Bedside chest compression skills: Performance and skills retention in in-hospital trained pediatric providers. A simulation study

Dailys Garcia-Jorda; Andrew Walker; Jenna Camphaug; Wendy Bissett; Tanya Spence; Dori-Ann Martin; Yiqun Lin; Adam Cheng; Meagan Mahoney; Elaine Gilfoyle

doi:10.1016/j.jcrc.2018.11.033

Bedside chest compression skills: Performance and skills retention in in-hospital trained pediatric providers. A simulation study

J Crit Care. 2019 Apr:50:132-137. doi: 10.1016/j.jcrc.2018.11.033. Epub 2018 Dec 1.

Authors

Affiliations

¹ Department of Pediatrics, Cumming School of Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: dailys.garciajorda@ucalgary.ca.
² Department of Anesthesia, Cumming School of Medicine, 1403 29 Street NW Calgary, AB T2N 2T9, Canada. Electronic address: Andrew.Walker@albertahealthservices.ca.
³ Pediatric Intensive Care Unit, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: Jenna.Camphaug@albertahealthservices.ca.
⁴ Pediatric Intensive Care Unit, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: Wendy.Bissett@albertahealthservices.ca.
⁵ Pediatric Intensive Care Unit, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: Tanya.Spence@albertahealthservices.ca.
⁶ Department of Pediatrics, Cumming School of Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: Dori-Ann.Martin@albertahealthservices.ca.
⁷ KidSIM-ASPIRE Simulation Research Program, Departments of Pediatrics and Emergency Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada.
⁸ Department of Pediatrics, Cumming School of Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: Meagan.Mahoney@albertahealthservices.ca.
⁹ Department of Pediatrics, Cumming School of Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: elaine.gilfoyle@albertahealthservices.ca.

PMID: 30530265
DOI: 10.1016/j.jcrc.2018.11.033

Abstract

Purpose: To assess the effects of a real-time feedback device and refresher sessions in acquiring and retaining chest compression skills.

Methods: Healthcare providers participated in refresher sessions at 3-time points (blocks) over 1-year. At each block, chest compression (CC) skills were assessed on an infant and adult task trainer, in one 2-min trial without feedback (blinded), and up to three 2-min trials with feedback (unblinded). Skills retention over time was explored at three time lags: 1-3, 3-6, >6 months. Data collected included chest compression rate (100-120/min), depth (4 cm for infants and 5 cm for adults), and recoil between compressions.

Results: Among 194 participants, achievement of excellent CC (≥90% of adequate compressions for all parameters) increased with feedback. Linear mixed models found significant (p < 0.05) improvement in rate, depth, and recoil. Performance between last unblinded trial in block 1 with the following blinded trial in block 2 significantly decayed in rate on both task trainers irrespective of time passed, while depth and recoil performance were maintained only for infants.

Conclusions: A real-time visual feedback device improved CC skills with better results in infants. Skills decayed over time despite two refresher sessions with feedback.

Keywords: Cardiopulmonary resuscitation; Cardiopulmonary resuscitation quality; Chest compression; Pediatric; Simulation training.

Publication types

Observational Study
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Cardiopulmonary Resuscitation / methods*
Clinical Competence*
Computer Simulation
Feedback
Female
Health Personnel
Heart Arrest / therapy*
Hospitals
Humans
Infant
Inservice Training / methods*
Linear Models
Male
Manikins*
Prospective Studies