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A randomised controlled trial of student nurse performance of cardiopulmonary resuscitation in a simulated family-witnessed resuscitation scenario

Kenny, Gerard; Bray, Isabelle; Pontin, David; Jefferies, Rachel; Albarran, John

A randomised controlled trial of student nurse performance of cardiopulmonary resuscitation in a simulated family-witnessed resuscitation scenario Thumbnail


Authors

Gerard Kenny

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Issy Bray Issy.Bray@uwe.ac.uk
Associate Professor in Public Health (Epidemiology)

David Pontin

Rachel Jefferies

John Albarran



Abstract

© 2017 Elsevier Ltd This randomized controlled trial, conducted in a UK University nursing department, compared student nurses' performance during a simulated cardiac arrest. Eighteen teams of four students were randomly assigned to one of three scenarios: 1) no family witness; 2) a “quiet” family witness; and 3) a family witness displaying overt anxiety and distress. Each group was assessed by observers for a range of performance outcomes (e.g. calling for help, timing to starting cardiopulmonary resuscitation), and simulation manikin data on the depth and timing of three cycles of compressions. Groups without a distressed family member present performed better in the early part of the basic life support algorithm. Approximately a third of compressions assessed were of appropriate pressure. Groups with a distressed family member present were more likely to perform compressions with low pressure. Groups with no family member present were more likely to perform compressions with too much pressure. Timing of compressions was better when there was no family member present. Family presence appears to have an effect on subjectively and objectively measured performance. Further study is required to see how these findings translate into the registered nurse population, and how experience and education modify the impact of family member presence.

Citation

Kenny, G., Bray, I., Pontin, D., Jefferies, R., & Albarran, J. (2017). A randomised controlled trial of student nurse performance of cardiopulmonary resuscitation in a simulated family-witnessed resuscitation scenario. Nurse Education in Practice, 24, 21-26. https://doi.org/10.1016/j.nepr.2017.03.004

Journal Article Type Article
Acceptance Date Mar 12, 2017
Online Publication Date Mar 14, 2017
Publication Date May 1, 2017
Deposit Date Mar 17, 2017
Publicly Available Date Mar 14, 2018
Journal Nurse Education in Practice
Print ISSN 1471-5953
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 24
Pages 21-26
DOI https://doi.org/10.1016/j.nepr.2017.03.004
Keywords family-witnessed resuscitation, student nurses, simulation, randomized controlled trial
Public URL https://uwe-repository.worktribe.com/output/897018
Publisher URL http://dx.doi.org/10.1016/j.nepr.2017.03.004

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