Abstract

BackgroundImmediate start of basic cardiopulmonary resuscitation (CPR) and early defibrillation have been highlighted as crucial for survival from cardiac arrest, but despite new knowledge, new technology and massive personnel training the survival rates from in-hospital cardiac arrest are still low. National guidelines recommend regular intervals of CPR training to make all hospital personnel able to perform basic CPR till advanced care is available. This study investigates CPR training, resuscitation experience and self-confidence in skills among hospital personnel outside critical care areas.MethodsA cross-sectional study was performed at three Norwegian hospitals. Data on CPR training and CPR use were collected by self-reports from 361 hospital personnel.ResultsA total of 89% reported training in CPR, but only 11% had updated their skills in accordance with the time interval recommended by national guidelines. Real resuscitation experience was reported by one third of the respondents. Both training intervals and use of skills in resuscitation situations differed among the professions. Self-reported confidence decreased only after more than two years since last CPR training.ConclusionThere is a gap between recommendations and reality in CPR training among hospital personnel working outside critical care areas.

Highlights

  • Immediate start of basic cardiopulmonary resuscitation (CPR) and early defibrillation have been highlighted as crucial for survival from cardiac arrest, but despite new knowledge, new technology and massive personnel training the survival rates from in-hospital cardiac arrest are still low

  • There is a gap between recommendations and reality in CPR training among hospital personnel working outside critical care areas

  • The aim of this study is to assess how much CPR training hospital personnel working outside critical care areas have, what they have experienced from real resuscitation situations and their self-confidence in CPR skills

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Summary

Introduction

Immediate start of basic cardiopulmonary resuscitation (CPR) and early defibrillation have been highlighted as crucial for survival from cardiac arrest, but despite new knowledge, new technology and massive personnel training the survival rates from in-hospital cardiac arrest are still low. National guidelines recommend regular intervals of CPR training to make all hospital personnel able to perform basic CPR till advanced care is available. This study investigates CPR training, resuscitation experience and self-confidence in skills among hospital personnel outside critical care areas. Since 2003 the Norwegian national guidelines have recommended regular CPR training minimum every sixth month and CPR update courses once a year. The aim of this study is to assess how much CPR training hospital personnel working outside critical care areas have, what they have experienced from real resuscitation situations and their self-confidence in CPR skills

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