Improving perception and confidence towards bystander cardiopulmonary resuscitation and public access automated external defibrillator program: how does training program help?

Background In conjunction with an automated external defibrillator (AED) placement program at various locations within a public university in Malaysia, a series of structured training programs were conducted. The objectives of this study is to (1) evaluate the effectiveness of a structured traini...

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Main Authors: Liaw, Siew Yee, Chew, Keng Sheng, Ahmad, Zulkarnain, Wong, Shirly Siew Ling, Nariman Singmamae @ Nariman, Hama Sanamay, Dev Nath, Kaushal, Chan, Hiang Chuan
Format: Article
Language:English
Published: BMC Springer Nature 2020
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Online Access:http://ir.unimas.my/id/eprint/29856/1/Chew%20Keng%20Sheng.pdf
http://ir.unimas.my/id/eprint/29856/
https://intjem.biomedcentral.com/
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spelling my.unimas.ir.298562023-08-02T02:26:11Z http://ir.unimas.my/id/eprint/29856/ Improving perception and confidence towards bystander cardiopulmonary resuscitation and public access automated external defibrillator program: how does training program help? Liaw, Siew Yee Chew, Keng Sheng Ahmad, Zulkarnain Wong, Shirly Siew Ling Nariman Singmamae @ Nariman, Hama Sanamay Dev Nath, Kaushal Chan, Hiang Chuan LC5201 Education extension. Adult education. Continuing education R Medicine (General) Background In conjunction with an automated external defibrillator (AED) placement program at various locations within a public university in Malaysia, a series of structured training programs were conducted. The objectives of this study is to (1) evaluate the effectiveness of a structured training program in improving the perception of the importance of AED and cardiopulmonary resuscitation (CPR), (2) evaluate the confidence of the employees in using an AED and performing bystander CPR, (3) identify the fears and concerns of these employees in using AED and performing CPR, and (4) determine the perception of these employees towards the strategy of the AEDs placed at various locations within the university. Methods In this single-center observational study, a validated questionnaire aimed to assess the university employees’ attitude and confidence in handling AED and performing CPR before (pre-test) and immediately after (post-test) the training program was conducted. Results A total of 184 participants participated in this study. Using the Wilcoxon signed-rank test, the training programs appeared to have improved the perception that “using AED is important for unresponsive victims” (z = 4.32, p < 0.001) and that “AED practice drills should be performed on a regular basis” (z = − 2.41, p = 0.02) as well as increased the confidence to perform CPR (z = − 8.56, p < 0.001), use AED (z = − 8.93, p < 0.001), identify victims with no signs of life (z = − 7.88, p < 0.001), and the willingness to perform CPR and AED without hesitancy (z = − 8.91, p < 0.001). Fears and concerns on performing CPR and using AED also appeared to have been significantly reduced, and the perception on placement strategies of these AEDs was generally positive. Conclusion Using the theory of planned behavior as the explanatory framework, training programs appear to be helpful in improving the perception and the confidence of the participants towards performing CPR and using AED through the promotion of positive attitude, positive societal expectation, and a positive sense of empowerment. But whether this positive effect will translate into actual CPR performance and AED application in a real cardiac arrest is yet to be seen. BMC Springer Nature 2020-03-17 Article PeerReviewed text en http://ir.unimas.my/id/eprint/29856/1/Chew%20Keng%20Sheng.pdf Liaw, Siew Yee and Chew, Keng Sheng and Ahmad, Zulkarnain and Wong, Shirly Siew Ling and Nariman Singmamae @ Nariman, Hama Sanamay and Dev Nath, Kaushal and Chan, Hiang Chuan (2020) Improving perception and confidence towards bystander cardiopulmonary resuscitation and public access automated external defibrillator program: how does training program help? International Journal of Emergency Medicine, 13 (1). pp. 1-7. ISSN 1865-1372 https://intjem.biomedcentral.com/ DOI:org.10.1186/s12245-020-00271-3
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic LC5201 Education extension. Adult education. Continuing education
R Medicine (General)
spellingShingle LC5201 Education extension. Adult education. Continuing education
R Medicine (General)
Liaw, Siew Yee
Chew, Keng Sheng
Ahmad, Zulkarnain
Wong, Shirly Siew Ling
Nariman Singmamae @ Nariman, Hama Sanamay
Dev Nath, Kaushal
Chan, Hiang Chuan
Improving perception and confidence towards bystander cardiopulmonary resuscitation and public access automated external defibrillator program: how does training program help?
description Background In conjunction with an automated external defibrillator (AED) placement program at various locations within a public university in Malaysia, a series of structured training programs were conducted. The objectives of this study is to (1) evaluate the effectiveness of a structured training program in improving the perception of the importance of AED and cardiopulmonary resuscitation (CPR), (2) evaluate the confidence of the employees in using an AED and performing bystander CPR, (3) identify the fears and concerns of these employees in using AED and performing CPR, and (4) determine the perception of these employees towards the strategy of the AEDs placed at various locations within the university. Methods In this single-center observational study, a validated questionnaire aimed to assess the university employees’ attitude and confidence in handling AED and performing CPR before (pre-test) and immediately after (post-test) the training program was conducted. Results A total of 184 participants participated in this study. Using the Wilcoxon signed-rank test, the training programs appeared to have improved the perception that “using AED is important for unresponsive victims” (z = 4.32, p < 0.001) and that “AED practice drills should be performed on a regular basis” (z = − 2.41, p = 0.02) as well as increased the confidence to perform CPR (z = − 8.56, p < 0.001), use AED (z = − 8.93, p < 0.001), identify victims with no signs of life (z = − 7.88, p < 0.001), and the willingness to perform CPR and AED without hesitancy (z = − 8.91, p < 0.001). Fears and concerns on performing CPR and using AED also appeared to have been significantly reduced, and the perception on placement strategies of these AEDs was generally positive. Conclusion Using the theory of planned behavior as the explanatory framework, training programs appear to be helpful in improving the perception and the confidence of the participants towards performing CPR and using AED through the promotion of positive attitude, positive societal expectation, and a positive sense of empowerment. But whether this positive effect will translate into actual CPR performance and AED application in a real cardiac arrest is yet to be seen.
format Article
author Liaw, Siew Yee
Chew, Keng Sheng
Ahmad, Zulkarnain
Wong, Shirly Siew Ling
Nariman Singmamae @ Nariman, Hama Sanamay
Dev Nath, Kaushal
Chan, Hiang Chuan
author_facet Liaw, Siew Yee
Chew, Keng Sheng
Ahmad, Zulkarnain
Wong, Shirly Siew Ling
Nariman Singmamae @ Nariman, Hama Sanamay
Dev Nath, Kaushal
Chan, Hiang Chuan
author_sort Liaw, Siew Yee
title Improving perception and confidence towards bystander cardiopulmonary resuscitation and public access automated external defibrillator program: how does training program help?
title_short Improving perception and confidence towards bystander cardiopulmonary resuscitation and public access automated external defibrillator program: how does training program help?
title_full Improving perception and confidence towards bystander cardiopulmonary resuscitation and public access automated external defibrillator program: how does training program help?
title_fullStr Improving perception and confidence towards bystander cardiopulmonary resuscitation and public access automated external defibrillator program: how does training program help?
title_full_unstemmed Improving perception and confidence towards bystander cardiopulmonary resuscitation and public access automated external defibrillator program: how does training program help?
title_sort improving perception and confidence towards bystander cardiopulmonary resuscitation and public access automated external defibrillator program: how does training program help?
publisher BMC Springer Nature
publishDate 2020
url http://ir.unimas.my/id/eprint/29856/1/Chew%20Keng%20Sheng.pdf
http://ir.unimas.my/id/eprint/29856/
https://intjem.biomedcentral.com/
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