Cardiopulmonary Resuscitation (CPR) Dissemination Study Using Nurses and Volunteers
| Status: | Completed |
|---|---|
| Conditions: | Peripheral Vascular Disease, Cardiology, Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 11/3/2018 |
| Start Date: | October 2010 |
| End Date: | October 2012 |
An In-Hospital VSI CPR Dissemination Study Using Nurses and Volunteers
Each year in the United States, 300,000 people suffer from Cardiac Arrest (CA), and of them
there is a 90% mortality rate. Out-of-Hospital arrests in particular have a 1-5% survival to
hospital discharge. High quality CPR is crucial to lowering the mortality rate and increasing
survival, yet only 15-30% of out-of-hospital CA victims receive bystander CPR. Studies have
shown that prompt administration of CPR dramatically improves outcomes. In a recent study
from Switzerland, lay bystander CPR doubled the survival rate at one month. Our study will
look to train family members of at-risk cardiac patients in the skills of CPR through the
American Heart Associations (AHA) CPR Anytime Friends and Family Personal Learning Program
(CPR Anytime) to see if these family members are able to learn and perform quality CPR in the
event that their family member should suffer a cardiac arrest. The unique feature of the CPR
Anytime training is that it is a low-cost, self-learning, video-based program that can be
completed in under 30 minutes, saving the time and expense of traditional CPR training
courses. While initial work has proven that teaching CPR in hospital using the VSI kit is
feasible, little research has been conducted to make the program sustainable.
there is a 90% mortality rate. Out-of-Hospital arrests in particular have a 1-5% survival to
hospital discharge. High quality CPR is crucial to lowering the mortality rate and increasing
survival, yet only 15-30% of out-of-hospital CA victims receive bystander CPR. Studies have
shown that prompt administration of CPR dramatically improves outcomes. In a recent study
from Switzerland, lay bystander CPR doubled the survival rate at one month. Our study will
look to train family members of at-risk cardiac patients in the skills of CPR through the
American Heart Associations (AHA) CPR Anytime Friends and Family Personal Learning Program
(CPR Anytime) to see if these family members are able to learn and perform quality CPR in the
event that their family member should suffer a cardiac arrest. The unique feature of the CPR
Anytime training is that it is a low-cost, self-learning, video-based program that can be
completed in under 30 minutes, saving the time and expense of traditional CPR training
courses. While initial work has proven that teaching CPR in hospital using the VSI kit is
feasible, little research has been conducted to make the program sustainable.
The long term goal of our work is to implement real world CPR training strategies that match
training locales with at-risk populations, maximize resuscitation skill retention, and
promote willingness to act. To accomplish this, we will empower stakeholders at UPHS
hospitals to develop local implementation approaches, using either UPHS volunteers or nursing
staff as VSI proctors. These stakeholders will be studied as a research subset. The VSI
proctors will use the AHAs CPR Anytime kit, and will work with family members of patients at
high risk for a CA to learn lifesaving CPR skills. We will use a modified AHA CPR video using
the new AHA recommendations for bystanders which suggests doing chest compression only CPR.
Using the original AHA video and the modified chest compression only video, we will randomize
family members of patients at high risk for CA to one of these groups. The VSI proctors will
also be blinded to which video these subjects will be watching. We will follow up with the
family members at 1 month, 3 months, 6 months and 12 months to see if they retained their CPR
knowledge and skills and to see if they had been in a situation where their CPR skills were
needed and assess whether they performed their skills or not. We will also measure the number
of people with whom the subjects shared their CPR Anytime kits a quantity known as the
multiplier effect to determine if they had shared the CPR Anytime kit with their family and
friends, thereby increasing the possible number of lay persons trained in CPR and in turn
able to perform bystander CPR if needed. We will also assess the perceptions and attitudes of
the nurses and volunteers regarding this project.
training locales with at-risk populations, maximize resuscitation skill retention, and
promote willingness to act. To accomplish this, we will empower stakeholders at UPHS
hospitals to develop local implementation approaches, using either UPHS volunteers or nursing
staff as VSI proctors. These stakeholders will be studied as a research subset. The VSI
proctors will use the AHAs CPR Anytime kit, and will work with family members of patients at
high risk for a CA to learn lifesaving CPR skills. We will use a modified AHA CPR video using
the new AHA recommendations for bystanders which suggests doing chest compression only CPR.
Using the original AHA video and the modified chest compression only video, we will randomize
family members of patients at high risk for CA to one of these groups. The VSI proctors will
also be blinded to which video these subjects will be watching. We will follow up with the
family members at 1 month, 3 months, 6 months and 12 months to see if they retained their CPR
knowledge and skills and to see if they had been in a situation where their CPR skills were
needed and assess whether they performed their skills or not. We will also measure the number
of people with whom the subjects shared their CPR Anytime kits a quantity known as the
multiplier effect to determine if they had shared the CPR Anytime kit with their family and
friends, thereby increasing the possible number of lay persons trained in CPR and in turn
able to perform bystander CPR if needed. We will also assess the perceptions and attitudes of
the nurses and volunteers regarding this project.
Inclusion Criteria:
- Family Member's of Patients with known coronary disease or cardiovascular risk
factors, such as history of diabetes and hypertension.
Exclusion Criteria:
- If someone is physically unable to undergo CPR Training
- Someone who has received CPR training in the past 2 years
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