FEEDBACK DEVICE EFFECTIVENESS IN BASIC LIFE SUPPORT TRAINING
Project no. 30751 · Status: Kapanmış (Yayın bekleniyor) · 2023
Summary
<p><strong>Objevtives:</strong> The aim of this research is to contribute to CPR training, to determine the objective benefit of technology at the fallible points of the classical method, and to contribute new information to the literature. </p><p><strong>Method:</strong> 311 intern physicians studying at Ege University Faculty of Medicine voluntarily participated in our research, which was designed as a prospective experimental study. Our study consists of pre-test, two-stage application without feedback and with feedback, and post-test. Within the scope of the study, practitioners answered the pre-test with their current knowledge level, without receiving theoretical training, and performed the first chest compression application on adult-child-infant models without receiving feedback. They carried out the second application with feedback and were expected to direct their practices in line with the feedback. At each stage, it was evaluated separately by the device and an observer and recorded. After the application, the post-test containing the same questions as the pre-test was answered and the difference in cognitive level was examined with the feedback device. </p><p><strong>Results:</strong> A total of 311 intern physicians, 132 (42.4%) women and 179 (57.6%) men, participated in the study. The average age of the study participants was 23.5 ± 0.8 (22-29). When the effect of real-time feedback on the adult model was compared; Before feedback, observers evaluated 33.7% (n=105) of the participants as sufficient for the total quality of chest compressions, while in the presence of feedback, this rate was found to be 79.4% (n=247) and this difference was found to be statistically significant. (Mc Nemar Test, p<0.0001) When the effect of the feedback device on the child model is compared; Before the feedback, observers evaluated the chest compression quality as adequate in 45.6% (n=142) of the participants, while in the presence of device feedback, this rate was found to be 89% (n=277) and this difference was found to be statistically significant. (Mc Nemar Test, p= <0.0001) When the effect of the feedback device on the baby model is compared; Before the feedback, observers evaluated the chest compression quality as adequate for 33.76% (n= 105), while in the presence of device feedback, this rate was found to be 79.4% (n=247), and this difference was found to be statistically significant. (Mc Nemar, p=<0.0001) The agreement between observer and device evaluation in the absence and presence of feedback in assessing the overall quality of chest compression is poor. Observer evaluation varies depending on experience; as experience decreases, compliance with device evaluation also decreases. A statistically significant increase was detected in the rate of correct answering of the questions in the post-test compared to the pre-test, after the application was carried out without theoretical training, only by receiving feedback. </p><p><strong>Conclusion</strong>: In our study, consistent with the literature, it was determined that the use of a real-time feedback device had a healing effect in CPR practice. Evaluations made by the device rather than the observer provide more accurate and objective results. Factors such as experience, fatigue, and prejudices affect observer evaluation, and these features do not appear in the device evaluation. Comparison of observer evaluation with the device distinguishes our study from the literature. Practicing with feedback improves the level of cognitive knowledge without theoretical training. </p>