Valoración del nivel de conocimientos y su adecuación en materia de RCP en el personal sanitario de los servicios de urgencias hospitalarios de la Comunidad Autónoma de la Región de Murcia

  1. Sánchez García, Ana Belén 1
  2. Fernández Alemán, José Luis 2
  3. Alonso Pérez, Nuria 3
  4. Hernandez Hernández, Isabel 1
  5. Navarro Valverde, Raquel 1
  6. Rosillo Castro, Daniela 1
  1. 1 Hospital General Universitario Reina Sofía de Murcia
  2. 2 Universidad de Murcia
    info

    Universidad de Murcia

    Murcia, España

    ROR https://ror.org/03p3aeb86

  3. 3 Ayuntamiento Pilar de la Horadada
Montrer des affiliations +
Revue:
Enfermería global: revista electrónica trimestral de enfermería

ISSN: 1695-6141

Année de publication: 2015

Volumen: 14

Número: 3

Pages: 230-245

Type: Article

DOI: 10.6018/EGLOBAL.14.3.197791 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

D'autres publications dans: Enfermería global: revista electrónica trimestral de enfermería

Résumé

Objective. Cardiopulmonary resuscitation (CPR) is one of the most important hospital care team procedures to be administered by emergency medical services. There is a consensus as to cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations, which are regularly updated every five years. International recommendations advise health professionals to update their knowledge every two years. The objective of this paper is to discover health professionals’ levels of knowledge as regards CPR, whether they are appropriately updated and to confirm whether the training courses on CPR performed improve health personnel’s knowledge levels. Method. A 20-question survey based on American Heart Association (AHA) and Spanish Society of Medicine and Intensive Care (SEMICYUC) recommendations was carried out. Results. Evidence-based results strongly suggest that participants do not follow the international standards as regards training in CPR. Sixty four point seven percent of the participants attend at least one CPR course after 2010, but 10.1% never took a refresher course. Thirty percent of the faculties, 90% of the medical residents and 7% of the nursing staff did not obtain the training required by the AHA in hospital emergency services (one course every two years). Our results show that the higher number of courses received, the higher is the level of knowledge regarding CPR that health staff obtain. Conclusions: There is a need for new approaches as regards the learning methodology used in CPR courses. Our results show that healthcare staff are aware of the need to acquire knowledge on CPR via regular training.

Références bibliographiques

  • 1. Negovsky V, Gurtvitch A, Zolotokrylina E. Postresuscitation Disease Amsterdam: Elsevier; 1983.
  • 2. Safar P. On the history of modern resuscitation. Crit Care Med. 1996;24(2):S3- 11.
  • 3. American Heart Association. About cardiopulmonary resuscitation (CPR). In: highlights of the history of cardiopulmonary resuscitation (CPR). American Heart association. DIALOG. 2013. [Acceso 6 julio 2014]. Disponible en: http://www.heart.org/HEARTORG/CPRAndECC/WhatisCPR/CPRFactsandStats/Histor y-of-CPR_UCM_307549_Article.jsp.
  • 4. American Heart Association and National Academy of Sciences-National Research Council. Standards and guidelines for cardiopulmonary resuscitation (cpr) and emergency cardiac care (ecc). JAMA. 1986;255(21):2905-84.
  • 5. Hazinski MF, Nolan JP, Billi JE, Böttiger BW, Bossaert L, Caen ARd, et al. Part 1: Executive Summary 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation. 2010;122:S250-S75.
  • 6. Sayre MR, Berg MD, Berg RA, Bhanji F, Billi JE, Callaway CW, et al. Aspectos destacados de las guías de la American Heart Association de 2010 para RCP y ACE. American Herat Association. 2010. [Acceso 6 julio 2014]. Disponible en: http://cmedica.coe.es/WEB/EVENTOSHOME.nsf/b8c1dabf8b650783c1256d560051ba 4f/f1944101ebde0ac2c12579a7002d4603/$FILE/1.pdf.
  • 7. Rosón JF, Bailén MR, Rodríguez JP, Cuadra JAR, Cruz AC, Castellanos MAD. Evaluación del contenido y funcionamiento de los carros de reanimación cardiopulmonar de un hospital. Medicina Intensiva. 2003;27(6):399-403.
  • 8. Nyman J, Sihvonen M. Cardiopulmonary resuscitation skills in nurses and nursing students. Resuscitation. 2000;47(2):179-84.
  • 9. Rodríguez-Borrajo S, de Lahidalga-Martínez OM, de Cortazar AG, ArriaranMendialdua I, Latorre-García K. Conocimientos de las enfermeras de hospitalización del plan de atención a las situaciones de amenaza vital inmediata. Enfermería Clínica. 2008;18(4):190-6.
  • 10. Almeida AOd, Araújo IEM, Dalri MCB, Araujo S. Theoretical knowledge of nurses working in non-hospital urgent and emergency care units concerning cardiopulmonary arrest and resuscitation. Revista Latino-Americana de Enfermagem. 2011;19:261-8.
  • 11. Camargo JCM, Velázquez MR-B, Martínez MM, Ramírez AA, López JFR, Serrano PR, et al. Conocimientos sobre resucitación cardiopulmonar del profesional enfermero en unidades sin monitorización de pacientes. Metas de enfermería. 2011;14(1):10-5.
  • 12. Passali C, Pantazopoulos I, Dontas I, Patsaki A, Barouxis D, Troupis G, et al. Evaluation of nurses’ and doctors’ knowledge of basic & advanced life support resuscitation guidelines. Nurse Education in Practice. 2011;11(6):365-9.
  • 13. Hopstock LA. Motivation and adult learning: A survey among hospital personnel attending a CPR course. Resuscitation. 2008;76(3):425-30.
  • 14. Montes AV, Martín A, Ordiz I, Piedra JM. Autoevaluation of doctors and nurses in cardiopulmonary resuscitation in our hospital. Resuscitation.81(2):S96.
  • 15. Castillo-Garcia J, Abad-Torrent A, Racoba-Zoff G, Castillo-Monsegur J. Percepción de los profesionales sanitarios del Hospital Sant Llorenç de Viladecans sobre sus conocimientos y habilidades en reanimación cardiopulmonar. Enfermería Clínica. 2006;16(1):39-43.
  • 16. Kyriakou F, Iacovidou N, Garofalakis I, Trianti M, Stasinakis D, Xanthos T. Residents' resuscitation training and theoretical knowledge in a Greek General Hospital. European Journal of Emergency Medicine. 2011;18(1):34-7.
  • 17. Hayes CW, Rhee A, Detsky ME, Leblanc VR, Wax RS. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: A survey of internal medicine residents*. Critical Care Medicine. 2007;35(7):1668-72 10.097/01.CCM.0000268059.42429.39.
  • 18. O'Brien G, Haughton A, Flanagan B. Interns' perceptions of performance and confidence in participating in and managing simulated and real cardiac arrest situations. Medical Teacher. 2001;23(4):389-95.
  • 19. Hamilton R. Nurses’ knowledge and skill retention following cardiopulmonary resuscitation training: a review of the literature. Journal of Advanced Nursing. 2005;51(3):288-97.
  • 20. Arntz H-R, Wenzel V, Dissmann R, Marschalk A, Breckwoldt J, Müller D. Outof-hospital thrombolysis during cardiopulmonary resuscitation in patients with high likelihood of ST-elevation myocardial infarction. Resuscitation. 2008;76(2):180-4.
  • 21. Lossius HM, Søreide E, Hotvedt R, Hapnes SA, Eielsen OV, Førde OH, et al. Prehospital advanced life support provided by specially trained physicians: is there a benefit in terms of life years gained? Acta Anaesthesiologica Scandinavica. 2002;46(7):771-8.
  • 22. Lafuente-Lafuente C, Melero-Bascones M. Active chest compressiondecompression for cardiopulmonary resuscitation. Cochrane Database Syst Rev. 2002;3.
  • 23. Mitchell RG, Brady W, Guly UM, Pirrallo RG, Robertson CE. Comparison of two emergency response systems and their effect on survival from out of hospital cardiac arrest. Resuscitation. 1997;35(3):225-9.
  • 24. Hunt EA, Vera K, Diener-West M, Haggerty JA, Nelson KL, Shaffner DH, et al. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. Resuscitation. 2009;80(7):819-25.
  • 25. Hunt EA, Duval-Arnould JM, Nelson-McMillan KL, Bradshaw JH, Diener-West M, Perretta JS, et al. Pediatric resident resuscitation skills improve after “Rapid Cycle Deliberate Practice” training. Resuscitation. 2014;85(7):945-951.
  • 26. Su E, Schmidt T, Mann N, Zechnich A. A randomized controlled trial to assess decay in acquired knowledge among paramedics completing a pediatric resuscitation course. Acad Emerg Med. 2000;7(7):779-86.
  • 27. Kidd T, Kendall S. Review of effective advanced cardiac life support training using experiential learning. J Clin Nurs. 2007;16(1):58-66.
  • 28. Bellan MC, Araújo IIM, Araújo S. Capacitação teórica do enfermeiro para o atendimento da parada cardiorrespiratória. Revista Brasileira de Enfermagem. 2010;63:1019-27.
  • 29. Miotto HC, Camargos FRdS, Ribeiro CV, Goulart EM, Moreira MdCV. Efeito na Ressuscitação Cardiopulmonar utilizando treinamento teórico versus treinamento teórico-prático. Arquivos Brasileiros de Cardiologia. 2010;95:328-31.
  • 30. Jensen ML, Lippert F, Hesselfeldt R, Rasmussen MB, Mogensen SS, Jensen MK, et al. The significance of clinical experience on learning outcome from resuscitation training—A randomised controlled study. Resuscitation. 2009;80(2):238- 43.
  • 31. Lo BM, Devine AS, Evans DP, Byars DV, Lamm OY, Lee RJ, et al. Comparison of traditional versus high-fidelity simulation in the retention of ACLS knowledge. Resuscitation. 2011;82(11):1440-3.
  • 32. Perkins GD, Kimani PK, Bullock I, Clutton-Brock T, Davies RP, Gale M, et al. Improving the Efficiency of Advanced Life Support TrainingA Randomized, Controlled Trial. Annals of Internal Medicine. 2012;157(1):19-28.
  • 33. Secher N, Mikkelsen M, Adelborg K, Mikkelsen R, Grove E, Rubak J, et al. Direct mail improves knowledge of basic life support guidelines in general practice: a randomised study. Scand J Trauma Resusc Emerg Med. 2012;20(1):1-6.
  • 34. Abad E, Abrisqueta J, Cano J, Cinesi C, Fernández-Villacañas MA, García F, et al. Programa regional de formación sanitaria en RCP. Programa Perséfone. Conserjería de sanidad y política social de la Región de Murcia. [Acceso 6 julio 2014]. Disponible en: http://www.murciasalud.es/recursos/ficheros/269104- folleto_persefone_def.pdf.
La source de données: Dialnet