Megan Turnage




Evaluating Barriers to Learning and Performing Cardiopulmonary Resuscitation in a Rural Community with a High Prevalence of Out of Hospital Cardiac Arrests

Primary Investigator: Megan L. Turnage, RN, BSN

Purpose: Identify and reduce barriers to learning and performing bystander cardiopulmonary resuscitation (CPR) in Newberry, Florida to improve bystander CPR initiation and performance and decrease mortality related to out of hospital cardiac arrests (OHCA).  

Methodology: This quality improvement project took place from October 2019 to January 2020. A CPR education course was provided to a convenience sample within Newberry. Three surveys (pre-, immediate post-, and three-months post-education) collected data on participant demographics, perceived barriers to CPR education, bystander CPR initiation, and bystander CPR performance.  

Results: The initial survey revealed the greatest learning barrier of bystander CPR was lack of information, while the greatest bystander CPR performance barrier was lack of confidence. The two post-education survey results indicated the threat of contracting a disease was the greatest concern in performing bystander CPR.  

Conclusion: Results from this intervention support the need for timely and consistent CPR training in remote, rural, areas of the United States. This quality improvement project identified and reduced perceived bystander CPR learning and performing barriers when comparing median scores before, immediately after, and three months after the CPR education intervention.  


Major Professor: Dr. Ying Mai Kung, DNP, MPH, FNP-BC, APRN, AACNFPF, FAAN  



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