Capnography is an essential tool for assessing self-efficacy of chest compression and the return of spontaneous circulation (ROSC) during cardiopulmonary resuscitation (CPR).Capnography was not being used during CPR at the project site despite recommendations and guidelines that supported its use. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the American Heart Association’s (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care would impact nurses’ knowledge of capnography and impact the rate of return of spontaneous circulation (ROSC) among ICU patients experiencing cardiac arrest in a hospital in urban New Jersey over four weeks. Tanner’s model of clinical judgement and Lewin’s change theory were the theoretical underpinnings for this project. Nurses’ knowledge (n = 13) of capnography was measured by the Nurses’ Knowledge of Capnography Test (NKCT). Results of NKCT revealed a statistical and clinically significant improvement from pre (M = 67.4, SD = 5.8) to postimplementation (M = 92.1, SD = 6.2), t(12) = −10.65, p = .000. Data on ROSC were obtained from facility records on 22 patients. A Fisher’s exact test indicated no statistical significance pre (n = 12, 25%) to post-implementation (n = 10, 20%) p = .999. Therefore, NKCT scores improved, but ROSC rate declined suggesting a clinically significant impact of the intervention on knowledge. Recommendations include continuation of the project for a longer period of time with a larger sample size.
|School:||Grand Canyon University|
|Department:||College of Doctoral Studies|
|School Location:||United States -- Arizona|
|Source:||DAI-B 82/8(E), Dissertation Abstracts International|
|Keywords:||AHA Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Cardiac arrest, CPR, Lewin’s change theory, Nurses Knowledge of Capnography Test, ROSC, Tanner’s model of clinical judgment|
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