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Article
Publication date: 24 August 2018

Amy Seymour-Walsh

The purpose of this paper is to describe the development of clinically credible skill practice and assessment guides for intraosseous (IO) needle insertion and laryngeal mask…

Abstract

Purpose

The purpose of this paper is to describe the development of clinically credible skill practice and assessment guides for intraosseous (IO) needle insertion and laryngeal mask airway (LMA) insertion as two essential components of advanced life support (ALS) training.

Design/methodology/approach

A modified Delphi approach was used to determine expert consensus in the application of IO and LMA devices for the pre-hospital and emergency setting. Nine pre-hospital clinical specialists were recruited to participate in this Delphi study to determine consensus of clinical expert practice.

Findings

Two rounds were required to obtain a performance and assessment checklist for each skill. Both lists were then further modified to maximise their useability. However, the development of a “validated” checklist using a pre-determined process such as a Delphi approach is challenged. Rather, the implementation of these tools in a stated context, and analysis of the data they generate, is an essential aspect of validation which the Delphi approach does not address.

Research limitations/implications

Participant feedback regarding the rationale for their scores was limited in this study in order to minimise participant input and maximise completion of all rounds of the study. Further, devices used in the study may no longer be first-line choices with the advent of more modern devices including semi-automatic IO devices and LMAs which do not have inflatable cuffs. The refined checklists are able to be adapted to these newer devices.

Practical implications

Pre-hospital education contexts which may not have access to expert assessors who are skilled in providing global judgements now have access to clinically relevant skill-specific assessment tools for IO and LMA insertion.

Originality/value

Worldwide, ALS accreditation and competence is demanded of countless health professionals, and to date, validated practice and assessment guides specifically developed for the emergency setting for which they are used, are not available in the published literature. This paper proposes to fill that gap, in addition to guiding clinical education researchers in strategies to develop valid assessment tools through rigorous critique.

Details

International Journal of Emergency Services, vol. 8 no. 1
Type: Research Article
ISSN: 2047-0894

Keywords

Article
Publication date: 15 January 2018

Scott J. Allen, Daniel M. Jenkins and Bela Krizanovic

Little has been written about the use of skill sheets in leadership education and this paper demonstrates how they have been implemented in one specific context. Used in a number…

Abstract

Little has been written about the use of skill sheets in leadership education and this paper demonstrates how they have been implemented in one specific context. Used in a number of domains (e.g., karate, cardiopulmonary resuscitation) skill sheets are checklists or rubrics that record skill performance. The use of skill sheets in leadership learning and education is a critical step in our efforts to grow as a discipline. Founded in 2015, the Collegiate Leadership Competition has incorporated the use of skill sheets in skill development, assessment of learning, and curriculum design.

Details

Journal of Leadership Education, vol. 17 no. 1
Type: Research Article
ISSN: 1552-9045

Article
Publication date: 15 November 2022

Ahmed Mohammad Al-smadi, Salam Bani Hani, Abedalmajeed Shajrawi, Ala Ashour, Marwa Halabi, Areej Mousa and Mustafa Mohammad Al Smadi

The purpose of this paper is to assess nurse’s knowledge and practice regarding basic life support (BLS) skills while working with SARS-CoV-2 patients in Jordanian hospitals.

Abstract

Purpose

The purpose of this paper is to assess nurse’s knowledge and practice regarding basic life support (BLS) skills while working with SARS-CoV-2 patients in Jordanian hospitals.

Design/methodology/approach

A cross-sectional survey was conducted among 386 nurses with direct contact with SARS-CoV-2 patients at Jordanian hospitals. A self-administered structured questionnaire was used based on the American Heart Association (AHA) guidelines.

Findings

A total of 386 participants were recruited. The mean years of experience were 7.89 (SD = 5.97). About three quarters of participants revealed they deal with SARS-CoV-2 patients directly (n = 284, 73.6%). The total mean score of nurse’s knowledge was 4.44 (SD = 1.22), while the total mean score of practice was 8.44 (SD = 2.05). Independent t-test was used, which revealed a statistically significant difference between educational level and total score of nurse’s knowledge [t(386) = 0.215 and p = 0.001] and between training to deal with SARS-CoV-2 during BLS and total score of practice [t(386) = 2.66 and p = 0.008]. Pearson correlation discloses a positive correlation between the total score of knowledge and practice (r = 0.343 and p = 0.001).

Research limitations/implications

In general, nurses revealed a moderate level of knowledge and practice of BLS skills. However, assessing nurse’s knowledge and practice during the outbreak of SARS-CoV-2 plays a key role in identifying the gap in nurse’s knowledge and practice, and therefore, it will have an impact on providing high-quality BLS to save infected patients while providing maximum safety according to AHA guidelines.

Originality/value

This study is the first study that examined the level of knowledge and practice of BLS skills during SARS-CoV-2 pandemic in Jordan.

Details

Working with Older People, vol. 27 no. 4
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 1 March 2001

P. Jane Cowan

NHS trusts are required to have a resuscitation policy in place by April of this year. Chief executives were sent guidance in September 2000, to ensure that policy takes account…

Abstract

NHS trusts are required to have a resuscitation policy in place by April of this year. Chief executives were sent guidance in September 2000, to ensure that policy takes account of patients’ rights and that appropriate arrangements are in place to supervise resuscitation decisions, to audit practice and develop staff training. Existing clinical risk management standards assessed by the NHS Litigation Authority also require that staff are competent to perform basic life support whenever called upon to do so, as there is a “public expectation that clinical staff can undertake basic life support”. This article explores some of the current risk management and clinical governance issues in relation to developing and maintaining a robust policy on resuscitation that aims for high standards of practice, alleviates public concern and will be supportable within the Human Rights Act 1998.

Details

British Journal of Clinical Governance, vol. 6 no. 1
Type: Research Article
ISSN: 1466-4100

Keywords

Article
Publication date: 1 April 2006

Jane Cowan and Jonathan Haslam

The purpose of this article is to assess important recent guidelines on resuscitation, published in December 2005.

708

Abstract

Purpose

The purpose of this article is to assess important recent guidelines on resuscitation, published in December 2005.

Design/methodology/approach

The guidelines are put into the context of other attempts to standardise CPR practice. An analysis of recent claims and complaints handled by the Medical Protection Society and problems reported to the National Patient Safety Agency, broadens the discussion.

Findings

A number of issues of concern arose – the competence of health professionals, recognising the deterioration of patients, communication of Do Not Attempt Resuscitation decisions, and equipment failings. Strengthening training, better monitoring and performance management are important in addressing these issues.

Practical implications

Health professionals have a good opportunity to avail themselves of the new CPR guidelines; it is in the public interest to try and achieve these standards.

Originality/value

The paper highlights the continuing risks in providing substandard resuscitation.

Details

Clinical Governance: An International Journal, vol. 11 no. 2
Type: Research Article
ISSN: 1477-7274

Keywords

Article
Publication date: 10 April 2007

Julie Z. Sneath

To illustrate the challenges involved in communicating cardiopulmonary resuscitation (CPR) and defibrillation information and providing lay person training to improve the chance…

348

Abstract

Purpose

To illustrate the challenges involved in communicating cardiopulmonary resuscitation (CPR) and defibrillation information and providing lay person training to improve the chance of survival for persons suffering out‐of‐hospital cardiac arrest.

Design/methodology/approach

A sample of 78 lay persons employed by manufacturing firms in an industrial park were surveyed and asked to identify their attitudes toward and knowledge of lifesaving techniques and willingness to participate in CPR and AED training programs.

Findings

Findings suggest that most employees were interested in learning how to administer CPR and defibrillation. However, few had received training. The data also showed that training and relationship with a victim are determinants of level of comfort and willingness to engage in behaviors that would save a life.

Research limitations/implications

Results are not necessarily representative of all programs or employees in industrial settings. Sample is US based, which may limit its generalizability.

Practical implications

Although few people have been formally trained, awareness levels and willingness to participate in these programs are high. Opportunities for training exist, even though resuscitation programs' communications and training may be falling short of the intended outcomes.

Originality/value

Lay persons' attitudes toward and experience with CPR and defibrillation training programs are examined and implications for training and marketing communications are discussed.

Details

International Journal of Pharmaceutical and Healthcare Marketing, vol. 1 no. 1
Type: Research Article
ISSN: 1750-6123

Keywords

Article
Publication date: 25 November 2022

Man Fung Lo, Wai Chung James Ng, Chi Fai Gary Ng and Mei Lan Peggy Ng

The demand for ambulance services in Hong Kong is increasing and first aid plays an important role in saving lives. The government recognized first aid training courses offered by…

Abstract

Purpose

The demand for ambulance services in Hong Kong is increasing and first aid plays an important role in saving lives. The government recognized first aid training courses offered by four organizations. This study aims to review and discuss the past, present and future of first aid and health training in Hong Kong.

Design/methodology/approach

This study adopted a case study approach to investigate the operations and development of the first aid and health training in one of the largest training providers in Hong Kong. Publicly available secondary data, including annual reports, websites, newspapers and social media, were collected and analysed. Using the thematic analysis procedure, researchers familiarised the data collected, generated initial codes, searched for themes, reviewed themes, defined themes and reported the results.

Findings

Through data analysis, researchers identified six themes which help to address the research questions regarding the types of first aid and health training courses, quality issue, awareness of first aid in the community and the future delivery of first aid training.

Practical implications

This study provided two implications on both micro and macro levels. At the micro level, training providers can enhance training quality by adopting technology. At the macro level, training providers can continue to advocate and facilitate the integration of first aid into the formal education curriculum. The last section addressed the limitations of this study and provided future research directions.

Originality/value

This study provided insights about the development of the first aid and health education and training. Health-care training providers and policymakers could benchmark the findings from this study and develop appropriate measures for promoting health education.

Details

International Journal of Pharmaceutical and Healthcare Marketing, vol. 17 no. 1
Type: Research Article
ISSN: 1750-6123

Keywords

Article
Publication date: 24 September 2020

Anna Abelsson, Jari Appelgren and Christer Axelsson

The purpose was to investigate what effect an intervention of low-dose, high-frequency cardiopulmonary resuscitation (CPR) training with feedback for one month would have on…

Abstract

Purpose

The purpose was to investigate what effect an intervention of low-dose, high-frequency cardiopulmonary resuscitation (CPR) training with feedback for one month would have on professionals' subjective self-assessment skill of CPR.

Design/methodology/approach

This study had a quantitative approach. In total, 38 firefighters performed CPR for two minutes on a Resusci Anne QCPR. They then self-assessed their CPR through four multiple-choice questions regarding compression rate, depth, recoil and ventilation volume. After one month of low-dose, high-frequency training with visual feedback, the firefighters once more performed CPR and self-assessed their CPR.

Findings

With one month of low-dose, high-frequency training with visual feedback, the level of self-assessment was 87% (n = 33) correct self-assessment of compression rate, 95% (n = 36) correct self-assessment of compression depth, 68% (n = 26) correct self-assessment of recoil and 87% (n = 33) correct self-assessment of ventilations volume. The result shows a reduced number of firefighters who overestimate their ability to perform CPR.

Originality/value

With low-dose, high-frequency CPR training with visual feedback for a month, the firefighters develop a good ability to self-assess their CPR to be performed within the guidelines. By improving their ability to self-assess their CPR quality, firefighters can self-regulate their compression and ventilation quality.

Details

International Journal of Emergency Services, vol. 10 no. 1
Type: Research Article
ISSN: 2047-0894

Keywords

Article
Publication date: 1 June 1998

Stefan Timmermans

Debates why and how some practices become universal – taking as a case in point closed‐chest massage (CCCM). Points out that CCCM was recognized in 1960 and its use generated…

Abstract

Debates why and how some practices become universal – taking as a case in point closed‐chest massage (CCCM). Points out that CCCM was recognized in 1960 and its use generated heated debates, which altered the technique and reshuffled existing infrastructures. Claims that debates act as a catalyst for university. Investigates the emergence of CCCM, the debate on the merits (or otherwise) of closed versus open‐chested cardiac massage, and who could use the method of CCCM. Indicates that CCCM only became universally practised when it was incorporated into the infrastructure for dealing with emergency cases, and thus became taken for granted.

Details

International Journal of Sociology and Social Policy, vol. 18 no. 5/6
Type: Research Article
ISSN: 0144-333X

Keywords

Article
Publication date: 6 April 2010

Muhiuddin Haider and Avinandan Mukherjee

Neonatal healthcare is a critical issue in public health management. The purpose of this paper is to analyze neonatal health in South Asia. This paper specifically examines the…

Abstract

Purpose

Neonatal healthcare is a critical issue in public health management. The purpose of this paper is to analyze neonatal health in South Asia. This paper specifically examines the neonatal period of an infant's development, the time from birth to the first 28 days, and the importance of providing each newborn with the necessary vaccines, treatments, and care they may require. In addition to examining neonatal health and those diseases/problems that afflict children without proper care, a closer look will be taken at Southern Asia, where research shows nearly 75 percent of the neonatal deaths that take place in the world, occur.

Design/methodology/approach

An extensive literature review using recently published works, government documents, and organizational reports is employed. The research is based on case studies of six South Asian countries and several international participating agencies and non‐governmental organizations working on the improvement of neonatal health.

Findings

The research shows that the majority of the countries in this region lack the funds necessary to provide aide, health services, and other preventative care to their populations. Without the global attention, intervention, and resources provided by these organizations, any progress made in the area of neonatal health in these regions will continue to be hampered. A social marketing framework designed to address this critical public health challenge is presented.

Originality/value

In the modern world, much advancement has been made in terms of neonatal and maternal health and well‐being. As the years have passed, the world has seen many improvements on clinical procedures, health policies and regulations, the quality of training for doctors, nurses, and related specialists, and the various pieces of medical equipment used throughout those hospitals and clinics located within the developing world. Unfortunately, data provided by various research efforts have shown that neonatal mortality continues to occur at high rates throughout countries in South Asia. Individuals in these countries lack access to health care, health education, and other essential components that influence a mother's ability to produce a healthy child and keep that child safe and illness/issue free throughout this fragile period.

Details

International Journal of Pharmaceutical and Healthcare Marketing, vol. 4 no. 1
Type: Research Article
ISSN: 1750-6123

Keywords

1 – 10 of 329