What are the barriers to implementation of cardiopulmonary resuscitation training in secondary schools? A qualitative study.
Line Zinckernagel,Carolina Malta Hansen,Morten Hulvej Rod,Fredrik Folke,Fredrik Folke,Christian Torp-Pedersen,Tine Tjørnhøj-Thomsen +6 more
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TLDR
To facilitate implementation of CPR training in schools, it is necessary to have clear guidelines regarding the required proficiency level to train students in CPR, to provide teachers with these skills, and to underscore that extensive skills are not required to provide CPR.Abstract:
Objective Cardiopulmonary resuscitation (CPR) training in schools is recommended to increase bystander CPR and thereby survival of out-of-hospital cardiac arrest, but despite mandating legislation, low rates of implementation have been observed in several countries, including Denmark. The purpose of the study was to explore barriers to implementation of CPR training in Danish secondary schools. Design A qualitative study based on individual interviews and focus groups with school leadership and teachers. Thematic analysis was used to identify regular patterns of meaning both within and across the interviews. Setting 8 secondary schools in Denmark. Schools were selected using strategic sampling to reach maximum variation, including schools with/without recent experience in CPR training of students, public/private schools and schools near to and far from hospitals. Participants The study population comprised 25 participants, 9 school leadership members and 16 teachers. Results School leadership and teachers considered it important for implementation and sustainability of CPR training that teachers conduct CPR training of students. However, they preferred external instructors to train students, unless teachers acquired the CPR skills which they considered were needed. They considered CPR training to differ substantially from other teaching subjects because it is a matter of life and death, and they therefore believed extraordinary skills were required for conducting the training. This was mainly rooted in their insecurity about their own CPR skills. CPR training kits seemed to lower expectations of skill requirements to conduct CPR training, but only among those who were familiar with such kits. Conclusions To facilitate implementation of CPR training in schools, it is necessary to have clear guidelines regarding the required proficiency level to train students in CPR, to provide teachers with these skills, and to underscore that extensive skills are not required to provide CPR. Further, it is important to familiarise teachers with CPR training kits.read more
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Cardiopulmonary Resuscitation Training in Schools Following 8 Years of Mandating Legislation in Denmark: A Nationwide Survey.
Carolina Malta Hansen,Carolina Malta Hansen,Line Zinckernagel,Annette Kjær Ersbøll,Tine Tjørnhøj-Thomsen,Mads Wissenberg,Freddy Lippert,Peter Weeke,Gunnar Gislason,Gunnar Gislason,Gunnar Gislason,Lars Køber,Christian Torp-Pedersen,Fredrik Folke,Fredrik Folke +14 more
TL;DR: Completed CPR training was associated with believing other schools were conducting training, awareness of mandating legislation, presence of a school CPR training coordinator, teachers teacher feeling competent to conduct training, and having easy access to training material.
Journal ArticleDOI
Impact of bystander-focused public health interventions on cardiopulmonary resuscitation and survival: a cohort study
Audrey L Blewer,Audrey L Blewer,Andrew Fu Wah Ho,Andrew Fu Wah Ho,Nur Shahidah,Alexander Elgin White,Pin Pin Pek,Pin Pin Pek,Yih Yng Ng,Desmond Renhao Mao,Ling Tiah,Michael Yih-Chong Chia,Benjamin Sieu-Hon Leong,Si Oon Cheah,Lai Peng Tham,Jade Phek Hui Kua,Shalini Arulanandam,Truls Østbye,Truls Østbye,Hayden B. Bosworth,Hayden B. Bosworth,Marcus Eng Hock Ong,Marcus Eng Hock Ong +22 more
TL;DR: National bystander-focused public health interventions in Singapore were associated with an increased likelihood of bystander CPR, and an increased survival to hospital discharge.
Journal ArticleDOI
College students’ knowledge and attitudes toward bystander cardiopulmonary resuscitation: A cross-sectional survey
Maria Shuk Yu Hung,Meyrick C.M. Chow,Tania Tin Wing Chu,Pui Pui Wong,Wai Yan Nam,Vicky Long Ki Chan,Tsz Hing Chan +6 more
TL;DR: Although students had a positive attitude toward CPR, inadequate knowledge and training were found and incorporation of CPR training into the college curricula could be a long-term strategy to enhance CPR benefits to the wider community.
Journal ArticleDOI
Association of Bystander and First-Responder Efforts and Outcomes According to Sex: Results From the North Carolina HeartRescue Statewide Quality Improvement Initiative.
Carolina Malta Hansen,Carolina Malta Hansen,Kristian Kragholm,Matthew E. Dupre,David Pearson,Clark Tyson,Lisa Monk,Thomas D. Rea,Monique A Starks,Darrell Nelson,James G. Jollis,Bryan McNally,Claire M. Corbett,Christopher B. Granger +13 more
TL;DR: Bystander and first‐responder interventions increased for men and women, but outcomes improved significantly only for men, suggesting additional strategies may be necessary to improve survival among female cardiac arrest patients.
Journal ArticleDOI
App-based learning as an alternative for instructors in teaching basic life support to school children: a randomized control trial.
TL;DR: App-based teaching can be a valuable alternative for classic instructor-based education in CPR education, yet new apps have to be evaluated before being implemented in CPR Education.
References
More filters
Journal ArticleDOI
The theory of planned behavior
TL;DR: Ajzen, 1985, 1987, this article reviewed the theory of planned behavior and some unresolved issues and concluded that the theory is well supported by empirical evidence and that intention to perform behaviors of different kinds can be predicted with high accuracy from attitudes toward the behavior, subjective norms, and perceived behavioral control; and these intentions, together with perceptions of behavioral control, account for considerable variance in actual behavior.
Book
Qualitative research & evaluation methods
TL;DR: In this paper, conceptual issues and themes on qualitative research and evaluaton methods including: qualitative data, triangulated inquiry, qualitative inquiry, constructivism, constructionism, complexity (chaos) theory, qualitative designs and data collection, fieldwork strategies, interviewing, tape-recording, ethical issues, analysis, interpretation and reporting, observations vs. perceived impacts and utilisation-focused evaluation reporting.
Journal ArticleDOI
Heart disease and stroke statistics-2015 update: A report from the American Heart Association
Dariush Mozaffarian,Emelia J. Benjamin,Alan S. Go,Donna K. Arnett,Michael J. Blaha,Mary Cushman,Sarah D. de Ferranti,Jean-Pierre Després,Heather J. Fullerton,Virginia J. Howard,Mark D. Huffman,Suzanne E. Judd,Brett M. Kissela,Daniel T. Lackland,Judith H. Lichtman,Lynda D. Lisabeth,Simin Liu,Rachel H. Mackey,David B. Matchar,Darren K. McGuire,Emile R. Mohler,Claudia S. Moy,Paul Muntner,Michael E. Mussolino,Khurram Nasir,Robert W. Neumar,Graham Nichol,Latha Palaniappan,Dilip K. Pandey,Mathew J. Reeves,Carlos J. Rodriguez,Paul D. Sorlie,Joel Stein,Amytis Towfighi,Tanya N. Turan,Salim S. Virani,Joshua Z. Willey,Daniel Woo,Robert W. Yeh,Melanie B. Turner +39 more
TL;DR: Mozaffarian, Dariush, Benjamin, Emelia J; Go, Alan S; Arnett, Donna K; Blaha, Michael J; Cushman, Mary; de Ferranti, Sarah; Despres, Jean-Pierre; Fullerton, Heather J; Howard, Virginia J; Huffman, Mark D; Judd, Suzanne E; Kissela, Brett M; Lackland, Daniel T; Lichtman, Judith H; Lisabeth, Lynda D; Liu, Simin; Mackey, Rachel H; Matchar, David B
Journal ArticleDOI
Part 14: Pediatric Advanced Life Support 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Monica E. Kleinman,Leon Chameides,Stephen M. Schexnayder,Ricardo A. Samson,Mary Fran Hazinski,Dianne L. Atkins,Marc D. Berg,Allan R. de Caen,Ericka L. Fink,Eugene B. Freid,Robert W. Hickey,Bradley S. Marino,Vinay M. Nadkarni,Lester T. Proctor,Faiqa Qureshi,Kennith Sartorelli,Alexis A. Topjian,Elise W. van der Jagt,Arno Zaritsky +18 more
TL;DR: In contrast to adults, cardiac arrest in infants and children does not usually result from a primary cardiac cause, more often it is the terminal result of progressive respiratory failure or shock, also called an asphyxial arrest.
Journal ArticleDOI
Predictors of Survival From Out-of-Hospital Cardiac Arrest A Systematic Review and Meta-Analysis
TL;DR: In this paper, the authors evaluated the strength of associations between out-of-hospital cardiac arrest and key factors (event witnessed by a bystander or emergency medical services [EMS], provision of bystander cardiopulmonary resuscitation [CPR], initial cardiac rhythm, or the return of spontaneous circulation) and examined trends in OHCA survival over time.