Communication and protocol compliance and their relation to the quality of cardiopulmonary resuscitation (CPR): a mixed-methods study of simulated telephone-assisted CPR

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Ljungquist, Helena NordLuleå tekniska universitet,Medicinsk vetenskap (author)

Communication and protocol compliance and their relation to the quality of cardiopulmonary resuscitation (CPR) : a mixed-methods study of simulated telephone-assisted CPR

Article/chapterEnglish2015

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Elsevier,2015
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LIBRIS-ID:oai:DiVA.org:umu-107305
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-107305URI
https://doi.org/10.1016/j.ienj.2014.12.001DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-6518URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:131693591URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:for swepub-publicationtype

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Validerad; 2015; Nivå 2; 20141229 (andbra)
Background: In the event of a cardiac arrest, emergency medical dispatchers (EMDs) play a critical role by providing telephone-assisted cardiopulmonary resuscitation (T-CPR) to laypersons. The aim of our investigation was to describe compliance with the T-CPR protocol, the performance of the laypersons in a simulated T-CPR situation, and the communication between laypersons and EMDs during these actions. Methods: We conducted a retrospective observational study by analysing 20 recorded video and audio files. In a simulation, EMDs provided laypersons with instructions following T-CPR protocols. These were then analysed using a mixed method with convergent parallel design. Results: If the EMDs complied with the T-CPR protocol, the laypersons performed the correct procedures in 71% of the actions. The single most challenging instruction of the T-CPR protocol, for both EMDs and laypersons, was airway control. Mean values for compression depth and frequency did not reach established guideline goals for CPR. Conclusion: Proper application of T-CPR protocols by EMDs resulted in better performance by laypersons in CPR. The most problematic task for EMDs as well for laypersons was airway management. The study results did not establish that the quality of communication between EMDs and laypersons performing CPR in a cardiac arrest situation led to statistically different outcomes, as measured by the quality and effectiveness of the CPR delivered.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Annan hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Other Health Sciences hsv//eng
telephone-assisted cardiopulmonary resuscitation (T-CPR)
emergency medical dispatcher (EMD)
laypersons
communication
mixed method
Health Science

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Brännström, MargaretaUmeå universitet,Institutionen för omvårdnad,Strategic Research Program in Health Care Sciences (SFO-V), ‘Bridging Research and Practice for Better Health’, Department of Nursing, Umeå University(Swepub:umu)mabr0002 (author)
Bohm, KatarinaKarolinska Institutet (author)
Luleå tekniska universitetMedicinsk vetenskap (creator_code:org_t)

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In:International Emergency Nursing: Elsevier23:3, s. 254-2591755-599X1878-013X

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Other Health Sci ...

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By the university: Umeå University; Luleå University of Technology; Karolinska Institutet

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