Retention of Cardiopulmonary Resuscitation (CPR) Knowledge among Undergraduate Teacher Student in Malaysian University

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Muhamad Nur Fariduddin Abdul Aziz
Mohd Johar Jaafar

Abstract

Introduction: There is global support for the teaching of cardiopulmonary resuscitation (CPR) in schools, and teachers are expected to play a leading role in a medical emergency. For effective resuscitation, retention of CPR knowledge after training is paramount. This study aimed at assessing the retention of CPR knowledge among student teachers at pre-, post-immediate, 8th-, and 14th-week post-training. Method: A quasi-experimental study using non-probability convenience sampling was conducted to select 41 respondents from the Department of Physical and Health Edu- cation, Faculty of Education (UiTM). A validated American Heart Association's 2015 Basic Life Support (BLS) mul- tiple-choice questions (MCQ) were utilised to measure the retention of knowledge among the participants. Results: This study demonstrated a significant lack of CPR knowledge during pre-test with the mean scores of M=8.02 despite half of the participants had prior knowledge in CPR. Nevertheless, the paired t-test revealed a significant improve- ment in the post-scores following the intervention at M=16.20, t(40) = -18.56, p < 0.001, and d=3.91. The one-way RM-ANOVA results showed a decline in the retention rate at the 8th week (M=13.06; p < 0.001) and an improvement at the 14th weeks (M= 5.74; p < 0.001). Conclusion: The knowledge of CPR among the student teachers following the intervention program was appropriate, but the deterioration of retention suggested that all student teachers should undergo comprehensive routine CPR courses to avoid the immediate loss of CPR knowledge and skills. The governing bodies in Malaysia should implement CPR training as part of the curriculum for teachers.

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Abdul Aziz, M. N. F., & Jaafar, M. J. (2021). Retention of Cardiopulmonary Resuscitation (CPR) Knowledge among Undergraduate Teacher Student in Malaysian University. Malaysian Journal of Medicine and Health Sciences, 17(1), 3–9. Retrieved from http://mjmhsojs.upm.edu.my/index.php/mjmhs/article/view/77
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Original Articles

References

Field, J. M., Hazinski, M. F., Sayre, M. R., Chameides, L., Schexnayder, S. M., Hemphill, R., et al. (2010). Part 1: Executive summary: American Heart Association guidelines for cardiopulmonary resuscitation & emergency cardiovascular care. Circulation, 122(18 Suppl 3), S640–S656. https://doi.org/10.1161/CIRCULATIONAHA.110.970889

Rajeswaran, L., Cox, M., Moeng, S., & Tsima, B. M. (2018). Assessment of nurses' cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana. African Journal of Primary Health Care & Family Medicine, 10(1), a1663. https://doi.org/10.4102/phcfm.v10i1.1663

Dwood, S. B., Al-Mosawi, H. S., Khudhair, A. S., & Al-Mussawi, A. A. (2014). Evaluate of effectiveness of planned teaching program regarding basic life support (BLS) among nursing staff in Basra General Hospital. International Journal of Nursing, 1(2), 155–166.

International Liaison Committee on Resuscitation. (2010). Part 1: Executive summary: International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation, 122(16 Suppl 2), S250–S275. https://doi.org/10.1161/CIRCULATIONAHA.110.971166

European Resuscitation Council. (2010). European Resuscitation Council guidelines for resuscitation 2010: Executive summary. Resuscitation, 81(10), 1219–1276. https://doi.org/10.1016/j.resuscitation.2010.08.021

Plotnikoff, R., & Moore, P. J. (2009). Retention of cardiopulmonary resuscitation knowledge and skills by 11- and 12-year-old children. Medical Journal of Australia, 190(6), 296–302. https://doi.org/10.5694/j.1326-5377.2009.tb02476.x

Cuijpers, P. J. P. M., Boekelman, G., Kicken, W., de Vries, A., & Gorgels, A. P. M. (2016). Medical students and physical education students as CPR instructors: An appropriate solution to the CPR instructor shortage in secondary schools. Netherlands Heart Journal, 24(7–8), 456–461. https://doi.org/10.1007/s12471-016-0854-0

Mathew, S., Salman, P., Khurshid, S., & Luke, A. (2016). Awareness of first aid among undergraduate students in Ajman, UAE. IOSR Journal of Dental and Medical Sciences, 15(6), 30–38.

Bharati, D. R., Nandi, P., Pal, R., Yamuna, T. V., Lokeshmaran, A., & Sarkar, G. (2016). Evaluation of retention of knowledge and skills imparted to third semester MBBS students through basic prehospital care of fracture. Tropical Journal of Medical Research, 19(2), 118–123.

Olympia, R. P., Wan, E., & Avner, J. R. (2005). The preparedness of schools to respond to emergencies in children: A national survey of school nurses. Pediatrics, 116(6), e738–e745. https://doi.org/10.1542/peds.2005-1470

Reder, S., & Quan, L. (2003). Cardiopulmonary resuscitation training in Washington State public high schools. Resuscitation, 56(3), 283–288. https://doi.org/10.1016/S0300-9572(02)00383-6

Ghrayeb, F. A., Amro, N. R. N., Rahseed, O., Yagi, H., Amro, R., & Amro, B. (2017). Knowledge and attitude of basic life support (BLS) among school teachers in Hebron, Palestine. International Journal of Research in Medical Sciences, 5(6), 2477–2482. https://doi.org/10.18203/2320-6012.ijrms20172437

Adedamola, O. O., & Chukwudi, O. O. (2018). Retention of cardiopulmonary resuscitation skills in a group of Nigerian school teachers. American Journal of Medicine and Medical Sciences, 8(6), 112–116. https://doi.org/10.5923/j.ajmms.20180806.03

Jain, M., Sharma, L., & Meena, R. (2016). Cardiopulmonary resuscitation training for medical teachers: Need of the hour. International Journal of Recent Scientific Research, 7(7), 12655–12657.

Zinckernagel, L., Hansen, C. M., Rod, M. H., Folke, F., Torp-Pedersen, C., & Thomsen, T. T. (2017). A qualitative study to identify barriers to deployment and student training in the use of automated external defibrillators in schools. BMC Emergency Medicine, 17(3). https://doi.org/10.1186/s12873-017-0114-9

Tanaka, H., Nakao, A., Mizumoto, H., et al. (2011). CPR education in Japan – Past, present and future. Nippon Rinsho, 69, 658–669.

Plant, N., & Taylor, K. (2013). How best to teach CPR to schoolchildren: A systematic review. Resuscitation, 84(4), 415–421. https://doi.org/10.1016/j.resuscitation.2012.12.008

Mpotos, N., Vekeman, E., Monsieurs, K., Derese, A., & Valcke, M. (2013). Knowledge and willingness to teach cardiopulmonary resuscitation: A survey amongst 4273 teachers. Resuscitation, 84(4), 496–500. https://doi.org/10.1016/j.resuscitation.2012.09.020

Nolan, J. P., Hazinski, M. F., Billi, J. E., Böttiger, B. W., Bossaert, L., de Caen, A. R., et al. (2010). Executive summary: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations Part 1. Resuscitation, 81(1), e1–e25. https://doi.org/10.1016/j.resuscitation.2010.08.009

Fariduddin, M. N., Wee, L. H., Lilia, H., & Mohd Johar, J. (2018). Basic-SiM Train-The-Trainer: A model to prepare aviation educators for simulation-based first aid learning. ASM Science Journal, 11(1), 24–34.

Fariduddin, M. N., Wee, L. H., Lilia, H., & Mohd Johar, J. (2020). Basic-SiM Train-The-Trainer: A resuscitation training module for cabin crew in Malaysia. Songkla Journal of Science & Technology, 42(1), 73–80.

Fariduddin, M. N., Wee, L. H., Lilia, H., & Mohd Johar, J. (2019). Structured debriefing in aviation simulation: A qualitative study on cabin crews' BLS training in Malaysia. Malaysian Journal of Medicine and Health Sciences, 15(3), 37–45.

Onyeaso, A. O. (2016). Retention of cardiopulmonary resuscitation skills in Nigerian secondary school students. Journal of Education and Practice, 17(15), 162–168.

Onyeaso, A. O., & Onyeaso, O. O. (2017). Cardiopulmonary resuscitation skills of some undergraduate human kinetics and health education students in a Nigerian university. Journal of Health Science, 7(4), 84–90.

Bukiran, A., Erdur, B., Ozen, M., & Bozkurt, A. I. (2014). Retention of nurses' knowledge after basic life support and advanced cardiac life support training at immediate, 6-month, and 12-month post-training intervals: A longitudinal study of nurses in Turkey. Journal of Emergency Nursing, 40(2), 146–152. https://doi.org/10.1016/j.jen.2012.07.018

Ouseph, B., Mohidin, S., Tabsh, L., & Al-Hebshi, A. (2015). Nurses' resuscitation performance: Study on the effectiveness of training and support at a teaching hospital in KSA. International Journal of Cardiology and Diseases, 3(4), 21–27.

Monsieurs, K., Vogels, C., Bossaert, L., Meert, P., Manganas, A., & Tsiknakis, M. (2004). Learning effect of a novel interactive basic life support CD: The JUST system. Resuscitation, 62(2), 159–165. https://doi.org/10.1016/j.resuscitation.2004.03.021

Teague, G., & Riley, R. H. (2006). Online resuscitation training: Does it improve high school students' ability to perform cardiopulmonary resuscitation in a simulated environment? Resuscitation, 71(3), 352–357. https://doi.org/10.1016/j.resuscitation.2006.05.001

Riley, R. H., Grauze, A. M., Chinnery, C., Horley, R. A., & Trewhella, N. H. (2003). Three years of CASMS: The world's busiest medical simulation centre. Medical Journal of Australia, 179(1), 11–12. https://doi.org/10.5694/j.1326-5377.2003.tb05431.x

Shahrakivahed, A., Masinaienezhad, N., Shahdadi, H., Arbabisarjou, A., Asadibidmeshki, E., & Heydari, M. (2015). The effect of CPR workshop on the nurses' level of knowledge and skills. International Archives of Medicine, 8, 108.

Davies, N., & Gould, D. (2000). Updating cardiopulmonary resuscitation psychomotor skills: A study to examine the efficacy of self-instruction on nurses' competence. Journal of Clinical Nursing, 9(3), 400–410. https://doi.org/10.1046/j.1365-2702.2000.00391.x

Madden, C. (2006). Undergraduate nursing students' acquisition and retention of CPR knowledge and psychomotor skills. Nurse Education Today, 26(3), 218–227. https://doi.org/10.1016/j.nedt.2005.10.010

Mokhtari, N. J., Saghafinia, M., Kalantar, M. M. H., & Hosseini, S. M. K. (2011). CPR training for nurses: How often is it necessary? Iranian Red Crescent Medical Journal, 14(2), 104–107.

Nik, H. R., Chew, K. S., Tuan, H. K., Abu Yazid, M. N., Shaik Farid, A. W., Ida Zarina, Z., et al. (2013). A multicentre controlled trial on knowledge and attitude about cardiopulmonary resuscitation among secondary school children in Malaysia. International Emergency Medicine, 6, 37. https://doi.org/10.1007/s11739-011-0719-1