Developing a peer review system. One HMO's experience.
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Biomedical subjects
Publications and source records attributed to A L Komelasky.
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The use of structured home nursing visits was evaluated for its effect upon parental anxiety and retention of cardiopulmonary resuscitation (CPR) knowledge in the family of the apnea-monitored infant. A two-group design was used, with treatment families receiving three visits by the researcher during the 6 weeks postdischarge. Anxiety levels and CPR knowledge of parents were measured at the discharge teaching sessions and again 6 weeks later in both groups. The difference between test scores was evaluated to assess for a treatment effect. Despite no statistically significant difference in anxiety or knowledge over time, the treatment families did show a greater decrease in anxiety scores and maintained or improved their CPR scores. Maternal scores tended to be higher than paternal scores for both variables. There was also some evidence of enhanced parental adaptation to the monitor and to the parental role in the treatment group.
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PURPOSE: To evaluate the effect of two forms of reinforcement upon the retention of CPR psychomotor skills in parents of high-risk infants. METHOD: A pretest/posttest, 3-group design was done with a sample of 69 parent volunteers. Reinforcement with hands on practice was given to one group; a second group had reinforcement by observing a videotape, and the third group had no reinforcement strategy. CPR skills were measured by a checklist. FINDINGS: Paired t-test showed significant differences in pretest and posttest scores for all three groups. Several CPR skills were missed on the final test more frequently than others. One-way ANOVA also showed a significant difference when comparing the control group with the hands-on reinforcement group. CONCLUSIONS: Reinforcement of CPR skills should be an ongoing process. The groups who had reinforcement with hands-on practice retained the most skills.