun Jung Kim1, Kyeong Ryong Lee2, Myung Hyun Lee3, Jiyoung Kim4

1Full-time Lecturer, College of Nursing, Eulji University, Seongnam, Korea

2Associate Professor, Department of Emergency Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea

3CPR Education Center, Konkuk University Medical Center, Seoul, Korea

4Assistant Professor, Red Cross College of Nursing, Chung-Ang University, Seoul, Korea

Address reprint requests to : Lee, Kyeong Ryong Department of Emergency Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, 120 Neundong-ro, Gwangjin-gu, Seoul 143-729, Korea Tel: +82-2-2030-5791 Fax: +82-2-2030-5789 E-mail: lkrer@kuh.ac.kr

Received 11 May 2011       Revised 18 May 2011       Accepted 28 May 2012

Copyright © 2012 Korean Society of Nursing Science

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to analyze the cardiopulmonary resuscitation skills and teamwork of nurses in simulated cardiac arrests in the hospital.

Methods

A descriptive study was conducted with 35 teams of 3 to 4 registered nurses each in a university hospital located in Seoul. A mannequin simulator was used to enact simulated cardiac arrest. Assessment included critical actions, time elapsed to initiation of critical actions, quality of cardiac compression, and teamwork which comprised leadership behavior and communication among team members.

Results

Among the 35 teams, 54% recognized apnea, 43% determined pulselessness. Eighty percent of the teams compressed at an average elapsed time of 108 ± 75 seconds with 35%, 36%, and 67% mean rates of correct compression depth, rate, and placement, respectively. Thirty- seven percent of the teams defibrillated at 224± 67 seconds. Leadership behavior and communication among team members were absent in 63% and 69% of the teams, respectively.

Conclusion

The skills of the nurses in this study cannot be considered adequate in terms of appropriate and timely actions required for resuscitation. Future resuscitation education should focus on improving the quality of cardiopulmonary resuscitation including team performance targeting the first responders of cardiac arrest.

Keywords: Patient simulation, Manikins, Cardiopulmonary resuscitation, Education, Nurses

References

Abella B. S.., Alvarado J. P.., Myklebust H.., Edelson D. P.., Barry A.., O'Hearn N., et al2005. Quality of cardiopulmonary resuscitation during in- hospital cardiac arrest. The Journal of the American Medical Association. 293:305–310. http://dx.doi.org/10.1001/jama.293.3.305.
American Heart Association. 2006. Basic life support for healthcare providers. Dallas, TX: Author.

Table 1.
General Characteristics of Participants (N=115)
Characteristics Categories n (%)
Gender Male 3 (2.6)
Female 112 (97.4)
Age (yr) ≤25 33 (28.7)
26-30 52 (45.2)
31-35 27 (23.5)
36-40 1 (0.9)
>40 2 (1.7)
Education Associate degree 23 (20.0)
Bachelor degree 82 (71.3)
≥Master 10 (8.7)
Working experience (yr) <1 21 (18.6)
1-2 20 (17.7)
3-4 25 (22.1)
5-7 26 (23.0)
≥8 21 (18.6)
Working experience in ICU/ER No 101 (87.8)
Yes 14 (12.2)
Experience in CPR No 50 (43.5)
Yes 65 (56.5)
Experience in any CPR education No 1 (0.9)
Yes 114 (99.1)
Latest CPR education (months ago) ≤3 25 (23.1)
4-6 48 (44.4)
7-12 33 (30.6)
13-18 1 (0.9)
>18 1 (0.9)

ICU=Intensive care unit; ER=Emergency room; CPR=Cardiopulmonary resuscitation.

Table 2.
Nurses’ Critical Actions during 5 minutes Simulated Cardiac Arrest (N=35)
Variables Critical action completion n (%) Time to completion (seconds) M±SD or Median (IQR)
Recognize unresponsiveness 33 (94.3) 5.0 (4-10)
Call for help 31 (88.6) 13.0 (8-31)
Recognize apnea 19 (54.3) 32.5±34.8
Recognize pulselessness 15 (42.9) 35.3±32.0
Initiate chest compression 28 (80.0) 107.8±75.3
Initiate BVM ventilation 30 (85.7) 162.1±63.0
Recognize ECG rhythm 17(48.6) 165.9±68.2
Apply appropriate defibrillation 13 (37.1) 224.0±66.8

IQR=Interquartile range; BVM=Bag valve mask; ECG=Electrocardiography.

Table 3.
Quality of Chest Compressions during 5 minutes Simulated Cardiac Arrest (N=28)
Variables M±SD
Total time of compression during 5 minutes (seconds) 133.0±65.2
Mean rate of correct compression depth (%) 34.8±24.8
Mean rate of correct compression rate (%) 36.1±28.8
Mean rate of correct placement of hands (%) 66.6±28.0
Table 4.
Teamwork Rating during 5 minutes Simulated Cardiac Arrest (N=35)
Variables Categories n (%)
Leadership behavior Not at all 22 (62.9)
Somewhat 9 (25.7)
Adequate 4 (11.4)
Communication Not at all 24 (68.6)
Somewhat 7 (20.0)
Adequate 4 (11.4)
TOOLS
Similar articles