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CC BY 4.0 · Journal of Child Science 2022; 12(01): e119-e124
DOI: 10.1055/s-0042-1757147
Original Article

Basic Life Support Guidance for Caregivers of NICU Graduates: Evaluation of Skill Transfer after Training

Aswathy Benedict
1   Department of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
,
Femitha Pournami 
1   Department of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
,
Ajai Kumar Prithvi
1   Department of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
,
Anand Nandakumar
1   Department of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
,
Jyothi Prabhakar
1   Department of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
,
Naveen Jain
1   Department of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
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Abstract

Background Intensivists indeed discharge neonatal intensive care unit (NICU) graduates after a period of physiological stability. There is, however, a real risk of life-threatening events at home. Survival after such episodes depends on time from arrest to initiation of basic life support (BLS). It is rational to train parents who would be first responders. We sought to measure objectively and prospectively, effect of BLS training on parents of NICU graduates on the psychomotor, cognitive, and affective domains of human learning.

Methods After face-to-face training sessions, proportion of home caregivers who obtained 100% marks on a pretested performance checklist for psychomotor skills of BLS on a mannequin were measured. Two other domains of learning and number of attempts required to obtain desirable results were also analyzed.

Results Median (interquartile range [IQR]) birth weight of the high-risk neonates was 1,050 g (930, 1570) and median gestational age was 29 (IQR 28, 33) weeks. More than 75% of parents had no prior exposure to BLS training. Among 46 trained caregivers, 80.4% achieved the desired score of 5 in the psychomotor performance checklist on the first attempt. A maximum of two attempts was required to reeducate and achieve score of 5 in the remaining caregivers. Forty-two (91.3%) caregivers obtained full marks on cognitive domain test. All caregivers responded positively toward affective domain questionnaire.

Conclusion It is possible to train parents in BLS measures and demonstrate their psychomotor skills on a mannequin effectively. No parents who were approached refused training or indicated anxiety in learning the skills required.

Keywords

basic life support - preterm - out of hospital arrests - domains of learning


Publication History

Received: 27 December 2021

Accepted: 05 July 2022

Article published online:
29 September 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
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  • References

  • 1 Dake R. evaluation of basic life support training and skills in healthcare and nonhealthcare providers. Int J Sci Stud 2020; 8 (01) 67-71
    PubMedGoogle Scholar
  • 2 Eisenberg M, Bergner L, Hallstrom A. Epidemiology of cardiac arrest and resuscitation in children. Ann Emerg Med 1983; 12 (11) 672-674
    CrossrefPubMedGoogle Scholar
  • 3 Pierick TA, Van Waning N, Patel SS, Atkins DL. Self-instructional CPR training for parents of high risk infants. Resuscitation 2012; 83 (09) 1140-1144
    CrossrefPubMedGoogle Scholar
  • 4 Stephens N. Perceptions of parental awareness, knowledge and anxiety levels regarding Infant Cardiopulmonary Resuscitation training amongst parents residing in SouthernTasmania. Accessed July 21, 2022 at: https://researchonline.nd.edu.au/cgi/viewcontent.cgi?article=1260&context=theses
    PubMedGoogle Scholar
  • 5 Gelberg J, Strömsöe A, Hollenberg J. et al. Improving survival and neurologic function for younger age groups after out-of-hospital cardiac arrest in Sweden: a 20-year comparison. Pediatr Crit Care Med 2015; 16 (08) 750-757
    CrossrefPubMedGoogle Scholar
  • 6 Stiffler D, Cullen D, Stephenson E, Luna G, Hartman TD. When baby stops breathing: analysis of mothers' interviews. Clin Nurs Res 2016; 25 (03) 310-324
    CrossrefPubMedGoogle Scholar
  • 7 Ramalingam M. Assessment of learning domains to improve student's learning in higher education. J Young Pharm 2014; 6 (01) 27-33
    CrossrefPubMedGoogle Scholar
  • 8 Pillai A, Pournami F, Prabhakar J, Nair P, Jain N. Effect of early parent participation program on physiological stability in preterm infants: a randomized controlled trial. Am J Perinatol 2021; ••• : Epub ahead of print DOI: 10.1055/s-0041-1726126.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Sujatha R, Jain N. Prediction of neurodevelopmental outcome of preterm babies using risk stratification score. Indian J Pediatr 2016; 83 (07) 640-644
    CrossrefPubMedGoogle Scholar
  • 10 Venkata SKRG, Pournami F, Prabhakar J, Nandakumar A, Jain N. Disability prediction by early Hammersmith neonatal neurological examination: a diagnostic study. J Child Neurol 2020; 35 (11) 731-736
    CrossrefPubMedGoogle Scholar
  • 11 Upadhyay S, Pournami F, Nandakumar A, Prabhakar J, Nair PMC, Jain N. Outcome of very preterm infants with early optimal nutrition strategy: a comparative cohort study. Nutr Clin Pract 2020; 35 (04) 708-714
    CrossrefPubMedGoogle Scholar
  • 12 Jana A, Basu R. Examining the changing health care seeking behavior in the era of health sector reforms in India: evidences from the National Sample Surveys 2004 & 2014. Glob Health Res Policy 2017; 2 (01) 6
    CrossrefPubMedGoogle Scholar
  • 13 Textbook of Neonatal Resuscitation (NRP). 7th Ed | AAP eBooks [Internet]. [cited August 5, 2021]. Accessed July 21, 2022 at: https://ebooks.aappublications.org/content/textbook-of-neonatal-resuscitation-nrp-7th-ed
    PubMedGoogle Scholar
  • 14 Craig-Brangan KJ, Day MP. Update: 2017/2018 AHA BLS, ACLS, and PALS guidelines. Nursing 2019; 49 (02) 46-49
    CrossrefPubMedGoogle Scholar
  • 15 Chia PCY, Lian WB. Parental knowledge, attitudes and perceptions regarding infant basic life support. Singapore Med J 2014; 55 (03) 137-145
    PubMedGoogle Scholar
  • 16 Goto Y, Maeda T, Goto Y. Impact of dispatcher-assisted bystander cardiopulmonary resuscitation on neurological outcomes in children with out-of-hospital cardiac arrests: a prospective, nationwide, population-based cohort study. J Am Heart Assoc 2014; 3 (03) e000499
    CrossrefPubMedGoogle Scholar
  • 17 Barry M. An evaluation of expectant parents knowledge, satisfaction and use of a self-instructional infant CPR kit. Midwifery 2015; 31 (08) 805-810
    CrossrefPubMedGoogle Scholar
  • 18 Dracup K, Moser DK, Doering LV, Guzy PM. Comparison of cardiopulmonary resuscitation training methods for parents of infants at high risk for cardiopulmonary arrest. Ann Emerg Med 1998; 32 (02) 170-177
    CrossrefPubMedGoogle Scholar
  • 19 Cu J, Phan P, O'Leary FM. Knowledge and attitude towards paediatric cardiopulmonary resuscitation among the carers of patients attending the Emergency Department of the Children's Hospital at Westmead. Emerg Med Australas 2009; 21 (05) 401-406
    CrossrefPubMedGoogle Scholar
  • 20 Parsons S, MacKinnon RJ. Teaching parents infant resuscitation. Infant 2009; 5 (03) 77-80
    PubMedGoogle Scholar
  • 21 Rephaeli R, Gafanovich D, Shchors I, Weiser G. Can parental simulation improve neonatal CPR performance? A pilot study. Eur J Pediatr 2021; 180 (10) 3247-3250
    CrossrefPubMedGoogle Scholar
  • 22 Dracup K, Doering LV, Moser DK, Evangelista L. Retention and use of cardiopulmonary resuscitation skills in parents of infants at risk for cardiopulmonary arrest. Pediatr Nurs 1998; 24 (03) 219-225 , quiz 226–227
    PubMedGoogle Scholar