An Analysis of the Efficacy of Different Teaching Modalities in Imparting Adult Cardiopulmonary Resuscitation Skills among First-year Medical Students: A Pilot Study

Implementation of Electives in Emergency Medicine for Medical Undergraduates and Evaluation of Its Effectiveness

Aims and background

Competency-based medical education has been widely accepted across the globe and it has been adopted in the undergraduate curriculum in India from 2019. One introduction to this curriculum is the Electives postings. Electives are chosen by the students. The objectives of this project were to document the implementation of electives in emergency medicine for the medical undergraduates and to assess its effectiveness in terms of improving the knowledge and changing in perceptions of students.

Materials and methods

The Analysis, Design, Development, Implementation, and Evaluation (ADDIE) instructional design approach was followed to prepare this electives module. The cross-sectional study was conducted on eight students who chose the emergency medicine elective for two consecutive years. The students were engaged in teaching learning activities and assessments for a duration of 15 days. They completed a pre- and post-course survey forms, pre- and post-tests and were given feedback on daily activities conducted.

Results

All students gave positive response in terms of course conduct, satisfaction, gain in knowledge, and core skills of emergency medicine procedures. There was significant difference in student perception regarding the role of an emergency physician, triaging patients, taking history, examination, and management of life-threatening emergencies following the posting. All students showed noteworthy improvement in post-test scores compared with pre-course test.

Conclusion

A structured 2-week elective posting in emergency medicine has a positive impression on student's perception regarding the specialty and has a remarkable advancement in knowledge and core skills of emergency medicine competencies.

How to cite this article

Sampangiramaiah S, Shettian AD, Bhat NM, Tekkunje NG, Martis M, Shetty K, et al. Implementation of Electives in Emergency Medicine for Medical Undergraduates and Evaluation of Its Effectiveness. Indian J Crit Care Med 2024;28(12):1112-1117.

Knowledge and Skills in Cardiopulmonary Resuscitation and Effect of Simulation Training on it among Healthcare Workers in a Tertiary Care Center in India

Aim and background

High-quality cardiopulmonary resuscitation (CPR) is associated with improved patient outcomes, but healthcare workers (HCWs) may be frequently undertrained. This study aimed to assess baseline knowledge and skills among HCWs about basic and advanced life support and the effect of simulation-based training on it.

Methods

It was a single-center prospective quasi-interventional study among resident doctors and nurses at a Tertiary Center in New Delhi, India. A questionnaire-based assessment was done to assess baseline knowledge. The participants then underwent simulation-based training followed by questionnaire-based knowledge assessment and skill assessment. A repeat questionnaire-based assessment was done 6 months post-training to assess knowledge retention.

Results

A total of 82 HCWs (54 doctors and 28 nurses) were enrolled. The participants scored 22.28 ± 6.06 out of 35 (63.65%) in the pre-training knowledge assessment, with low scores in post-cardiac arrest care, advanced life support, and defibrillation. After the training, there was a significant rise in scores to 28.32 ± 4.08 out of 35 (80.9%) (p < 0.01). The retention of knowledge at 6 months was 68.87% (p < 0.01). The participants scored 92.61 ± 4.75% marks in skill assessment with lower scores in chest compressions and team leadership roles. There was a positive correlation (r = 0.35) between knowledge and skills scores (p < 0.01).

Conclusion

There is a progressive decrease in baseline knowledge of HCWs with the further steps in the adult chain of survival. The simulation training program had a positive impact on the knowledge of HCWs. The training programs should focus on defibrillation, advanced life support, post-cardiac arrest care, and leadership roles.

How to cite this article

Agarwal A, Baitha U, Ranjan P, Swarnkar NK, Singh GP, Baidya DK, et al. Knowledge and Skills in Cardiopulmonary Resuscitation and Effect of Simulation Training on it among Healthcare Workers in a Tertiary Care Center in India. Indian J Crit Care Med 2024;28(4):336-342.

Periop 101: Improving Perioperative Nursing Knowledge and Competence in Labor and Delivery Nurses Through an Evidence-Based Education and Training Program

INTRODUCTION

To reach the highest levels of health care quality, all nurses providing intraoperative care to surgical patients should have a firm grasp of the complex knowledge, skills, and guidelines undergirding the perioperative nursing profession. In military treatment facilities, either perioperative registered nurses or labor and delivery (L&D) nurses provide skilled intraoperative nursing care for cesarean deliveries. However, L&D and perioperative nurses occupy vastly different roles in the continuum of care and may possess widely differing levels of surgical training and experience.

MATERIALS AND METHODS

The purpose of this project was to improve surgical care quality by standardizing and strengthening L&D nurse perioperative training, knowledge, and competence. Our population, intervention, comparative, and outcome question was, "For labor and delivery nurses of a regional military medical center (P), does implementing an evidence-based training program (I), as compared to current institutional nursing practices (C), increase nursing knowledge and perioperative nursing competence (O)?" We implemented Periop 101: A Core Curriculum-Cesarean Section training for 17 L&D nurses, measured knowledge using product-provided testing, and assessed competence using the Perceived Perioperative Competence Scale-Revised.

RESULTS

We found that perioperative nursing knowledge and competence significantly improved and were less varied among the nurses after completing the training program. Nurses demonstrated the greatest knowledge area improvements in scrubbing, gowning, and gloving; wound healing; and sterilization and disinfection, for which median scores improved by more than 100%. Nurses reported significantly greater perceived competence across all six domains of the Perioperative Competence Scale-Revised, with the largest improvements realized in foundational skills and knowledge, leadership, and proficiency.

CONCLUSIONS

We recommend that health care leaders develop policies to standardize perioperative education, training, and utilization for nurses providing intraoperative care to reduce clinician role ambiguity, decrease inefficiencies, and enhance care.

In Response to the Letter to the Editor Submitted Titled "Lack of CPR Knowledge among Young Medical Doctors: A Worldwide Issue"

How to cite this article: Chandran KV, Abraham SV. In Response to the Letter to the Editor Submitted Titled “Lack of CPR Knowledge among Young Medical Doctors: A Worldwide Issue”. Indian J Crit Care Med 2021;25(1):107.

Simulation: Is it the Future of Training in Critical Care Medicine?

How to cite this article: Kulkarni AP. Simulation: Is it the Future of Training in Critical Care Medicine? IJCCM 2019;23(11):495-496.