Basic Life Support in 9th Grade: Teaching Methodologies from Students’ View

Authors

  • Maria Boné Polytechnic Institute of Beja, Beja, Portugal https://orcid.org/0000-0002-4549-5313
  • Natália Oliveira Adventist University of São Paulo, São Paulo, Brazil https://orcid.org/0000-0002-0747-9478
  • Jorge Bonito University of Évora, Évora, Portugal | Center for Research in Education and Psychology (CIEP), Évora, Portugal | Research Center on Didactics and Technology in Education of Trainers (CIDTFF), Aveiro, Portugal https://orcid.org/0000-0002-5600-0363

DOI:

https://doi.org/10.29352/mill0225.36662

Keywords:

basic life support; teaching methodologies; basic education; bystander

Abstract

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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References

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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Published

2024-09-16

How to Cite

Boné, M., Oliveira, N., & Bonito, J. (2024). Basic Life Support in 9th Grade: Teaching Methodologies from Students’ View. Millenium - Journal of Education, Technologies, and Health, 2(25), e36662. https://doi.org/10.29352/mill0225.36662

Issue

Section

Life and Healthcare Sciences