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Does real-time objective feedback and competition improve performance and quality in manikin CPR training – a prospective observational study from several European EMS

Overview of attention for article published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, October 2015
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Title
Does real-time objective feedback and competition improve performance and quality in manikin CPR training – a prospective observational study from several European EMS
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, October 2015
DOI 10.1186/s13049-015-0160-9
Pubmed ID
Authors

JR Smart, K. Kranz, F. Carmona, TW Lindner, A. Newton

Abstract

Previous studies have reported that the quality of cardiopulmonary resuscitation (CPR) is important for patient survival. Real time objective feedback during manikin training has been shown to improve CPR performance. Objective measurement could facilitate competition and help motivate participants to improve their CPR performance. The aims of this study were to investigate whether real time objective feedback on manikins helps improve CPR performance and whether competition between separate European Emergency Medical Services (EMS) and between participants at each EMS helps motivation to train. Ten European EMS took part in the study and was carried out in two stages. At Stage 1, each EMS provided 20 pre-hospital professionals. A questionnaire was completed and standardised assessment scenarios were performed for adult and infant out of hospital cardiac arrest (OHCA). CPR performance was objectively measured and recorded but no feedback given. Between Stage 1 and 2, each EMS was given access to manikins for 6 months and instructed on how to use with objective real-time CPR feedback available. Stage 2 was undertaken and was a repeat of Stage 1 with a questionnaire with additional questions relating to usefulness of feedback and the competition nature of the study (using a 10 point Likert score). The EMS that improved the most from Stage 1 to Stage 2 was declared the winner. An independent samples Student t-test was used to analyse the objective CPR metrics with the significance level taken as p < 0.05. Overall mean Improvement of CPR performance from Stage 1 to Stage 2 was significant. The improvement was greater for the infant assessment. The participants thought the real-time feedback very useful (mean score of 8.5) and very easy to use (mean score of 8.2). Competition between EMS organisations recorded a mean score of 5.8 and competition between participants recorded a mean score of 6.0. The results suggest that the use of real time objective feedback can significantly help improve CPR performance. Competition, especially between participants, appeared to encourage staff to practice and this study suggests that competition might have a useful role to help motivate staff to perform CPR training.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 73 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Mexico 1 1%
Unknown 72 99%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 10 14%
Student > Master 9 12%
Researcher 8 11%
Professor > Associate Professor 6 8%
Student > Doctoral Student 6 8%
Other 16 22%
Unknown 18 25%
Readers by discipline Count As %
Medicine and Dentistry 21 29%
Nursing and Health Professions 15 21%
Engineering 5 7%
Agricultural and Biological Sciences 2 3%
Computer Science 2 3%
Other 6 8%
Unknown 22 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 October 2015.
All research outputs
#15,348,897
of 22,830,751 outputs
Outputs from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#1,017
of 1,258 outputs
Outputs of similar age
#163,535
of 279,238 outputs
Outputs of similar age from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#27
of 37 outputs
Altmetric has tracked 22,830,751 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,258 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.2. This one is in the 11th percentile – i.e., 11% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 279,238 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 37 others from the same source and published within six weeks on either side of this one. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.