Abstract 227: The Effects of Obligatory Training on Attitudes Toward Performing Basic Life Support with Reference to Prior Training Experience
Backgrounds and aim The effects of BLS training on willingness to perform practicable actions in basic life support (BLS) have not been well studied. This study is conducted to determine the effects of an obligatory BLS training on attitude of the participants towards performing basic life support (BLS).
Methods We gave a questionnaire to attendants of the courses for BLS in authorised driving schools. The questionnaire included questions about participants' backgrounds. The questionnaire explored the participant's willingness to perform BLS in four hypothetical scenarios related to early emergency call, CPR on their own initiative, telephone-assisted chest compressions and use of AED, respectively. The questionnaire survey was conducted in the two terms after revision of Japanese guidelines. The questionnaire was given at the beginning in the first term and at the end of course in the second term.
Results (see Table) The BLS training augmented the proportions of willingness to use an AED and to perform favorable actions in all scenarios in all attendants with and without prior training, and the proportion to perform the CPR on their own initiative only in attendants without prior training. However, the training failed to increase the proportion of respondents willing to follow telephone-assisted instruction of chest compressions in all respondents with and without prior training. These observations were confirmed by multiple logistic regression analysis including backgrounds of attendants. Analysis of reasons for unwillingness and the actions that negative respondents answered to take suggested that obligatory training increases the confidence of their skill but augments a fear of misjudgment and reliance on other's judgment.
Conclusions Obligatory BLS trainings and prior training experiences differently affect the attitude towards BLS. The training should be modified for attendants to gain the confidence of judgment in practical situations.
- © 2011 by American Heart Association, Inc.