4.0 Article

Saving a Life After Discharge: CPR Training for Parents of High-Risk Children

Journal

JOURNAL FOR HEALTHCARE QUALITY
Volume 35, Issue 1, Pages 9-17

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1111/j.1945-1474.2012.00221.x

Keywords

cardiopulmonary arrest; cardiopulmonary resuscitation; CPR discharge teaching; pediatric; video-based self-instruction

Funding

  1. Innovation in Patient Care Grant at Lucile Packard Children's Hospital at Stanford

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Pediatric patients with chronic disease are at risk for cardiopulmonary arrest (CPA). Outcomes of CPA are improved if prompt quality cardiopulmonary resuscitation (CPR) is performed. This study examined the efficacy of the CPR Anytime (TM) Kit as a standardized method of CPR discharge training to families of high-risk children. The kit was provided to parents of 117 high-risk pediatric patients prior to hospital discharge. A telephone survey was used at 1, 3, and 6 months to assess retention of CPR knowledge and skills, parental comfort levels with CPR, and kit dissemination to family members. A second survey was used 1 year after implementation of program to assess nursing satisfaction. CPR comfort levels were reported as confident, knowledge and skills were reported as moderate on follow-up telephone surveys. A total of 82% of subjects reviewed the video at least once after discharge, and 79% of subjects shared the kit with at least two other family members or friends. A total of 72 of 74 nurses (97%) surveyed were either satisfied or very satisfied with the program. Provision of the CPR Anytime Kit (TM) to families of high-risk pediatric patients prior to discharge leads to sustained levels of CPR knowledge and confidence.

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