RESUMEN
PURPOSE: The literature supports interval simulation training as a means of improving nurses' cardiopulmonary resuscitation (CPR) skills. The aim of this project was to improve the time-to-task skills in single-rescuer basic life support (BLS) in an outpatient surgery center through interval simulation training. DESIGN: Quality Improvement project. METHODS: Twenty-nine nursing staff were included in this pretest/post-test within subjects interventional design quality improvement project. A 2-minute pretest cardiac arrest simulation was performed in the outpatient surgery center where time-to-task and quality of CPR data were collected. The pretest was followed by a lecture and CPR training. Three months later, the simulation was post-tested in an identical scenario with measures of time-to-task and quality of CPR. FINDINGS: The mean times for code bell activation and initiation of CPR decreased significantly following the interval simulation training (P < .05). A clinically significant decrease was seen in the mean time-to-task placement of a backboard on code team arrival. CONCLUSIONS: Interval simulation training is an effective means of maintaining CPR skills in the outpatient surgery center setting.
Asunto(s)
Reanimación Cardiopulmonar , Paro Cardíaco , Personal de Enfermería en Hospital , Humanos , Reanimación Cardiopulmonar/educación , Reanimación Cardiopulmonar/métodos , Paro Cardíaco/terapia , Competencia Clínica , Cognición , Personal de Enfermería en Hospital/educaciónRESUMEN
OBJECTIVES: This study determined whether individuals with mild knee pain due to osteoarthritis (OA) experience hyperalgesia and central sensitivity by comparing them with age-matched and sex-matched control participants and determined whether these levels are associated with pain intensity. This study also determined whether these individuals experience significantly poorer quality of life than age-matched and sex-matched controls and whether pain and function predict quality of life. METHODS: Quantitative sensory tests (QSTs), including punctate pain intensity (PPI), pressure pain threshold (PPT), and heat pain threshold, tolerance, and temporal summation, were measured in 75 individuals with mild knee OA pain and 25 age-matched and sex-matched controls. Pain intensity, walking function, and quality of life were also assessed. RESULTS: Significant differences were found for PPI at all sites, for PPT at the affected knee, and for quality of life. QST measures significantly correlated with pain intensity. Pain, but not function, predicted quality of life. DISCUSSION: Individuals with mild knee pain due to OA experience mechanical (but not thermal) hyperalgesia that relates to pain intensity. They have a reduced quality of life that is predicted by pain intensity. More aggressive pain management for mild knee OA pain is indicated to improve the quality of life for individuals who are not yet candidates for joint replacement.