High-quality cardiopulmonary resuscitation (CPR) can increase survival from a cardiac event and better quality of life post event (Whitcomb & Schmied-Blackman, 2007). This can be made possible not only by an experienced team, but also by more frequent training and refreshers for health care providers (Hamilton, 2005). Rural and remote nurses may experience skill decay due to low-volume CPR use and location barriers that contribute to infrequent CPR recertification; two conditions that lead to low-quality CPR (Hamilton, 2005). Not available in Canada, online CPR training in the United States is accepted as a way to provide current, timely, and accessible recertification for health care professionals (ProCPR©, 2009). To assess the effectiveness of online CPR training in meeting Canadian rural and remote nurses' recertification needs, I used both pre- and post-training intervention constructs. A total of 32 nurses self-reported their competency prior to and following an online CPR recertification training course. I obtained data to answer five research questions regarding current CPR practices, barriers to recertification, the extent that the online CPR course affected nurses' competencies, nurses' satisfaction with online CPR training, and the potential cost versus benefit for employers. On average, participants used CPR once in the last year. Within the total group, 14 of the nurses (43.8%) had an expired CPR certificate that had been outdated, on average, for over 17 months. Nurses both with expired CPR certification (56.2%) and with current CPR certification (56.2%) improved significantly from pre-training scores (M = 19.25, SD = 6.201) to post-training scores (M = 22.88, SD = 5.369) with p < 0.001; t (31) = -4.048. Cohen's d was .63. Nurses with expired CPR certification experienced a greater increase in competency post-training than nurses did with current CPR certification, confirming the implications of skill decay and lapses in training. Despite hesitation at refreshing a decidedly tactile skill online, the study participants voiced overwhelming satisfaction with the quality and impact on competency that they obtained through the online format. This study concludes with statistical, practical, clinical, and potentially substantial, economic significance for the implementation of online CPR recertification and online training in Canada.
|Advisor:||Gordon, Sue M.|
|Commitee:||Edwards, Jennifer L., Gatin, Glen, Mahon, Lee, Perry, Beth|
|School:||Fielding Graduate University|
|Department:||The School of Educational Leadership and Change|
|School Location:||United States -- California|
|Source:||DAI-B 74/08(E), Dissertation Abstracts International|
|Subjects:||Adult education, Multimedia Communications, Nursing|
|Keywords:||CPR recertification training, Canada, Online cpr, Rural and remote nursing, Self-regulatory, Training barriers|
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