Resuscitation Quality Improvement: Improving Clinicians' Performance.

IF 2 Q2 NURSING

AACN Advanced Critical Care Pub Date : 2023-09-15 DOI:10.4037/aacnacc2023833

Sergio Mota

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引用次数: 0

Abstract

Background: Although cardiopulmonary resuscitation (CPR) renewal occurs every 2 years, quality of performed CPR at the study site was below American Heart Association (AHA) standards. Resuscitation Quality Improvement (RQI) is a new AHA program with the premise that practicing CPR more frequently using audiovisual feedback can improve performance.

Objective: To identify whether performance of chest compressions during training reassessments improves with RQI.

Methods: This study used a preintervention-postintervention design. Critical care nurses from 2 intensive care units performed a baseline round of chest compressions. These baseline data reflected CPR performance with traditional training. The next week, participants completed RQI training. Two weeks after RQI training, participants performed chest compressions. Five weeks after RQI training, participants performed a third round of chest compressions. The compressions performed 2 and 5 weeks after RQI used audiovisual feedback.

Results: Thirty nurses participated. Before intervention, the mean (SD) for overall compression compliance was 32.68% (26.96%), depth was 67.76% (30.15%), and rate was 39.95% (27.41%). The first postintervention (RQI plus 2 weeks) mean (SD) increased to 75.33% (33.70%) for overall compression compliance, 97.43% (12.04%) for depth, and 80.89% (29.35%) for rate. The second postintervention (RQI plus 5 weeks) mean (SD) decreased slightly to 73.16% (36.36%) for overall compression compliance, 96.57% (13.04%) for depth, and 78.75% (31.83%) for rate.

Conclusion: Frequent CPR using RQI technology, with its immediate audiovisual feedback, helps maintain skills, which may improve patient outcomes.

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提高复苏质量:提高临床医生的表现。

背景:虽然心肺复苏(CPR)每2年更新一次，但在研究地点进行的CPR质量低于美国心脏协会(AHA)的标准。复苏质量改善(RQI)是一项新的AHA项目，其前提是更频繁地使用视听反馈进行心肺复苏术可以提高心肺复苏术的表现。目的:探讨RQI对训练再评估时胸外按压的改善作用。方法:本研究采用干预前-干预后设计。来自2个重症监护室的重症监护护士进行了一轮基线胸外按压。这些基线数据反映了传统训练下CPR的表现。接下来的一周，参与者完成了RQI培训。RQI训练两周后，参与者进行胸外按压。RQI训练五周后，参与者进行第三轮胸外按压。RQI术后2周和5周采用视听反馈进行压缩。结果:30名护士参与。干预前，总体压迫依从性均值(SD)为32.68%(26.96%)，深度为67.76%(30.15%)，率为39.95%(27.41%)。第一次干预后(RQI + 2周)平均(SD)总体压迫依从性增加到75.33%(33.70%)，深度增加到97.43%(12.04%)，率增加到80.89%(29.35%)。第二次干预后(RQI + 5周)的平均(SD)略有下降，总体压迫依从性为73.16%(36.36%)，深度为96.57%(13.04%)，率为78.75%(31.83%)。结论:频繁使用RQI技术进行心肺复苏术，具有即时的视听反馈，有助于保持技能，可能改善患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AACN Advanced Critical Care NURSING-

CiteScore

2.10

自引率

4.50%

发文量

期刊介绍： AACN Advanced Critical Care is a quarterly, peer-reviewed publication of in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue includes a topic-based symposium, feature articles, and columns of interest to critical care and progressive care clinicians. AACN Advanced Critical Care contains concisely written, practical information for immediate use and future reference. Continuing education units are available for selected articles in each issue. AACN Advanced Critical Care is an official publication of the American Association of Critical-Care Nurses.