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Background <p>As part of school education, bystander resuscitation trainings should help to increase bystander resuscitation rates and thus improve survival after cardiac arrest. Implementation in Germany is heterogeneous. In North Rhine-Westphalia (NRW), the Ministry of Schools and Education has been supporting voluntarily active schools in its implementation since 2017.</p> Research aims <p>This study examines the current implementation in NRW—in terms of usage, educational implementation and promotional opportunities. The secondary objective was to analyse factors influencing manikins’ usage and commitment.</p> Methodology <p>Using the online tool EvaSys, all participating schools in NRW were surveyed via the district governments between November 2023 and March 2024. The questionnaire used single or multiple-choice items to survey the frequency of use of (1 = up to days; 5 = more than 14&#xa0;days) and satisfaction (5-level, 1 = not at all; 5 = very much) with the PractiMan manikin provided, the educational and administrative design and the need for media and equipment or measures.</p> Results <p>Of 371 schools surveyed, 128 (34.5%) participated and provided complete data. 119 (93%) of the schools have received training manikins to date. Of these, 100 (85%) use the PractiMan training manikins and are at least satisfied with them, without geographical differences (government districts; <i>p</i> = 0.918). Individual classes or courses are often taught, most frequently in subject lessons (<i>n</i> = 51; 40.2%). However, one third of the schools (<i>n</i> = 42) used extracurricular formats. In 45 (35.2%) schools, there is no voluntary commitment and only about 25% have access to special qualification programs. Supportive resources are primarily suitable media and teaching materials (43.8% and 39.1% respectively); a&#xa0;mandatory obligation was named as the primary measure for improvement (<i>n</i> = 76; 59.4%). Implementation in regular lessons (subject lessons, group lessons) had a&#xa0;positive influence on schools’ self-commitment regarding bystander resuscitation and frequency of use (log. Regression; OR [95% CI] = 4.8 [2.0–11.1] and 3.5 [1.3–9.4], respectively).</p> Implications <p>The current survey was able to illustrate that the funding of resources (manikins) led to significant usage in schools in NRW. However, there is a&#xa0;lack of a&#xa0;concept for intra-curricular implementation, for qualification and for suitable competence-oriented materials. An obligation of education in resuscitation is positively evaluated. The authors recommend promoting these measures.</p>

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Unterricht zum Thema Laienreanimation an Schulen in Nordrhein-Westfalen

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月6日

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  • Rico Dumcke,
  • Liliane Kozik,
  • Sabine Wingen,
  • Bernd W. Böttiger,
  • Nadine Rott,
  • Marc Felzen,
  • Rolf Rossaint,
  • Gunther S. Joos,
  • Hugo K. Van Aken,
  • Helene Papaspyrou,
  • Antje Gottschalk,
  • Claas Wegner,
  • Niels Rahe-Meyer

摘要

Background

As part of school education, bystander resuscitation trainings should help to increase bystander resuscitation rates and thus improve survival after cardiac arrest. Implementation in Germany is heterogeneous. In North Rhine-Westphalia (NRW), the Ministry of Schools and Education has been supporting voluntarily active schools in its implementation since 2017.

Research aims

This study examines the current implementation in NRW—in terms of usage, educational implementation and promotional opportunities. The secondary objective was to analyse factors influencing manikins’ usage and commitment.

Methodology

Using the online tool EvaSys, all participating schools in NRW were surveyed via the district governments between November 2023 and March 2024. The questionnaire used single or multiple-choice items to survey the frequency of use of (1 = up to days; 5 = more than 14 days) and satisfaction (5-level, 1 = not at all; 5 = very much) with the PractiMan manikin provided, the educational and administrative design and the need for media and equipment or measures.

Results

Of 371 schools surveyed, 128 (34.5%) participated and provided complete data. 119 (93%) of the schools have received training manikins to date. Of these, 100 (85%) use the PractiMan training manikins and are at least satisfied with them, without geographical differences (government districts; p = 0.918). Individual classes or courses are often taught, most frequently in subject lessons (n = 51; 40.2%). However, one third of the schools (n = 42) used extracurricular formats. In 45 (35.2%) schools, there is no voluntary commitment and only about 25% have access to special qualification programs. Supportive resources are primarily suitable media and teaching materials (43.8% and 39.1% respectively); a mandatory obligation was named as the primary measure for improvement (n = 76; 59.4%). Implementation in regular lessons (subject lessons, group lessons) had a positive influence on schools’ self-commitment regarding bystander resuscitation and frequency of use (log. Regression; OR [95% CI] = 4.8 [2.0–11.1] and 3.5 [1.3–9.4], respectively).

Implications

The current survey was able to illustrate that the funding of resources (manikins) led to significant usage in schools in NRW. However, there is a lack of a concept for intra-curricular implementation, for qualification and for suitable competence-oriented materials. An obligation of education in resuscitation is positively evaluated. The authors recommend promoting these measures.