Date

4-17-2024

Department

School of Nursing

Degree

Doctor of Philosophy

Chair

Theresa Pape

Keywords

competency, confidence, resuscitation education, basic life support, cardiopulmonary resuscitation, CPR education method, RQI

Disciplines

Medicine and Health Sciences | Nursing

Abstract

Despite advances in resuscitation science, sudden cardiac arrest remains a leading cause of death in the United States, with substandard intra-hospital survival to discharge rates. High-quality resuscitation skills for nurses are needed, including effective CPR education. This study aimed to close the gap in the understanding of the relationship between competence and confidence after the use of the low-dose, high-frequency educational method using a sample of nurses. The Modified Basic Resuscitation Skills Self-Efficacy Scale was used to measure confidence, and the Resuscitation Quality Improvement program measured competence. The study used a four-independent group, cross-sectional correlational research design with different exposure lengths to the RQI program: baseline/entry, at 3-months, 6-months, and 9-months post implementation of the education using the low-dose, high-frequency educational method. The results came from a sample size of 100 participants, with 25 participants in each group (based on G power analysis). The statistical analysis was completed using descriptive statistics, Pearson’s and Spearman’s correlation, one-way Welch ANOVA, and the Kruskal-Wallis H test. The results of the study revealed a gradual and statistically significant difference in competency and confidence scores present in the exposure groups of the low-dose high-frequency program. Also, a strong, positive correlation between competency and confidence in the CPR skills of nurses within the hospital setting with exposure to the low-dose, high-frequency CPR educational model over time was identified. These findings suggest that the low-dose, high-frequency model of CPR education is an effective method to counter CPR skill decay by fostering competency and confidence in the nursing staff.

Available for download on Thursday, April 17, 2025

Included in

Nursing Commons

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