Abstract

High-quality education and training are essential for effectively improving the quality of cardiopulmonary resuscitation (CPR); however, the relationship between the acquisition of motor skills and learners’ psychological characteristic has not been investigated fully. Therefore, we investigated the relationship between intrinsic motivation for training, self-efficacy for CPR, and CPR skill acquisition through training. Twenty health sciences undergraduate students participated in a 3-hour basic life support course. Their chest compression skills were assessed before and after the course. The main outcome of this study was the chest compression score, with changes in the score from pretest to posttest regarded as the short-term learning effects from training. The chest compression score was significantly higher after the course (median 53.5%, interquartile range [IQR] 39.8–83.0) than before the course (median 14.0%, IQR 0–43.3, p < 0.001). Furthermore, we found a significant correlation between perceived competence after the training and changes in the chest compression score from pretest to posttest (r = 0.483, p = 0.031), but other psychological indices did not correlate with changes in the chest compression score. A significant correlation was noted between trainees’ perceived competency and the short-term learning effects of CPR training. We suggest instructors focus on psychological components of training, including trainees’ perceived competence.

Highlights

  • We found a significant correlation between perceived competence after the training and changes in the chest compression score from pretest to posttest (r = 0.483, p = 0.031), but other psychological indices did not correlate with changes in the chest compression score

  • The results of the present study showed that cardiopulmonary resuscitation (CPR) training improved the compression score, which is the overall score for chest compressions [15,37]

  • Our study revealed that CPR training improved trainees’ CPR skills, intrinsic motivation, and self-efficacy

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Summary

Introduction

High-quality cardiopulmonary resuscitation (CPR) improves survival rates and patient outcomes following out-of-hospital cardiac arrest (OHCA) [1,2,3,4]. When the optimal compression depth of 50–60 mm is applied, a higher survival rate with an improved neurological outcome is observed [6,7,8]. Complete recoil of the chest wall during CPR generates negative intrathoracic pressure, and improves venous return and cardiac output. If the chest is not allowed to adequately recoil, the intrathoracic pressure tends to increase. This decreases both blood flow to the right side of the heart as well as coronary perfusion pressure, which cumulatively, reduce myocardial blood flow [10]. Idris et al analyzed the relationship between chest compression and survival discharge rates and revealed that the survival discharge rate decreases as the chest compression rate increases beyond the appropriate range [11]

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