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Validating peer-led assessments of CPR performance
Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science.ORCID iD: 0000-0002-1641-6321
Resuscitation Council (UK), London, UK.
Department of Anaesthetics, Guy’s and St Thomas’s NHS Foundation Trust, London, UK.
Innosonian Europe, Farnborough, Hampshire, UK.
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2020 (English)In: Resuscitation Plus, E-ISSN 2666-5204, Vol. 3, article id 100022Article in journal (Refereed) Published
Abstract [en]

Background

A patient’s survival from cardiac arrest is improved if they receive good quality chest compressions as soon as possible. During cardiopulmonary resuscitation (CPR) training subjective assessments of chest compression quality is still common. Recently manikins allowing objective assessment have demonstrated a degree of variance with Instructor assessment. The aim of this study was to compare peer-led subjective assessment of chest compressions in three groups of participants with objective data from a manikin.

Method

This was a quantitative multi-center study using data from simulated CPR scenarios. Seventy-eight Instructors were recruited, from different backgrounds; lay persons, hospital staff and emergency services personnel. Each group consisted of 13 pairs and all performed 2 ​min of chest compressions contemporaneously by peers and manikin (Brayden PRO®). The primary hypothesis was subjective and objective assessment methods would produce different test outcomes.

Results

13,227 chest compressions were assessed. The overall median score given by the manikin was 88.5% (interquartile range 71.75–95), versus 92% (interquartile range 86.75–98) by observers. There was poor correlation in scores between assessment methods (Kappa −0.051 – +0.07). Individual assessment of components within the manikin scores demonstrated good internal consistency (alpha ​= ​0.789) compared to observer scores (alpha ​= ​0.011).

Conclusion

Observers from all backgrounds were consistently more generous in their assessment when compared to the manikin. Chest compressions quality influences outcome following cardiac arrest, the findings of this study support increased use of objective assessment at the earliest opportunity, irrespective of background.

Place, publisher, year, edition, pages
Elsevier, 2020. Vol. 3, article id 100022
Keywords [en]
Assessment, Cardiopulmonary resuscitation, Manikin
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-50187DOI: 10.1016/j.resplu.2020.100022ISI: 000675501600015PubMedID: 34223305Local ID: GOA HHJ 2020;HHJÖvrigtISOAI: oai:DiVA.org:hj-50187DiVA, id: diva2:1457615
Available from: 2020-08-12 Created: 2020-08-12 Last updated: 2022-10-21Bibliographically approved

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