CPR Skill Achievement in Police First Responders: A Cross-Sectional Study Using QCPR and Kirkpatrick's Model.

IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Disaster Medicine and Public Health Preparedness Pub Date : 2025-08-06 DOI:10.1017/dmp.2025.10164

Wei-Hsiang Huang

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引用次数: 0

Abstract

Objectives: This study applied the Kirkpatrick Training Evaluation Model to examine how training motivation, skill mastery, and environmental support predict cardiopulmonary resuscitation (CPR) performance among police officers serving as first responders.

Methods: A cross-sectional design was employed, involving 233 participants in a pilot phase and 138 in the main study, all recruited from 3 police precincts in New Taipei City, Taiwan. A structured questionnaire was validated using exploratory and confirmatory factor analyses. CPR performance was assessed using QCPR manikins, capturing compression depth, rate, and recoil. Hierarchical regression analyses identified predictors of CPR skill performance.

Results: Training motivation significantly predicted compression depth (β = 0.62, P < 0.001; R² = 0.188), while real-life resuscitation experience predicted compression rate (β = 0.17, P = 0.039; R² = 0.054). Chest recoil performance was significantly associated with training motivation (β = 0.31, P = 0.007) and the age group 30-39 (β = 0.22, P = 0.028), within a model explaining 11.4% of the variance (R² = 0.114). The 3 training-related constructs demonstrated varied and domain-specific impacts on CPR skills.

Conclusions: Beyond technical instruction, contextual and motivational factors significantly influence CPR performance among police officers. Training programs should incorporate multi-level strategies-including supportive environments and motivational components-to improve readiness and response effectiveness in prehospital emergency care.

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警察急救人员CPR技能成就：基于QCPR和Kirkpatrick模型的横断面研究。

目的：本研究应用Kirkpatrick训练评估模型，探讨训练动机、技能掌握和环境支持对急救警察心肺复苏（CPR）绩效的影响。方法：采用横断面设计，从台湾新北市3个警区招募233名受试者（试验期）和138名受试者（主要研究）。采用探索性和验证性因素分析对结构化问卷进行验证。使用QCPR人体模型评估CPR的性能，捕捉按压深度、速率和后坐力。分层回归分析确定了心肺复苏术技能表现的预测因子。结果：训练动机显著预测压缩深度(β = 0.62, P < 0.001；R2 = 0.188)，而现实复苏经验预测压缩率(β = 0.17, P = 0.039；R2 = 0.054)。胸后坐力表现与训练动机（β = 0.31, P = 0.007）和30-39岁年龄组（β = 0.22, P = 0.028）显著相关，该模型解释了11.4%的方差（R²= 0.114）。这3种训练相关的构念对心肺复苏技能的影响表现出不同的和特定领域的影响。结论：除技术指导外，情境因素和动机因素显著影响警察的心肺复苏表现。培训计划应结合多层次的策略，包括支持性环境和激励成分，以提高院前急救的准备和反应效率。

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

Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

7.40%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.