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Introducing Simulation Technology fo...

Ortiz, Daniel Gerardo.

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Introducing Simulation Technology for In-Hospital Emergency Department Nurse Training to Improve Four Key Metrics of Chest Compressions and Psychomotor Compliance: Advocacy for Policy Revision through Quality Improvement.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Introducing Simulation Technology for In-Hospital Emergency Department Nurse Training to Improve Four Key Metrics of Chest Compressions and Psychomotor Compliance: Advocacy for Policy Revision through Quality Improvement./
作者:	Ortiz, Daniel Gerardo.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:	178 p.
附註:	Source: Dissertations Abstracts International, Volume: 82-01, Section: B.
Contained By:	Dissertations Abstracts International82-01B.
標題:	Nursing. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28000210
ISBN:	9798662425439

Introducing Simulation Technology for In-Hospital Emergency Department Nurse Training to Improve Four Key Metrics of Chest Compressions and Psychomotor Compliance: Advocacy for Policy Revision through Quality Improvement.
Ortiz, Daniel Gerardo.

Introducing Simulation Technology for In-Hospital Emergency Department Nurse Training to Improve Four Key Metrics of Chest Compressions and Psychomotor Compliance: Advocacy for Policy Revision through Quality Improvement. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 178 p.

Source: Dissertations Abstracts International, Volume: 82-01, Section: B.

Thesis (D.N.P.)--Azusa Pacific University, 2020.

This item must not be sold to any third party vendors.

Introduction: In 6 decades of CPR training, survival rates for in-hospital cardiac arrest have not improved beyond 24%. A deviation from the four key metrics (FKM) of chest compressions (CC) substantially reduces survival rates. At El Centro Regional Medical Center (ECRMC), CPR training policies did not include high-fidelity/human patient simulators (HF-HPS).Method/design: A quality improvement project utilized a pre-post assessment of a "CPR Summary" and "CPR-Checklist" focused on FKMs of CC among two groups of Emergency Department nurses (RNs) at ECRMC. Group 1 (n=9) preassessment included a) completed registration form, b) orientation to HF-HPS, c) training in the CPR Summary, and d) instructor feedback with "real time feedback" to complete three intervals of CCs. Two participants were later excluded. Group 1 (n=7) postassessment included real-time feedback using the CPR Summary and measurement of FKMs. Group 2 (n=7) preassessment occurred 2 weeks later and followed the Group 1 procedure. Group 2 postassessment was not completed because of the COVID-19 pandemic. Data analysis included the registration form and CPR Summary (raw data coded) analyzed by IntellectusStatistics software.Results: Participants were RN members of an emergency response team (ERT) (n=14, 100%), had an RN license ≤2 years (n = 9, 64%), were members of ERT ≤2 years (n = 10, 71%), and able to perform "high-quality" CC at a 90% rating (n = 6, 43%). Group 1 at baseline performed FKMs 50% (n=2), 75% (n=3), and 100% (n=2). At 2-week assessment, Group 1 improved from baseline FKMs to 75% (n=3) or 100% (n=4). Group 2 at baseline performed FKMs at 0 (n=1), 75% (n=5), and 100% (n=1). Interestingly, the only RN who failed to achieve any FKMs reported being "experienced".Discussion: Findings suggest experienced RNs did not value CPR/HF-HPS training as compared with recently licensed RNs. Participants perceived they could perform all FKMs; however, only 21% adhered. The HF-HPS CPR Summary is an effective tool to assess RN adherence to FKMs compared to a traditional CPR-checklist, which does not assess depth/full-recoil of CC. Hence, there is a critical need for HF-HPS CPR ERT training policies in hospital settings.

ISBN: 9798662425439Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Cardiopulmonary resuscitation

Introducing Simulation Technology for In-Hospital Emergency Department Nurse Training to Improve Four Key Metrics of Chest Compressions and Psychomotor Compliance: Advocacy for Policy Revision through Quality Improvement.
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