Sara tidwell 2015 canpd poster presentation 36x48
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KNOWLEDGE AND SKILL RETENTION OF CARDIOPULMONARY RESUSITATION IN OBSTRETRIC NURSES POST SIMULATION INTERVENTION: A RETROSPECTIVE STUDY Michelle Olech Smith MSN, RN-BC, CHSE; Sara Tidwell, BSN, RNC Analysis Conclusion Design Significance Methods The purpose of this study was to assess knowledge and skill retention of obstetric nurses following an educational simulation experience for cardiopulmonary resuscitation. Maternal cardiac arrest is a rare event and occurs so infrequently that many obstetric care providers may never encounter the event in their careers. Challenges exist in the retention of knowledge and skills needed to deliver effective and efficient cardiopulmonary resuscitation (CPR). Maintaining proficiency in these skills is needed to ensure maternal and fetal safety. Maternal cardiac arrest educational simulations were conducted by Labor & Delivery (LD) nurses in a simulation center. Following the Kirkpatrick levels of learning evaluation model, at three month, six month and twelve month intervals, maternal cardiac arrest in situ simulations were completed in the department of LD to evaluate knowledge and skill retention compared to the baseline simulation. In an effort to maintain the knowledge and skills gained with this educational intervention, the educational simulation will be repeated annually. The use of simulation methodology can be an effective solution for maintaining obstetric nurses infrequently used CPR skills. Findings Implications Staff Evaluations Time to compressions decreased overtime and was lowest at twelve months. Time to defibrillation decreased significantly at three months, however following assessments increased marginally. The average rate and depth of compressions sustained at baseline at six and twelve months. Data collection points for interventions include time to compressions, time to defibrillation, and rate and depth of compressions measured by simulator software. Results were compared to the American Heart Association CPR guidelines. Retrospective study for simulation program outcomes. 0 20 40 60 80 100 120 140 Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months Beats per Minute Average Rate of Compressions 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months Minutes Time to Compressions 1.45 1.5 1.55 1.6 1.65 1.7 1.75 1.8 1.85 1.9 1.95 Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months Inches Average Depth of Compressions 0 0.5 1 1.5 2 2.5 3 3.5 Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months Minutes Time to Defibrillation “Was excellent learning experience” “I thought this was very helpful and since we only have to renew our BLS every 2 years, it is important to have more "hands on" participation for something we are not often exposed to. It was very helpful and I would like to see more of them in the future. Thank you!!” “I enjoyed the whole thing, I’m so glad that we have this kind of simulation to give the quality care with knowledge and build our confidence to attend to a code blue situation. Thank you so much.” “I definitely feel more prepared if there was a real code blue” Purpose Contact Information – [email protected] ; [email protected]
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Transcript of Sara tidwell 2015 canpd poster presentation 36x48
KNOWLEDGE AND SKILL RETENTION OF CARDIOPULMONARY RESUSITATION IN OBSTRETRIC NURSES POST SIMULATION INTERVENTION: A RETROSPECTIVE STUDY
Michelle Olech Smith MSN, RN-BC, CHSE; Sara Tidwell, BSN, RNC
Analysis
ConclusionDesign
Significance
Methods
The purpose of this study was to assess knowledge and skill retention of obstetric nurses following an educational simulation experience for cardiopulmonary resuscitation.
Maternal cardiac arrest is a rare event andoccurs so infrequently that many obstetriccare providers may never encounter theevent in their careers. Challenges exist inthe retention of knowledge and skillsneeded to deliver effective and efficientcardiopulmonary resuscitation (CPR).Maintaining proficiency in these skills isneeded to ensure maternal and fetalsafety.
Maternal cardiac arrest educational simulations were conducted by Labor & Delivery (LD) nurses in a simulation center. Following the Kirkpatrick levels of learning evaluation model, at three month, six month and twelve month intervals, maternal cardiac arrest in situ simulations were completed in the department of LD to evaluate knowledge and skill retention compared to the baseline simulation.
In an effort to maintain the knowledge and skills gained with this educational intervention, the educational simulation will be repeated annually.
The use of simulation methodology can be an effective solution for maintaining obstetric nurses infrequently used CPR skills.
Findings
Implications
Staff Evaluations
Time to compressions decreased overtime and was lowest at twelve months. Time to defibrillation decreased significantly at three months, however following assessments increased marginally. The average rate and depth of compressions sustained at baseline at six and twelve months.
Data collection points for interventions include time to compressions, time to defibrillation, and rate and depth of compressions measured by simulator software. Results were compared to the American Heart Association CPR guidelines.
Retrospective study for simulation program outcomes.
0
20
40
60
80
100
120
140
Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months
Bea
ts p
er M
inu
te
Average Rate of Compressions
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months
Min
ute
s
Time to Compressions
1.45
1.5
1.55
1.6
1.65
1.7
1.75
1.8
1.85
1.9
1.95
Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months
Inch
es
Average Depth of Compressions
0
0.5
1
1.5
2
2.5
3
3.5
Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months
Min
ute
s
Time to Defibrillation
“Was excellent learning experience”
“I thought this was very helpful and since we only have to renew our BLS every 2 years, it is important to have more "hands on" participation for something we are not often exposed to. It was very helpful and I would like to see more of them in the future. Thank you!!”
“I enjoyed the whole thing, I’m so glad that we havethis kind of simulation to give the quality care withknowledge and build our confidence to attend to acode blue situation. Thank you so much.”
“I definitely feel more prepared if there was a realcode blue”
Purpose
Contact Information – [email protected] ; [email protected]
![Designing Interfaces [TIDWELL] - Resumo do 1º capitulo](https://static.fdocuments.us/doc/165x107/559476bb1a28ab4c6e8b47a0/designing-interfaces-tidwell-resumo-do-1o-capitulo.jpg)
