The development and testing of a training intervention designed to improve the acquisition and retention of CPR knowledge and skills in ambulance paramedics

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dc.contributor.advisorSliwa-Hahnle, Karenen_ZA
dc.contributor.advisorWallis, Leeen_ZA
dc.contributor.authorGovender, Pregalathanen_ZA
dc.date.accessioned2016-07-27T10:14:10Z
dc.date.available2016-07-27T10:14:10Z
dc.date.issued2016en_ZA
dc.description.abstractDespite several therapeutic advances in cardio-pulmonary resuscitation (CPR), there has been little overall improvement in the out-of-hospital, cardiac arrest (OHCA) survival rates. Reports indicate that, although the incidence and outcome of OHCA vary across the globe, the median reported rates of survival at hospital discharge have remained below 10% for the 30 years preceding this study. One of the factors associated with this low survival rate is the deficient quality of the CPR provided during an OHCA by paramedics. Despite revised training standards, structured CPR training programmes and industry-regulated CPR refresher training schedules, paramedic-delivered CPR (pdCPR) during OHCAs is reported to be both inadequate and rarely in line with established resuscitation guidelines. International resuscitation bodies such as the International Liaison Committee on Resuscitation (ILCOR) postulate the need for tailored CPR training interventions in order to improve CPR performance. The aim of this study was to investigate the impact of a tailored pdCPR training intervention on pdCPR performance. The study was conducted in four phases and, using a mixed-method, multiphase design the study developed, implemented and evaluated the impact of a pdCPR training intervention which had been designed and tailored to improve the acquisition and retention of knowledge and skills by ambulance paramedics (AP). The primary outcome measure used in the study was the achievement of a competent rating which reflected the ability of the AP in question to perform high-quality, effective CPR as determined and evaluated by a 26 measure CPR Rapid Evaluation Tool predicated on variables derived from the globally accepted Cardiff list. Each of the 26 measures represented a treatment element within a pdCPR care bundle and which had been shown to contribute to successful resuscitation.en_ZA
dc.identifier.apacitationGovender, P. (2016). <i>The development and testing of a training intervention designed to improve the acquisition and retention of CPR knowledge and skills in ambulance paramedics</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Division of Emergency Medicine. Retrieved from http://hdl.handle.net/11427/20835en_ZA
dc.identifier.chicagocitationGovender, Pregalathan. <i>"The development and testing of a training intervention designed to improve the acquisition and retention of CPR knowledge and skills in ambulance paramedics."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Division of Emergency Medicine, 2016. http://hdl.handle.net/11427/20835en_ZA
dc.identifier.citationGovender, P. 2016. The development and testing of a training intervention designed to improve the acquisition and retention of CPR knowledge and skills in ambulance paramedics. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Govender, Pregalathan AB - Despite several therapeutic advances in cardio-pulmonary resuscitation (CPR), there has been little overall improvement in the out-of-hospital, cardiac arrest (OHCA) survival rates. Reports indicate that, although the incidence and outcome of OHCA vary across the globe, the median reported rates of survival at hospital discharge have remained below 10% for the 30 years preceding this study. One of the factors associated with this low survival rate is the deficient quality of the CPR provided during an OHCA by paramedics. Despite revised training standards, structured CPR training programmes and industry-regulated CPR refresher training schedules, paramedic-delivered CPR (pdCPR) during OHCAs is reported to be both inadequate and rarely in line with established resuscitation guidelines. International resuscitation bodies such as the International Liaison Committee on Resuscitation (ILCOR) postulate the need for tailored CPR training interventions in order to improve CPR performance. The aim of this study was to investigate the impact of a tailored pdCPR training intervention on pdCPR performance. The study was conducted in four phases and, using a mixed-method, multiphase design the study developed, implemented and evaluated the impact of a pdCPR training intervention which had been designed and tailored to improve the acquisition and retention of knowledge and skills by ambulance paramedics (AP). The primary outcome measure used in the study was the achievement of a competent rating which reflected the ability of the AP in question to perform high-quality, effective CPR as determined and evaluated by a 26 measure CPR Rapid Evaluation Tool predicated on variables derived from the globally accepted Cardiff list. Each of the 26 measures represented a treatment element within a pdCPR care bundle and which had been shown to contribute to successful resuscitation. DA - 2016 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - The development and testing of a training intervention designed to improve the acquisition and retention of CPR knowledge and skills in ambulance paramedics TI - The development and testing of a training intervention designed to improve the acquisition and retention of CPR knowledge and skills in ambulance paramedics UR - http://hdl.handle.net/11427/20835 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/20835
dc.identifier.vancouvercitationGovender P. The development and testing of a training intervention designed to improve the acquisition and retention of CPR knowledge and skills in ambulance paramedics. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Division of Emergency Medicine, 2016 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/20835en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDivision of Emergency Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherEmergency Medicineen_ZA
dc.titleThe development and testing of a training intervention designed to improve the acquisition and retention of CPR knowledge and skills in ambulance paramedicsen_ZA
dc.typeDoctoral Thesis
dc.type.qualificationlevelDoctoral
dc.type.qualificationnamePhDen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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