Date on Paper

7-2025

Document Type

Doctoral Paper

Degree Name

D.N.P.

Department

Nursing

Committee Chair

Shumaker, Shannon

Committee Member

Williams-Coleman, Beverly

Author's Keywords

cardiac arrest; CPR training; AED use; emergency response; self-efficacy; martial arts school

Abstract

Abstract

Background: Sudden cardiac arrest (SCA) is a leading cause of death in the United States with 356,000 out of hospital cases annually. SCA in athletes is a rare but serious event; affecting 15.4% of those engaged in martial arts. Community-based training programs which promote prompt intervention with cardiopulmonary resuscitation (CPR) and Automated External Defibrillation (AED) significantly improve survival outcomes.

Purpose: This project aimed to implement a CPR and AED training program at a local martial arts school to improve the knowledge, self-efficacy, and emergency response capabilities of staff, instructors, and adult learners.

Methods: A Plan Do Study Act (PDSA) framework guided the intervention and included pre- and post-training evaluations using the Modified New General Self-Efficacy Scale (NGSES) to measure self-efficacy. Data were analyzed using the Wilcoxon Signed-Rank Test to assess changes in self-efficacy.

Intervention: Participants completed training using American Heart Association’s (AHA) CPR in Schools program, which included hands-on instruction, scenario-based simulations, and real-time feedback.

Results: There were 22 participants and 77.3% demonstrated competence on the first attempt; 22.7% received real-time reinforcement. Posttest NGSES scores showed statistically significant improvement (Z= 3.826, p< .001), with median scores increasing from 22.0 to 36.0.

Conclusion: The martial arts school adopted CPR/AED competency as a requirement for black belt testing, reinforcing sustainability and supporting AHA 2030 goals.

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