Basic Life Support in 9th Grade: Teaching Methodologies from Students’ View
DOI:
https://doi.org/10.29352/mill0225.36662Keywords:
basic life support; teaching methodologies; basic education; bystanderAbstract
Introduction: Cardiopulmonary resuscitation (CPR) performed by bystanders is more effective than any other therapeutic intervention following an out-of-hospital cardiac arrest. International organizations emphasize the need for high-quality training for bystanders in CPR, promoting confidence and proficiency to act in emergencies. In Portugal, the teaching basic life support (BLS) in the 9th grade within the Natural Sciences subject began in the academic year 2015-2016.
Objective: To acknowledge students’ perceptions about the methodologies used in teaching BLS to 9th-grade students.
Methods: This is a descriptive, cross-sectional, and analytical survey-type study, in which a representative sample of students (n=1215) responded to a questionnaire, between April and June 2020.
Results: BLS was not studied by 10.4% of the respondents. Among those who studied the subject, a modal value of 3-4 hours was dedicated to BLS in the 9th grade. This subject was taught by firefighters, nurses, or other professionals who were no teachers in 26.1% of the cases. Students pointed out the lack of practical simulations and the need to be learn the pediatric BLS protocol, besides with a different approach.
Conclusion: Practical training was perceived by students as a very weak component, and in some cases, it took place without mannequins, videos or qualified teachers. Teaching and learning BLS in Portuguese schools is far from ideal for such an essential subject.
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Aaberg, A., Larsen, C., Rasmussen, B., & Hansen, C. (2014). Basic life support knowledge, self-reported skills and fears in Danish high school students and effect of a single 45-min training session run by junior doctors: A prospective cohort study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 22(24). https://sjtrem.biomedcentral.com/track/pdf/10.1186/1757-7241-22-24
AHA. (2020). Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Part 6: resuscitation education science. CPR and ECC Guidelines. https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/resuscitation-education-science
Alvarez-Cebreiro, N., Abelairas-Gómez, C., García-Crespo, O., Varela-Casal, C., & Rodríguez-Nuñez, A. (2018). Efecto de la formación en soporte vital básico a través de un video difundido en redes sociales. Educación Médica, 21(2), 92-99. https://doi.org/10.1016/j.edumed.2018.05.012
Bohn, A., Van Aken, H. K., Mollhoff, T., Wienzek, H., Kimmeyer, P., Wild, E., Döpker, S., Lucas, R. P., & Weber T. P. (2012). Teaching resuscitation in schools: Annual tuition by trained teachers is effective starting at age 10. A four-year prospective cohort study. Resuscitation, 83(5), 619-625. https://doi.org/10.1016/j.resuscitation.2012.01.020
Boné, M., Loureiro, M. J., & Bonito, J. (2020). Suporte básico de vida nas escolas: o relato da evidência. Holos, 6(36), e8959. https://doi.org/10.15628/holos.2020.8959
Bollig, G., Myklebust, A. G., & Østringen, K. (2011). Effects of first aid training in the kindergarten-a pilot study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 19(13). https://sjtrem.biomedcentral.com/track/pdf/10.1186/1757-7241-19-13.pdf
Böttiger, B. W., & Van Aken, H. (2015). Kids save lives – Training school children in cardiopulmonary resuscitation worldwide is now endorsed by the World Health Organization (WHO). Resuscitation, 94, A5-A7. https://doi.org/10.1016/j.resuscitation.2015.07.005
Böttiger, B. W., Semeraro, F., & Wingen, S. (2017a). Kids save lives: Educating schoolchildren in cardiopulmonary resuscitation is a civic duty that needs support for implementation. Journal of the American Heart Association, 6(3), e005738. https://doi.org/10.1161/JAHA.117.005738
Böttiger, B., Semeraro, F., Altemeyer, K-H., Breckwoldt, J., Kreimeier, U., Rucker, G., Andrés, J., LocKey, A., Lippert, F., Georgiou, M., & Wingen, S. (2017b). Kids save lives. School children education in resuscitation for Europe and the world. European Journal of Anaesthesiology, 34(12), 792-796. https://doi.org/10.1097/eja.0000000000000713
Cuijpers, P. J. P. M., Bookelman, G., Kicken, W., De Vries, W., & Gorgels, A. P. M. (2016). Medical students and physical education students as CPR instructors: An appropriate solution to the CPR - instructor shortage in secondary schools? Netherlands Heart Journal, 24(7-8), 456-461. https://rd.springer.com/article/10.1007%2Fs12471-016-0838-2
DGE (2018a). Aprendizagens essenciais. 9.º ano. 3.º ciclo do ensino básico. Ciências naturais. Direção-Geral da Educação. https://abrir.link/xBtay
DGE (2018b). Aprendizagens essenciais. 10.º ano. Ensino secundário. Educação física. Direção-Geral da Educação. https://abrir.link/xBtay
Gailmard, S. (2014). Statistical modeling and inference for social science. Cambridge University Press. https://doi.org/10.1017/CBO9781139047449
Greif, R., Lockey, A. S., Conaghan, P., Lippert, A., De Vries, W., & Monsieurs, K. G. on behalf of the Education and implementation of resuscitation section Collaborators (2015). European Resuscitation Council guidelines for resuscitation 2015: Section 10. Education and implementation of resuscitation. Resuscitation, 95, 288-301. https://ercguidelines.elsevierresource.com/european-resuscitation-council-guidelines-resuscitation-2015-section-10-education-and-implementation/fulltext
Greif, R., Lockey, A., Breckwoldt, J., Carmona, F., Conaghan, P., Kuzovlev, A., Pflanzi-Knizacek, L., Sari, F., Shammet, S., Scapigliati, A., Turner, N., Yeung, J., & Monsieurs, K. G. (2021). European Resuscitation Council guidelines 2021: Education for resuscitation. Resuscitation, 161, 388-407. https://doi.org/10.1016/j.resuscitation.2021.02.016
Huot, R. (2002). Métodos quantitativos para as ciências humanas. Instituto Piaget.
Isbye, D. L., Rasmussen, L. S., Ringsted, C., & Lippert, F. K. (2007). Disseminating cardiopulmonary resuscitation training by distributing 35,000 personal manikins among schoolchildren. Circulation, 116(12), 1380-1385. https://doi.org/10.1161/CIRCULATIONAHA.107.710616
Lorem, T., Palm, A., & Wik, L. (2008). Impact of a self-instruction CPR kit on 7th graders’ and adults’ skills and CPR performance. Resuscitation, 79(1), 103-108. https://doi.org/10.1016/j.resuscitation.2008.04.030
Lukas, R.-P., Van Aken, H., Mölhoff, T., Weberc, T., Rammert, M., Wild, E., & Bohn, A. (2016). Kids save lives: A six-year longitudinal study of schoolchildren learning cardiopulmonary resuscitation: Who should do the teaching and will the effects last? Resuscitation, 101, 35-40. https://doi.org/10.1016/j.resuscitation.2016.01.028
Martins, M. P. S. (2014). Outcome da paragem cardíaca, intra e extra hospitalar [Master’s thesis, Abel Salazar Institute of Biomedical Sciences of University of Porto]. University of Porto Repository. https://repositorio-aberto.up.pt/bitstream/10216/76589/2/32690.pdf
Ministère de l'Education Nationale et de la Jeunesse (MENJS) (2020). Formation aux premiers secours et gestes qui sauvent. Ministère de l'Education Nationale et de la Jeunesse. https://www.education.gouv.fr/formation-aux-premiers-secours-et-gestes-qui-sauvent-11561
Miró, Ò., Díaz, N., Escalada, X., Pérez, F. J., & Sánchez, M. (2012). Revisión de las iniciativas llevadas a cabo en España para implementar la enseñanza de la reanimación cardiopulmonar básica en las escuelas. Anales del Sistema Sanitario de Navarra, 35(3), 477-486. https://scielo.isciii.es/pdf/asisna/v35n3/revision2.pdf
MIUR, & MS. (2015). Primo soccorso a scuola. Percorso formativo per le studentesse e gli studenti. Ministerio dell’Istruzione dell’Università e della Ricerca e Ministerio della Salute. http://www.salute.gov.it/imgs/C_17_pubblicazioni_2658_allegato.pdf
Monsieurs, K. G., Nolan, J. P., Bossaert, L. L., Greif, R., Maconochie, I. K., Nikolaou, N. I., Perkins, G. D., Soar, J., Truhlár, A., Wyllie, J., & Zideman, D. A. (2015). European resuscitation council guidelines for resuscitation 2015. Resuscitation, 95, 1-80. https://doi.org/10.1016/j.resuscitation.2015.07.038
Moreira, J. M. (2009). Questionários: teoria e prática. Almedina.
Nielsen, A. M., Isbye, D. L., Lippert, F. K., & Rasmussen, L. S. (2013). Can mass education and a television campaign change the attitudes towards cardiopulmonary resuscitation in a rural community? Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 21(39). https://doi.org/10.1186%2F1757-7241-21-39
Nishiyama, C., Iwami, T., Kawamura, T., Ando, M., Yonemoto, N., Hiraide, A., & Nonogi, H. (2008). Effectiveness of simplified chest compression-only CPR training for the general public: A randomized controlled trial. Resuscitation, 79(8), 90–96. https://doi.org/10.1016/j.resuscitation.2008.05.009
Otero-Agra, M., Varela-Casal, C., Castillo-Pereiro, N., Casillas-Cabana, M., Román-Mata, S. S., Barcala-Furelos, R., & Rodríguez-Núnez, A. (2021). ¿Podemos enseñar a «cadena de supervivencia» jugando? Validación de la herramienta «Rescube». Anales de Pediatría, 94(4), 213-222. https://doi.org/10.1016/j.anpedi.2020.07.009
Plant, N., & Taylor, K. (2013). How best to teach CPR to schoolchildren: A systematic review. Resuscitation, 84(4), 415-421. https://doi.org/10.1016/j.resuscitation.2012.12.008
RCUK. (2021). CPR in secondary schools. https://www.resus.org.uk/public-resource/cpr-schools
Saraç, L., & Ok, A. (2010). The effects of different instructional methods on students' acquisition and retention of cardiopulmonary resuscitation skills. Resuscitation, 81(5), 555-561. https://doi.org/10.1016/j.resuscitation.2009.08.030
Schmölzer, G. M., Agarwal, M., Kamlin, C. O. F., & Davis, P. G. (2013). Supraglottic airway devices during neonatal resuscitation: an historical perspective, systematic review and meta-analysis of available clinical trials. Resuscitation, 84(6), 722-730. https://doi.org/10.1016/j.resuscitation.2012.11.002
Toner, P., Connolly, M., Laverty, L., McGrath, P., & McCluskey, D. R. (2007). Teaching basic life support to schoolchildren using medical students and teachers in a 'peer-training' model-results of the 'ABC for life' programme. Resuscitation, 75(1), 169-175. https://doi.org/10.1016/j.resuscitation.2007.03.009
Trevisanuto, D., Cavallin, F., Nguyen, L. N., Nguyen, T. V., Tran, L. D., Tran, C. D., Doglioni, N., Micaglio, M., & Moccia, L. (2015). Supreme laryngeal mask airway versus face mask during neonatal resuscitation: A randomized controlled trial. The Journal of Pediatrics, 167(2), 286-291. https://doi.org/10.1016/j.jpeds.2015.04.051
Van de Voorde, P., Turner, N. M., Djakow, J., de Lukas, N., Martínez-Mejias, A., Biarent, D., Bingham, R., Brissaud, O., Hoffmann, F., Johannesdottir, G. B., Lauritsen, T., & Maconochie, I. (2021). European resuscitation council guidelines 2021: Paediatric life support. Resuscitation, 161, 327-387. https://doi.org/10.1016/j.resuscitation.2021.02.015
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