Effectiveness of Cardiopulmonary Resuscitation Training for Intensive Care Unit Nurses: A Real-time Assessment Study

Résumé fourni par la source

A BSTRACT Aim: This evaluative study aimed to assess the effectiveness of a comprehensive cardiopulmonary resuscitation (CPR) training program for intensive care unit (ICU) nurses and its impact on real-time CPR performance and patient outcomes. Materials and Methods: In Phase 1, 89 ICU nurses underwent a 2.5-day basic life support and advanced life support training program, and their knowledge and skills were assessed pre- and postintervention using validated tools. Phase 2 involved a 6-month prospective observational study of 33 trained nurses to evaluate real-time CPR performance during 28 cardiac arrest events in the ICU. Results: Significant improvements were observed in the nurses’ knowledge (10.16 ± 0.38 vs. 16.69 ± 0.25, P < 0.001) and practical skills (11.21 ± 10.47 vs. 52.39 ± 5.7, P < 0.001) following the training program. Real-time assessment demonstrated high-quality CPR components, including adequate compression rates (99.48 ± 9.8/min) and minimal delays to CPR initiation (72.68 ± 33.18 s). Despite these improvements, patient outcomes remained poor, with a mortality rate of 78.6% (22/28) despite attempted resuscitation. Only six patients achieved return of spontaneous circulation, with three surviving at 6 h. Conclusion: This study highlights the effectiveness of targeted CPR training in improving nurses’ skills but underscores the ongoing challenges in translating these improvements into better patient outcomes. Continuous quality improvement initiatives and a multifaceted approach to in-hospital cardiac arrest management are necessary to enhance ICU survival rates.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.