May 5 CANPD

1. KNOWLEDGE AND SKILL RETENTION OF CARDIOPULMONARY RESUSITATION IN
OBSTRETRIC NURSES POST SIMULATION INTERVENTION: A RETROSPECTIVE STUDY
Michelle Olech Smith MSN, RN-BC, CHSE; Sara Tidwell, BSN, RNC
Analysis
ConclusionDesign
Significance
Methods
The purpose of this study was to assess
knowledge and skill retention of obstetric
nurses following an educational
simulation experience for
cardiopulmonary resuscitation.
Maternal cardiac arrest is a rare event and
occurs so infrequently that many obstetric
care providers may never encounter the
event in their careers. Challenges exist in
the retention of knowledge and skills
needed to deliver effective and efficient
cardiopulmonary resuscitation (CPR).
Maintaining proficiency in these skills is
needed to ensure maternal and fetal
safety.
Maternal cardiac arrest educational
simulations were conducted by Labor &
Delivery (LD) nurses in a simulation center.
Following the Kirkpatrick levels of learning
evaluation model, at three month, six
month and twelve month intervals,
maternal cardiac arrest in situ simulations
were completed in the department of LD
to evaluate knowledge and skill retention
compared to the baseline simulation.
In an effort to maintain the knowledge and
skills gained with this educational
intervention, the educational simulation
will be repeated annually.
The use of simulation methodology can be
an effective solution for maintaining
obstetric nurses infrequently used CPR
skills.
Findings
Implications
Staff Evaluations
Time to compressions decreased overtime
and was lowest at twelve months. Time
to defibrillation decreased significantly at
three months, however following
assessments increased marginally. The
average rate and depth of compressions
sustained at baseline at six and twelve
months.
Data collection points for interventions
include time to compressions, time to
defibrillation, and rate and depth of
compressions measured by simulator
software. Results were compared to the
American Heart Association CPR
guidelines.
Retrospective study for simulation
program outcomes.
0
20
40
60
80
100
120
140
Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months
BeatsperMinute
Average Rate of Compressions
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months
Minutes
Time to Compressions
1.45
1.5
1.55
1.6
1.65
1.7
1.75
1.8
1.85
1.9
1.95
Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months
Inches
Average Depth of Compressions
0
0.5
1
1.5
2
2.5
3
3.5
Baseline Simulation Post Intervention 3 months Post Intervention 6 months Post Intervention 12 months
Minutes
Time to Defibrillation
“Was excellent learning experience”
“I thought this was very helpful and since we only
have to renew our BLS every 2 years, it is important to
have more "hands on" participation for something we
are not often exposed to. It was very helpful and I
would like to see more of them in the future. Thank
you!!”
“I enjoyed the whole thing, I’m so glad that we have
this kind of simulation to give the quality care with
knowledge and build our confidence to attend to a
code blue situation. Thank you so much.”
“I definitely feel more prepared if there was a real
code blue”
Purpose
Contact Information – Michellle.OlechSmith@Cadencehealth.org ; Sara.Tidwell@CadenceHealth.org