Please use this identifier to cite or link to this item: http://hdl.handle.net/10311/1924
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dc.contributor.authorTsima, Billy-
dc.contributor.authorMeaney, Peter A.-
dc.contributor.authorSutton, Robert M.-
dc.contributor.authorSteenhoff, Andrew P.-
dc.contributor.authorShilkofski, Nicole-
dc.contributor.authorBoulet, John R.-
dc.contributor.authorDavis, Amanda-
dc.contributor.authorKestler, Andrew M.-
dc.contributor.authorChurch, Kasey K.-
dc.contributor.authorNiles, Dana E.-
dc.contributor.authorIrving, Sharon Y.-
dc.contributor.authorMazhani, Loeto-
dc.contributor.authorNadkarni, Vinay M.-
dc.date.accessioned2019-05-08T10:20:34Z-
dc.date.available2019-05-08T10:20:34Z-
dc.date.issued2012-12-
dc.identifier.citationTsima, B. et al (2012) Training hospital providers in basic CPR skills in Botswana: acquisition, retention and impact of novel training techniques. Resuscitation, Vol. 83, No. 12, pp. 1484-1490en_US
dc.identifier.issn0300-9572-
dc.identifier.urihttp://hdl.handle.net/10311/1924-
dc.description.abstractObjective—Globally, one third of deaths each year are from cardiovascular diseases, yet no strong evidence supports any specific method of CPR instruction in a resource-limited setting. We hypothesized that both existing and novel CPR training programs significantly impact skills of hospital-based healthcare providers (HCP) in Botswana. Methods—HCP were prospectively randomized to 3 training groups: instructor led, limited instructor with manikin feedback, or self-directed learning. Data was collected prior to training, immediately after and at 3 and 6 months. Excellent CPR was prospectively defined as having at least 4 of 5 characteristics: depth, rate, release, no flow fraction, and no excessive ventilation. GEE was performed to account for within subject correlation. Results—Of 214 HCP trained, 40% resuscitate ≥1/month, 28% had previous formal CPR training, and 65% required additional skills remediation to pass using AHA criteria. Excellent CPR skill acquisition was significant (infant: 32% vs. 71%, p < 0.01; adult 28% vs. 48%, p < 0.01). Infant CPR skill retention was significant at 3 (39% vs. 70%, p < 0.01) and 6 months (38% vs. 67%, p < 0.01), and adult CPR skills were retained to 3 months (34% vs. 51%, p = 0.02). On multivariable analysis, low cognitive score and need for skill remediation, but not instruction method, impacted CPR skill performance. Conclusions—HCP in resource-limited settings resuscitate frequently, with little CPR training. Using existing training, HCP acquire and retain skills, yet often require remediation. Novel techniques with increased student: instructor ratio and feedback manikins were not different compared to traditional instruction.en_US
dc.language.isoenen_US
dc.publisherElsevier, www.elsevier.comen_US
dc.subjectDeveloping countriesen_US
dc.subjectemergency trainingen_US
dc.subjectresuscitation educationen_US
dc.subjectCPRen_US
dc.subjectchest compressionen_US
dc.subjectcompetenceen_US
dc.subjectresource-limited settingen_US
dc.subjectbasic life supporten_US
dc.subjectcardiopulmonary resuscitationen_US
dc.subjectmanikinen_US
dc.titleTraining hospital providers in basic CPR skills in Botswana: acquisition, retention and impact of novel training techniquesen_US
dc.typePublished Articleen_US
dc.linkhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3600577/pdf/nihms-449708.pdfen_US
Appears in Collections:Research articles (School of Medicine)

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