Student Theses, Dissertations and Capstones

Document Type


Degree Name

Doctor of Nursing Practice (DNP)

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College of Nursing

First Advisor

Kelly Henson-Evertz

Publication Date / Copyright Date



Nova Southeastern University


Background: The majority of cardiac arrests occur outside of the hospital, yet a significant portion of the population are not trained to provide bystander cardiopulmonary resuscitation (BCPR). BCPR initiated during an out-of-hospital cardiac arrest (OHCA) has numerous benefits and increases positive patient outcomes and survival rates. There is currently a lack of structured training programs that focus on increasing BCPR training rates for OHCA, therefore, the number of individuals trained in BCPR remains low within communities despite evidence showing the clear benefits.

Purpose: The purpose of this evidence-based project was threefold: (a) to increase the number of community members within underserved areas in Northeastern Central Florida who are trained in BCPR; (b) to increase self-efficacy levels of community members trained in BCPR to deliver BCPR; (c) to develop and implement a train-the-trainer program for community leaders to maintain increased numbers of BCPR training.

Theoretical Framework: Bandura’s self-efficacy theory.

Methods: This evidence-based project utilized a quantitative, descriptive design. The Basic Resuscitation Skills Self-Efficacy Scale (BRS-SES) Pre and Post-Training Surveys were used to collect data measuring self-efficacy levels before and after community participants were trained in BCPR techniques.

Results: A total of 55 participants completed the BCPR training and Pre and Post-Training surveys over the course of an eight-week time period. All six BRS-SES survey questions showed statistically significant increases from pre to post using both a paired t-test (p < 0.001) and Wilcoxon Signed-Rank test (p < 0.01).

Conclusions: Using a train-the-trainer program with BCPR training targeted to underserved areas, combined with the use of automatic feedback mannequins, is a unique way to increase training rates of BCPR and self-efficacy levels of community members to perform BCPR during an OHCA.




Basic life support, Bystander CPR, Cardiac arrest, Cardiopulmonary resuscitation, Community CPR, Out-of-hospital cardiac arrest



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