Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below. PICOT Statement Revise the PICOT statement you wrote in the Topic 1 assignment. The final PICOT statement

The nursing practice problem of interest in focus is hands only CPR. It will be the focus of research in this case.

P – Adults

I – Hands only CPR

C – Hands plus breathing CPR

O – Mortality prevention

T – 5 minutes

Research Question:

In adults, how much more effective is the hands only type of CPR compared to the hands plus breathing type of CPR at mortality prevention, within the 5 minutes given for ensuring the survival of the adult?

List of the articles

Sayre, M. R., Berg, R. A., Cave, D. M., Page, R. L., Potts, J., & White, R. D. (2008). Hands-only (compression-only) cardiopulmonary resuscitation: a call to action for bystander response to adults who experience out-of-hospital sudden cardiac arrest: a science advisory for the public from the American Heart Association Emergency Cardiovascular Care Committee. Circulation , 117(16), 2162-2167. Retrieved from: http://circ.ahajournals.org/content/117/16/2162.short

This article outlines the importance of bystanders taking charge of a situation in which a victim is in a situation where they need CPR conducted on them to improve their survival rate following their sudden collapse. The bystanders are encouraged to activate the Emergency Medical Services (EMS) system and be in a position to provide chest compressions of high quality. This follows the recommendation by the American Heart Association Emergency Cardiovascular Care (ECC) Committee. This article is for the sake of clarifying the as well as amending the Guidelines for CPR with focus on the bystanders who may witness a sudden cardiac arrest.

Hazinski, M. F., & Field, J. M. (2010). 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care science. Circulation, 122(Suppl), S639-S946. Retrieved from: http://circ.ahajournals.org/content/122/18_suppl_3/S685.short

The focus of this article is the Basic Life Support (BLS) especially when it comes to cardiac arrest cases. The fundamental aspects of basic life support have been discussed in detail in this article. The guidelines with regard to BLS have been given great attention based on the 2010 laid out guidelines. Focus on this note is on the healthcare providers as well as the lay rescuers. Sudden Cardiac Arrest is considered to be the leading cause of death in the United States .

Rea, T. D., Fahrenbruch, C., Culley, L., Donohoe, R. T., Hambly, C., Innes, J., ... & Eisenberg, M. S. (2010). CPR with chest compression alone or with rescue breathing. New England Journal of Medicine, 363(5), 423-433. Retrieved from: http://www.nejm.org/doi/full/10.1056/NEJMoa0908993

This article focuses on the having bystanders provide services in terms of chest compression alone in improving the survival rate of the victims who experience sudden cardiac arrest. It is easier to have bystanders conduct the chest compression-only CPR compared to having them receive instructions on how to conduct chest compressions plus rescue breathing which might rescue the chances of survival for the victim. Randomized trials were conducted by bystanders following given instructions on how to conduct CPR .

Lerner, E. B., Rea, T. D., Bobrow, B. J., Acker, J. E., Berg, R. A., Brooks, S. C., ... & Nadkarni, V. M. (2012). Emergency medical service dispatch cardiopulmonary resuscitation prearrival instructions to improve survival from out-of-hospital cardiac arrest: a scientific statement from the American Heart Association. Circulation, 125(4), 648-655. Retrieved from: http://circ.ahajournals.org/content/125/4/648.short

Sudden cardiac arrest is a leading cause of death following the collapse of the cardiovascular system. To help increase the survival chances of the victims, there are rescuer actions required to make this possible. The Chain of Survival link ought to be strengthened so that the survival rates are increased which then means that the chain has link interdependence. This is where bystanders come in.

Hallstrom, A., Cobb, L., Johnson, E., & Copass, M. (2000). Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation. New England Journal of Medicine, 342(21), 1546-1553. Retrieved from: http://www.nejm.org/doi/full/10.1056/NEJM200005253422101

The Seattle area has seen the citizens undergo training on CPR to help improve survival rates of those that end up suffering from sudden cardiac arrests. However, those who end up being bystanders in such scenarios do not perform CPR on the victims thus lowering the survival rates. Following conducted experiments, chest compression CPR and chest compression plus mouth to mouth ventilation CPR have both been found to be successful. This article details the comparison between these two following a conducted experiment. A central dispatching EMS system was considered in this case at the fire department.

Cabrini, L., Biondi-Zoccai, G., Landoni, G., Greco, M., Vinciguerra, F., Greco, T., ... & Zangrillo, A. (2010). Bystander-initiated chest compression-only CPR is better than standard CPR in out-of-hospital cardiac arrest. HSR proceedings in intensive care & cardiovascular anesthesia, 2(4), 279. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3484593/

Cardiac arrests that occur out of the hospital have been proven to have a lower survival rate compared to hospital discharge. Survival rates have been compared in this article between chest compression-only CPR and standard CPR with ventilation. Meta-analysis and a systematic review have been considered in these trials. The focus is on the non-traumatic cardiac arre st.

Hello

You presented good efforts overall on your Module 1 assignment! You selected a good topic; and did a good job developing your PICOT question. It also would have been helpful to include a description and supporting research as you presented the developed PICOT question. You also presented good efforts selecting articles to help in your proposed research; it would have been helpful to include specific copies of research article abstracts (qualitative and quantitative). Please see my additional bubble comments noted throughout the paper above for feedback.

Also, continue to review APA 6th edition guidelines to assist in your formatting. Please see above for feedback. You are doing a good job overall! I hope the corrections will be of help to you for next writing assignment. Once again, nice efforts! - Cherryl Llanos MSN, RN

�It would have been helpful to include a complete description of the problem per guidelines.

Please remember to review the assignment guidelines and rubric to make certain all points are included.

�Good job formulating your PICO question!

Good topic selection for your capstone project!

�� PAGE \# "'Page: '#'�'" �Page: 3��APA is quite specific about the formatting of the Reference. You are presenting great efforts. Remember to review your settings.

The format for each entry depends on the source (book, interview, etc.).

Please visit the Student Success Writing Center:

or you can visit the OWL site also listed as additional resource through GCU

For more help click here: �HYPERLINK "http://owl.english.purdue.edu/owl/resource/560/05/"��http://owl.english.purdue.edu/owl/resource/560/05/�

�Please review the assignment guidelines as abstracts of specific research article abstracts were required. (Qualitative and quantitative)

Please remember to review the assignment guidelines and rubric to make certain all points are included.

�Please review the assignment guidelines as abstracts of specific research article abstracts were required. Great efforts noted.

�Good article note here; however the specific copy of the article abstract is required.

� HYPERLINK "http://www.nejm.org/doi/full/10.1056/NEJMoa0908993" �http://www.nejm.org/doi/full/10.1056/NEJMoa0908993�

�Overall, good efforts selecting your articles for the article search!