CPR Refresher Role in Retaining Psychomotor Skills

Cardiac Arrest Clinical Trial

— RefCPR  

Official title:

Scheduled CPR Refresher Training Role in Retaining Psychomotor Skills

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03584867
• Other study ID #: SQU-EC/023/18
• Status: Recruiting
• Phase: N/A
• Start date: November 1, 2018
• Est. completion date: August 2020

Study information

• Verified date: July 2019
• Source: Sultan Qaboos University
• Contact: Mahmood ALjufaili, M.D.
• Phone: 97191919
• Email: mahmood.j[@]squ.edu.om
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study aims to measure the effectiveness of refresher training after six months of baseline training on retention of CPR skills. Literature review and guidelines showed that there is significant decay in CPR skills after basic life support certification. This retention might be preserved as short as three months after basic life support certification. Frequent retraining within the standard two years of recertification was recommended. Recommendation did not specify the ideal timing and method for CPR refresher training. In this study, we are looking for a feasible, practical, easily applicable method for health care institute in order to maintain the required CPR skills. This study will be a randomized control trial in which the study group will be tested for their CPR skills at six and twelve months after CPR training before the start of the study and after six months assessment. The control group will be tested after twelve months from the initial training at the start of the research and with no CPR refresher in between. The outcome of the study will assess the effectiveness of a BLS refresher training at six months on retention of quality of CPR skills.

Description:

This is a prospective study that will enrol nurses, doctors and respiratory therapists of the Sultan Taboos university hospital,emergency departments from February 2018 until February 2019. All participants will be verbally consented before enrolment. Participants can withdraw from the study at any stage. All subjects will be assessed initially for their baseline skills of CPR. Assessment will be through measuring the baseline performance of the subjects. This will be two minutes of CPR in which chest compression rate, depth, chest recoil, interruption and ventilation will be assessed. CPR meter device will be used in each CPR assessment throughout the study. After that, all participants will receive CPR training which includes 15minutes standard CPR video followed by five minutes instructor- led teaching in manikins. Individual CPR performance will be assessed for each subject and data will be collected using a standardized data collection sheet. Next, groups will be randomized into two different groups using stratified sampling method to account for the years of experience. Participants will be divided into groups based on experience; 0-5, 5-10, 10-15, 15-20 and more than 20 years. Research randomizer (https://www.randomizer.org) program will be used for this purpose. Then, subjects will be randomized into study(group1) and control(group2) group. Both groups will be called after 6 months. Pre-assessment test will be conducted, which is similar to the baseline assessment test, for both groups using the same standardized data collection sheet. Then, study group will receive refresher training of CPR while the control group will be released with no training. Six months later, both groups will be called and CPR skills will be assessed again.

CPR performance will be monitor and assessed by using Little Anne manikin which has quality CPR (QCPR) monitoring through smart devises. This will provide data for each performer including chest compression rate and depth, chest recoil and adequate ventilation. Data of each subject will be stored in the devise and then will be transferred to software for storage and analysis.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 150
• Est. completion date: August 2020
• Est. primary completion date: July 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• All sultan Taboos university hospital staff in emergency department( nurses, doctors and respiratory therapists) who received basic life support training

• Age more than 18 years old

Exclusion Criteria:

• Medical illnesses that interfere with chest compression (back pain, wrist pain, knee pain)

• Pregnancy

• Providers who are scheduled for refresher training

Related Conditions & MeSH terms

• Cardiac Arrest
• Heart Arrest

Intervention

Other:
• refresher training at six months
a 5 cycles of 30:2 compression to ventilation ratio will be offered to experimental group at six months from BLS certification.

Locations

Country	Name	City	State
Oman	Sultan Qaboos University	Muscat
Oman	Sultan Qaboos university hospital	Muscat

Sponsors (1)

Lead Sponsor	Collaborator
Sultan Qaboos University

Country where clinical trial is conducted

Oman, 

References & Publications (11)

Bhanji F, Donoghue AJ, Wolff MS, Flores GE, Halamek LP, Berman JM, Sinz EH, Cheng A. Part 14: Education: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015 Nov 3;132(18 — View Citation

Jensen ML, Lippert F, Hesselfeldt R, Rasmussen MB, Mogensen SS, Jensen MK, Frost T, Ringsted C. The significance of clinical experience on learning outcome from resuscitation training-a randomised controlled study. Resuscitation. 2009 Feb;80(2):238-43. do — View Citation

Kardong-Edgren SE, Oermann MH, Odom-Maryon T, Ha Y. Comparison of two instructional modalities for nursing student CPR skill acquisition. Resuscitation. 2010 Aug;81(8):1019-24. doi: 10.1016/j.resuscitation.2010.04.022. Epub 2010 Jun 2. — View Citation

Meaney PA, Bobrow BJ, Mancini ME, Christenson J, de Caen AR, Bhanji F, Abella BS, Kleinman ME, Edelson DP, Berg RA, Aufderheide TP, Menon V, Leary M; CPR Quality Summit Investigators, the American Heart Association Emergency Cardiovascular Care Committee, — View Citation

Niles D, Sutton RM, Donoghue A, Kalsi MS, Roberts K, Boyle L, Nishisaki A, Arbogast KB, Helfaer M, Nadkarni V. "Rolling Refreshers": a novel approach to maintain CPR psychomotor skill competence. Resuscitation. 2009 Aug;80(8):909-12. doi: 10.1016/j.resusc — View Citation

Niles DE, Nishisaki A, Sutton RM, Elci OU, Meaney PA, O'Connor KA, Leffelman J, Kramer-Johansen J, Berg RA, Nadkarni V. Improved Retention of Chest Compression Psychomotor Skills With Brief "Rolling Refresher" Training. Simul Healthc. 2017 Aug;12(4):213-2 — View Citation

Nishiyama C, Iwami T, Murakami Y, Kitamura T, Okamoto Y, Marukawa S, Sakamoto T, Kawamura T. Effectiveness of simplified 15-min refresher BLS training program: a randomized controlled trial. Resuscitation. 2015 May;90:56-60. doi: 10.1016/j.resuscitation.2 — View Citation

Oermann MH, Kardong-Edgren SE, Odom-Maryon T. Effects of monthly practice on nursing students' CPR psychomotor skill performance. Resuscitation. 2011 Apr;82(4):447-53. doi: 10.1016/j.resuscitation.2010.11.022. Epub 2011 Jan 11. — View Citation

Soar J, Monsieurs KG, Ballance JH, Barelli A, Biarent D, Greif R, Handley AJ, Lockey AS, Richmond S, Ringsted C, Wyllie JP, Nolan JP, Perkins GD. European Resuscitation Council Guidelines for Resuscitation 2010 Section 9. Principles of education in resusc — View Citation

Sutton RM, Nadkarni V, Abella BS. "Putting it all together" to improve resuscitation quality. Emerg Med Clin North Am. 2012 Feb;30(1):105-22. doi: 10.1016/j.emc.2011.09.001. Epub 2011 Oct 15. Review. — View Citation

Yang CW, Yen ZS, McGowan JE, Chen HC, Chiang WC, Mancini ME, Soar J, Lai MS, Ma MH. A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. Resuscitation. 2012 Sep;83(9):1055-60. doi: 10.1016/j.resusci — View Citation

* Note: There are 11 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Chest compression	Chest compression rate ( number of compression per minute) Descriptive statistics will be presented as a mean ± standard deviation by using student t-test	12 months
Secondary	Ventilation rate	adequate or not adequate	12 months
Secondary	time of interruption	measured in seconds	12 months
Secondary	depth of compression	measured in millimetres	12 months