Healthcare personnel self-assessed competence and knowledge following implementation of a new guideline on maternal resuscitation in Norway. A repeated measure study.
Healthcare personnel self-assessed competence and knowledge following implementation of a new guideline on maternal resuscitation in Norway. A repeated measure study.
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DOI：
10.1002/hsr2.1035
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发表时间：
2023-01
影响因子：
2
通讯作者：
Leonardsen, Ann-Chatrin L
中科院分区：
文献类型：
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作者：
Hardeland, Camilla;Svendsen, Edel J;Heitmann, Grethe B;Leonardsen, Ann-Chatrin L
妊娠期心脏骤停是一种罕见的，但对所有相关医护人员来说都极具挑战性的情况。知识缺陷和较差的复苏技能会影响妊娠期心脏骤停的结果，但有关医护人员能力和产妇复苏知识的研究有限。本研究旨在探讨(1)实施新指南前后医护人员对妊娠期心肺复苏（CPR）及剖宫产术的自我评估能力和知识，(2)母婴复苏知识是否存在专业间差异，以及(3)不同实施策略之间的潜在差异。该研究采用前瞻性重复测量实施设计，在实施心脏骤停后产妇复苏新指南前后采用问卷调查。6个医院病房中所有可能参与心肺复苏术的医护人员被邀请参与（n = 527）。该指南通过模拟、桌面讨论和/或电子学习课程来实施。总共有251名（48%）参与者回答了问卷前的问题，182名（35%）参与者回答了问卷后的问题。指南实施后，孕产妇复苏教育培训/模拟的需求显著降低，但大多数受访者仍报告教育培训/模拟的高至中等需求。实施后，参与者自我评估的产妇复苏总体能力显著提高。无论专业背景如何，实施后问卷中大部分项目对心肺复苏术和剖宫产术的了解程度均显著增加。确定了基于执行战略的知识水平的差异，但各项目之间存在差异，因此尚无定论。本研究增加了医护人员自我评估能力的知识，以及孕产妇复苏和妊娠剖宫产术的知识。我们的研究结果表明，在这一罕见事件中，仍需要更多的教育和培训。
Cardiac arrest in pregnancy is a rare, yet extremely challenging condition to manage for all healthcare personnel involved. Knowledge deficits and poor resuscitation skills can affect outcomes in cardiac arrest in pregnancy, but research exploring healthcare personnel competence and knowledge about maternal resuscitation is limited. The aim of this study was to explore (1) healthcare personnel self‐assessed competence and knowledge about cardiopulmonary resuscitation (CPR) in pregnancy as well as perimortem caesarean section, before and after implementation of a new guideline, (2) whether there were any interprofessional differences in knowledge about maternal resuscitation, and (3) potential differences between different implementation strategies. The study had a prospective repeated measure implementation design, utilizing a questionnaire before and after implementation of a new guideline on maternal resuscitation after cardiac arrest. All healthcare personnel potentially involved in CPR in six hospital wards, were invited to participate (n = 527). The guideline was implemented through either simulation, table‐top discussions and/or an electronical learning course. In total, 251 (48%) participants responded to the pre‐questionnaire, and 182 (35%) to the postquestionnaire. The need for education and training/simulation concerning maternal resuscitation were significantly lowered after implementation of the guideline, yet still the majority of respondents reported a high to medium need for education and training/simulation. Participants' self‐assessed overall competence in maternal resuscitation increased significantly postimplementation. Regardless of professional background, knowledge about CPR and perimortem caesarean section increased significantly in most items in the questionnaire after implementation. Differences in level of knowledge based on implementation strategy was identified, but varied between items, and was therefore inconclusive. This study adds knowledge about healthcare personnel self‐assessed competence and knowledge about maternal resuscitation and perimortem caesarean section in pregnancy. Our findings indicate that there is still a need for more education and training in this rare incident.