Young adults’ perception of mandatory CPR training in Australian high schools: a qualitative investigation

Tiana Andrews, Luke Price, Brennen Mills, Lisa Holmes

Abstract


Introduction

Bystander cardiopulmonary resuscitation (CPR) can be performed by any member of the public who witnesses a cardiac arrest and has the knowledge, training and skills to perform it. Even though bystander CPR has been shown to greatly improve the victim’s chance of survival, its training and performance rates are alarmingly low.

Methods

One potentially effective intervention to tackle this issue is to implement mandatory CPR training programs in high schools. We undertook in-depth qualitative interviews with 28 recent Australian high school graduates. The interviews were transcribed and then analysed, with participants’ answers used to draw conclusions on the acceptability of mandatory CPR high school training.

Results

Results suggested those that had undertaken basic first aid training in high school would be more open and confident to perform bystander CPR. Among those who had not undertaken training, cost and access were identified as the key barriers. Regardless of whether participants had or had not previously undertaken training, they understood the importance of CPR for the treatment of cardiac arrest victims.

Conclusion

Among our sample, there was overwhelming support for the concept of mandatory CPR training being implemented in high schools. Should such a program be applied, there is the potential for this to have an impact on bystander CPR provision, and hence cardiac arrest survival rates, within the wider Australian community.


Keywords


High school CPR, cardiopulmonary resuscitation; bystander intervention, CPR training uptake; qualitative interviews

Full Text:

PDF

References


Herlitz J, Svensson L, Holmberg S, Ängquist K, Young M. Efficacy of bystander CPR: intervention by lay people and by health care professionals. Resuscitation 2005;66:291–5.

Nagao K, Kikushima K, Sakamoto T, Koseki K. SOS-KANTO Study Group. Cardiopulmonary resuscitation by bystanders with chest compression only (SOS-KANTO): an observational study. Lancet 2007;369:920–6.

Sasson C, Meischke H, Abella B, et al. Increasing cardiopulmonary resuscitation provision in communities with low bystander cardiopulmonary resuscitation rates: a science advisory from the American Heart Association for Healthcare Providers, Policymakers, Public Health Departments, and Community Leaders. Circulation 2013;127:1342–50.

Böttiger B, Van Aken H. Training children in cardiopulmonary resuscitation worldwide. Lancet 2015;385:2353.

Drager K. Improving patient outcomes with compression-only cpr: will bystander CPR rates improve? J Emerg Nurs 2012;38:234–8.

Sorets T, Mateen F. Mandatory CPR training in US high schools. Mayo Clin Proc 2015;90:710–12.

Wang J, Ma L, Lu Y-Q. Strategy analysis of cardiopulmonary resuscitation training in the community. J Thorac Dis 2015;7:E160–5.

Schuffelen P, Sijmons J, Ghossein A, Amin H, Gorgels A. Opinions of secondary school students about obligatory CPR training in school. Resuscitation 2014;85:S10.

Kanstad B, Nilsen S, Fredriksen K. CPR knowledge and attitude to performing bystander CPR among secondary school students in Norway. ibid. 2011;82:1053–9.

Owen W. Interpretive themes in relational communication. Q J Speech 2009;70:274–87.

Barbour RS. Checklists for improving rigour in qualitative research: a case of the tail wagging the dog? BMJ 2001;322:1115–7.

Burnard P. A method of analyzing interview transcripts in qualitative research. Nurse Educ Today 1991;11:461–6.

Berdowski J, Berg R, Tijssena J, Koster R. Global incidences of out-of-hospital cardiac arrest and survival rates: systematic review of 67 prospective studies. Resuscitation 2010;81:1479–87.

Bohn A, Lukas R, Breckwoldt J, Böttiger B, Van Aken H. Kids save lives: why schoolchildren should train in cardiopulmonary resuscitation. Curr Opin Crit Care 2015;21:220–5.

Bray J, Smith K, Case R, Cartledge S, Straney L, Finn J. Public cardiopulmonary resuscitation training rates and awareness of hands-only cardiopulmonary resuscitation: a cross-sectional survey of Victorians. Emerg Med Australas 2017;29:156–64.

Hubble M, Bachman M, Price R, Huie D. Willingness of high school students to perform cardiopulmonary resuscitation and automated external defibrillation. Prehosp Emerg Care 2009;7:219–24.

Hamasu S, Morimoto T, Kuramoto N, et al. Effects of BLS training on factors associated with attitude toward CPR in college students. Resuscitation 2009;80:359–64.

Sedgwick P. The Hawthorne effect. BMJ (Online) 2012;344. Available at: www.bmj.com/content/344/bmj.d8262

Whiting L. Semi-structured interviews: guidance for novice researchers. Nurs Stand 2008;22:35–40.

Glass D, Kelsall H, Slegers S, et al. A telephone survey of factors affecting willingness to participate in health research surveys. BMC Public Health 2015;15:1017

Dunn K, Jordan K, Lacey R, Shapley M, Jinks C. Patterns of consent in epidemiologic research: evidence from 25,000 responders. Am J Epidemiol 2004;159:574–81

Galea S, Tracy M. Participation rates in epidemiologic studies. Ann Epidmiol 2007;17:643–53

Johnson R, McCaul K, Klein WM. Risk involvement and risk perception among adolescents and young adults. J Behav Med 2002;25:67–82.

Australian Bureau of Statistics. (2017). Schools, Australia, 2016. Summary of findings. 4.221.0. Available at: www.abs.gov.au/ausstats/abs@.nsf/mf/4221.0 [Accessed 11 April 2017].


Refbacks

  • There are currently no refbacks.


The Official Journal of Paramedics Australasia © 2018                           ISSN: 2202-7270