Performance evaluation in pediatric cardiopulmonary resuscitation after clinical simulation: A quasi-experimental study

Abstract

Introduction

The objective is to evaluate the performance of medical and nursing residents on pediatric cardiopulmonary resuscitation (CPR) after training in simulations.

Methods

Quantitative, quasi-experimental study, with an exploratory, descriptive approach that evaluates educational intervention. 16 groups of 5–7 professionals: Moment 0 (M0), simulation at the beginning; Moment 1 (M1), after M0 debriefing; Moment 2 (M2), approximately 3 months after M0. The research instrument was a pediatric cardiorespiratory arrest checklist.

Results

Invitation to 96 participants, resulting in 85 residents in M0 and M1; 58 residents in M2. In M0, one team got the immediate start of CPR correctly in M1, 50% of the teams got it right, and in M2, 75%. There was a significant difference in M0 and M1. In M0, 68.8% of the classes were icorrect about the compression depth; in M1, 18.8% made mistakes, and in M2, 75%. There was a significant difference in M0 and M1, M1 and M2. In M0, 75% were wrong regarding chest recoil; in M1, 25%, and in M2, still 25%. Statistically, there was a difference. Regarding the 15:2 ratio in compressions and ventilations, 37.5% made mistakes in M0; all scored in M1 (statistically significant difference); and, in M2, 1 group made mistakes. As for compression frequency, in M0 15 did not score, M1 50% errors (significant difference), and 66.7% erros in M2. Alarming data in rhythm check, defibrillation, antiarrhythmic drug, and intravenous access.

Conclusion

Simulations at shorter intervals than the average of 129 days seen in the study are recommended.