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Published in: BMC Emergency Medicine 1/2020

Open Access 01-12-2020 | Cardiopulmonary Resuscitation | Research article

To strengthen self-confidence as a step in improving prehospital youth laymen basic life support

Authors: Anna Abelsson, Per Odestrand, Annette Nygårdh

Published in: BMC Emergency Medicine | Issue 1/2020

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Abstract

Background

A rapid emergency care intervention can prevent the cardiac arrest from resulting in death. In order for Cardio Pulmonary Resuscitation (CPR) to have any real significance for the survival of the patient, it requires an educational effort educating the large masses of people of whom the youth is an important part. The aim of this study was to investigate the effect of a two-hour education intervention for youth regarding their self-confidence in performing Adult Basic Life Support (BLS).

Methods

A quantitative approach where data consist of a pre- and post-rating of seven statements by 50 participants during an intervention by means of BLS theoretical and practical education.

Results

The two-hour training resulted in a significant improvement in the participants’ self-confidence in identifying a cardiac arrest (pre 51, post 90), to perform compressions (pre 65, post 91) and ventilations (pre 64, post 86) and use a defibrillator (pre 61, post 81). In addition, to have the self-confidence to be able to perform, and to actually perform, first aid to a person suffering from a traumatic event was significantly improved (pre 54, post 89).

Conclusion

By providing youth with short education sessions in CPR, their self-confidence can be improved. This can lead to an increased will and ability to identify a cardiac arrest and to begin compressions and ventilations. This also includes having the confidence using a defibrillator. Short education sessions in first aid can also lead to increased self-confidence, resulting in young people considering themselves able to perform first aid to a person suffering from a traumatic event. This, in turn, results in young people perceiveing themselves as willing to commence an intervention during a traumatic event. In summary, when the youth believe in their own knowledge, they will dare to intervene.
Literature
1.
go back to reference Böttiger BW, Van Aken H. Training children in cardiopulmonary resuscitation worldwide. Lancet. 2015;385:2353.CrossRef Böttiger BW, Van Aken H. Training children in cardiopulmonary resuscitation worldwide. Lancet. 2015;385:2353.CrossRef
2.
go back to reference Gräsner JT, Lefering R, Koster RW, Masterson S, Böttiger BW. EuReCa ONE-27 nations, ONE Europe, ONE registry: a prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation. 2016;105:188–95.CrossRef Gräsner JT, Lefering R, Koster RW, Masterson S, Böttiger BW. EuReCa ONE-27 nations, ONE Europe, ONE registry: a prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation. 2016;105:188–95.CrossRef
4.
go back to reference Idris AH, Guffey D, Pepe PE, Brown SP, Brooks SC, Callaway CW, et al. Chest compression rates and survival following out-of-hospital cardiac arrest. Crit Care Med. 2015;43:840–8.CrossRef Idris AH, Guffey D, Pepe PE, Brown SP, Brooks SC, Callaway CW, et al. Chest compression rates and survival following out-of-hospital cardiac arrest. Crit Care Med. 2015;43:840–8.CrossRef
5.
go back to reference Stiell IG, Brown SP, Nichol G, Cheskes S, Vaillancourt C, Callaway CW, et al. Resuscitation outcomes consortium investigators. What is the optimal chest compression depth during out-of-hospital cardiac arrest resuscitation of adult patients? Circulation. 2014;130:1962–70.CrossRef Stiell IG, Brown SP, Nichol G, Cheskes S, Vaillancourt C, Callaway CW, et al. Resuscitation outcomes consortium investigators. What is the optimal chest compression depth during out-of-hospital cardiac arrest resuscitation of adult patients? Circulation. 2014;130:1962–70.CrossRef
6.
go back to reference Perkins GD, Handley AJ, Koster WR, Castrén M, Smyth MA, Olasveengen T, et al. European resuscitation council guidelines for resuscitation 2015: section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81–99.CrossRef Perkins GD, Handley AJ, Koster WR, Castrén M, Smyth MA, Olasveengen T, et al. European resuscitation council guidelines for resuscitation 2015: section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81–99.CrossRef
7.
go back to reference Safdar B, Stolz U, Stiell IG, Cone DC, Bobrow BJ, deBoehr M, et al. Differential survival for men and women from out-of-hospital cardiac arrest varies by age: results from the OPALS study. Acad Emerg Med. 2014;21:1503–11.CrossRef Safdar B, Stolz U, Stiell IG, Cone DC, Bobrow BJ, deBoehr M, et al. Differential survival for men and women from out-of-hospital cardiac arrest varies by age: results from the OPALS study. Acad Emerg Med. 2014;21:1503–11.CrossRef
8.
go back to reference Takei Y, Nishi T, Kamikura T, Tanaka Y, Wato Y, Kubo M, et al. Do early emergency calls before patient collapse improve survival after out-of-hospital cardiac arrests? Resuscitation. 2015;88:20–7.CrossRef Takei Y, Nishi T, Kamikura T, Tanaka Y, Wato Y, Kubo M, et al. Do early emergency calls before patient collapse improve survival after out-of-hospital cardiac arrests? Resuscitation. 2015;88:20–7.CrossRef
9.
go back to reference Monsieurs GK, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, et al. European resuscitation council guidelines for resuscitation. Section 1. Executive summary. Resuscitation. 2015;95:1–80.CrossRef Monsieurs GK, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, et al. European resuscitation council guidelines for resuscitation. Section 1. Executive summary. Resuscitation. 2015;95:1–80.CrossRef
11.
go back to reference The National Agency for Education. Ordinance (SKOLFS 2010:37) on curricula for primary and lower secondary schools, preschool classes and the leisure center. Stockholm: The National Agency for Education; 2018. The National Agency for Education. Ordinance (SKOLFS 2010:37) on curricula for primary and lower secondary schools, preschool classes and the leisure center. Stockholm: The National Agency for Education; 2018.
12.
go back to reference Wilks J, Kanasa H, Pendergast D, Ken C. Emergency response readiness for primary school children. Aust Health Rev. 2016;40:357–63.CrossRef Wilks J, Kanasa H, Pendergast D, Ken C. Emergency response readiness for primary school children. Aust Health Rev. 2016;40:357–63.CrossRef
13.
go back to reference Brinkrolf P, Bohn A, Lukas RP, Heyse M, Dierschke T, Van Aken HK, et al. Senior citizens as rescuers: is reduced knowledge the reason for omitted lay-resuscitation-attempts? Results from a representative survey with 2004 interviews. PLoS One. 2017;12:e0178938.CrossRef Brinkrolf P, Bohn A, Lukas RP, Heyse M, Dierschke T, Van Aken HK, et al. Senior citizens as rescuers: is reduced knowledge the reason for omitted lay-resuscitation-attempts? Results from a representative survey with 2004 interviews. PLoS One. 2017;12:e0178938.CrossRef
14.
go back to reference Chen M, Wang Y, Li X, Hou L, Wang Y, Liu J, et al. Public knowledge and attitudes towards bystander cardiopulmonary resuscitation in China. Biomed Res Int. 2017;2017:3250485.PubMedPubMedCentral Chen M, Wang Y, Li X, Hou L, Wang Y, Liu J, et al. Public knowledge and attitudes towards bystander cardiopulmonary resuscitation in China. Biomed Res Int. 2017;2017:3250485.PubMedPubMedCentral
15.
go back to reference Sasson C, Haukoos JS, Eigel B, Magid DJ. The HANDDS program: a systematic approach for addressing disparities in the provision of bystander cardiopulmonary resuscitation. Acad Emerg Med. 2014;21:1042–9.CrossRef Sasson C, Haukoos JS, Eigel B, Magid DJ. The HANDDS program: a systematic approach for addressing disparities in the provision of bystander cardiopulmonary resuscitation. Acad Emerg Med. 2014;21:1042–9.CrossRef
16.
go back to reference Carolan-Olah M, Kruger G, Brown V, Lawton F, Mazzarino M. Development and evaluation of a simulation exercise to prepare midwifery students for neonatal resuscitation. Nurse Educ Today. 2016;36:375–80.CrossRef Carolan-Olah M, Kruger G, Brown V, Lawton F, Mazzarino M. Development and evaluation of a simulation exercise to prepare midwifery students for neonatal resuscitation. Nurse Educ Today. 2016;36:375–80.CrossRef
17.
go back to reference Kim SA, Kim SK, Kim JI, Chang OJ, Choi JY, Nam RM. Acquisition of CPR-related self-efficacy through BLS program among undergraduate nursing students in Korea. Res J Pharm Technol. 2017;10:7. Kim SA, Kim SK, Kim JI, Chang OJ, Choi JY, Nam RM. Acquisition of CPR-related self-efficacy through BLS program among undergraduate nursing students in Korea. Res J Pharm Technol. 2017;10:7.
18.
go back to reference Kragholm K, Wissenberg M, Mortensen RN, Hansen SM, Malta Hansen C, Thorsteinsson K, et al. Bystander efforts and 1-year outcomes in out-of-hospital cardiac arrest. New Engl J Med. 2017;376:1737–47.CrossRef Kragholm K, Wissenberg M, Mortensen RN, Hansen SM, Malta Hansen C, Thorsteinsson K, et al. Bystander efforts and 1-year outcomes in out-of-hospital cardiac arrest. New Engl J Med. 2017;376:1737–47.CrossRef
19.
go back to reference Malta Hansen C, Kragholm K, Pearson DA, Tyson C, Monk L, Myers B, et al. Association of bystander and first-responder intervention with survival after out-of hospital cardiac arrest in North Carolina, 2010–2013. JAMA. 2015;314:255–64.CrossRef Malta Hansen C, Kragholm K, Pearson DA, Tyson C, Monk L, Myers B, et al. Association of bystander and first-responder intervention with survival after out-of hospital cardiac arrest in North Carolina, 2010–2013. JAMA. 2015;314:255–64.CrossRef
20.
go back to reference Weidenauer D, Hamp T, Schriefl C, Holaubek C, Gattinger M, Krammel M, et al. The impact of cardiopulmonary resuscitation (CPR) manikin chest stiffness on motivation and CPR performance measures in children undergoing CPR training- a prospective, randomized, single-blind, controlled trial. PLoS One. 2018;16:e0202430.CrossRef Weidenauer D, Hamp T, Schriefl C, Holaubek C, Gattinger M, Krammel M, et al. The impact of cardiopulmonary resuscitation (CPR) manikin chest stiffness on motivation and CPR performance measures in children undergoing CPR training- a prospective, randomized, single-blind, controlled trial. PLoS One. 2018;16:e0202430.CrossRef
21.
go back to reference Riggs M, Franklin R, Saylany L. Associations between cardiopulmonary resuscitation (CPR) knowledge, self-efficacy, training history and willingness to perform CPR and CPR psychomotor skills: a systematic review. Resuscitation. 2019;138:259–72.CrossRef Riggs M, Franklin R, Saylany L. Associations between cardiopulmonary resuscitation (CPR) knowledge, self-efficacy, training history and willingness to perform CPR and CPR psychomotor skills: a systematic review. Resuscitation. 2019;138:259–72.CrossRef
22.
go back to reference Bouland AJ, Halliday MH, Comer AC, Levy MJ, Seaman KG, Lawner BJ. Evaluating barriers to bystander CPR among laypersons before and after compression-only CPR training. Prehosp Emerg Care. 2017;21:662–9.CrossRef Bouland AJ, Halliday MH, Comer AC, Levy MJ, Seaman KG, Lawner BJ. Evaluating barriers to bystander CPR among laypersons before and after compression-only CPR training. Prehosp Emerg Care. 2017;21:662–9.CrossRef
23.
go back to reference Avisar L, Shiyovich A, Aharonson-Daniel L, Nesher L. Cardiopulmonary resuscitation skills retention and self-confidence of preclinical medical students. Isr Med Assoc J. 2013;15:622–7.PubMed Avisar L, Shiyovich A, Aharonson-Daniel L, Nesher L. Cardiopulmonary resuscitation skills retention and self-confidence of preclinical medical students. Isr Med Assoc J. 2013;15:622–7.PubMed
24.
go back to reference Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.CrossRef Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.CrossRef
25.
go back to reference Tivener KA, Gloe DS. The effect of high-fidelity cardiopulmonary resuscitation (CPR) simulation on athletic training student knowledge, confidence, emotions, and experiences. Athl Train Educ J. 2015;10:103–12.CrossRef Tivener KA, Gloe DS. The effect of high-fidelity cardiopulmonary resuscitation (CPR) simulation on athletic training student knowledge, confidence, emotions, and experiences. Athl Train Educ J. 2015;10:103–12.CrossRef
26.
go back to reference Toner P, Connolly M, Laverty L, McGrath P, Connolly D, McCluskey DR. Teaching basic life support to school children using medical students and teachers in a ‘peer-training’ model -results of the 'ABC for life' programme. Resuscitation. 2007;75:169–75.CrossRef Toner P, Connolly M, Laverty L, McGrath P, Connolly D, McCluskey DR. Teaching basic life support to school children using medical students and teachers in a ‘peer-training’ model -results of the 'ABC for life' programme. Resuscitation. 2007;75:169–75.CrossRef
27.
go back to reference Berthelot S, Plourde M, Bertrand I, Bourassa A, Couture MM, Berger-Pelletier E, et al. Push hard, push fast: quasi-experimental study on the capacity of elementary schoolchildren to perform cardiopulmonary resuscitation. Scand J Trauma Resusc Emerg Med. 2013;21:41.CrossRef Berthelot S, Plourde M, Bertrand I, Bourassa A, Couture MM, Berger-Pelletier E, et al. Push hard, push fast: quasi-experimental study on the capacity of elementary schoolchildren to perform cardiopulmonary resuscitation. Scand J Trauma Resusc Emerg Med. 2013;21:41.CrossRef
28.
go back to reference Abelsson A, Nygårdh A. To enhance the quality of CPR performed by youth layman. Int J Emerg Med. 2019;12:1–6.CrossRef Abelsson A, Nygårdh A. To enhance the quality of CPR performed by youth layman. Int J Emerg Med. 2019;12:1–6.CrossRef
29.
go back to reference Schroeder DC, Ecker H, Wingen S, Semeraro F, Böttiger BW. “Kids save lives”- resuscitation training for schoolchildren: systematic review. Anaesthesist. 2017;66:589–97.CrossRef Schroeder DC, Ecker H, Wingen S, Semeraro F, Böttiger BW. “Kids save lives”- resuscitation training for schoolchildren: systematic review. Anaesthesist. 2017;66:589–97.CrossRef
30.
go back to reference Beck B, Bray J, Smith K, Walker T, Grantham H, Hein C, et al. Establishing the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest Epistry. BMJ Open. 2016;6:e011027.CrossRef Beck B, Bray J, Smith K, Walker T, Grantham H, Hein C, et al. Establishing the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest Epistry. BMJ Open. 2016;6:e011027.CrossRef
31.
go back to reference Girotra S, van Diepen S, Nallamothu BK, Carrel M, Vellano K, Anderson ML, et al. Regional variation in out-of-hospital cardiac arrest survival in the United States. Circulation. 2016;133:2159–68.CrossRef Girotra S, van Diepen S, Nallamothu BK, Carrel M, Vellano K, Anderson ML, et al. Regional variation in out-of-hospital cardiac arrest survival in the United States. Circulation. 2016;133:2159–68.CrossRef
32.
go back to reference Jorge-Soto C, Abelairas-Gomez C, Barcala-Furelos R, Garrido-Vinas A, Navarro-Paton R, Muino-Pineiro M, et al. Automated external defibrillation skills by naive schoolchildren. Resuscitation. 2016;106:37–41.CrossRef Jorge-Soto C, Abelairas-Gomez C, Barcala-Furelos R, Garrido-Vinas A, Navarro-Paton R, Muino-Pineiro M, et al. Automated external defibrillation skills by naive schoolchildren. Resuscitation. 2016;106:37–41.CrossRef
33.
go back to reference World Medical Association. Declaration of Helsinki. Ethical Principles for Medical Research Involving Human Subjects. JAMA. 2013;310:2191–4.CrossRef World Medical Association. Declaration of Helsinki. Ethical Principles for Medical Research Involving Human Subjects. JAMA. 2013;310:2191–4.CrossRef
34.
go back to reference SFS 2008:192. Act amending the Act (2003: 460) concerning the ethical review of research involving humans. Stockholm: Swedish Parliament; 2008. SFS 2008:192. Act amending the Act (2003: 460) concerning the ethical review of research involving humans. Stockholm: Swedish Parliament; 2008.
Metadata
Title
To strengthen self-confidence as a step in improving prehospital youth laymen basic life support
Authors
Anna Abelsson
Per Odestrand
Annette Nygårdh
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Emergency Medicine / Issue 1/2020
Electronic ISSN: 1471-227X
DOI
https://doi.org/10.1186/s12873-020-0304-8

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