{"id":"https://openalex.org/W7125894595","doi":"https://doi.org/10.18502/fem.v9i4.20869","title":"Impact of verbal pressure on CPR and AED performance: a randomized simulation study","display_name":"Impact of verbal pressure on CPR and AED performance: a randomized simulation study","publication_year":2026,"publication_date":"2026-01-28","ids":{"openalex":"https://openalex.org/W7125894595","doi":"https://doi.org/10.18502/fem.v9i4.20869"},"language":"en","primary_location":{"id":"doi:10.18502/fem.v9i4.20869","doi":"https://doi.org/10.18502/fem.v9i4.20869","is_oa":false,"landing_page_url":"https://doi.org/10.18502/fem.v9i4.20869","pdf_url":null,"source":{"id":"https://openalex.org/S4210237682","display_name":"Frontiers in Emergency Medicine","issn_l":"2717-3593","issn":["2717-3593"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["norway-1","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310319396","host_organization_name":"Knowledge E","host_organization_lineage":["https://openalex.org/P4310319396"],"host_organization_lineage_names":["Knowledge E"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054308729","display_name":"Marcin Mu\u017ca","orcid":"https://orcid.org/0000-0003-4903-8774","observed_orcids":["https://orcid.org/0000-0003-4903-8774"]},"institutions":[{"id":"https://openalex.org/I4389425401","display_name":"Powi\u015bla\u0144ska Szko\u0142a Wy\u017csza","ror":"https://ror.org/028402669","country_code":"PL","type":"education","lineage":["https://openalex.org/I4389425401"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Marcin Mu\u017ca","raw_affiliation_strings":["Powi\u015bla\u0144ski University, Kwidzyn, Poland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Powi\u015bla\u0144ski University, Kwidzyn, Poland","institution_ids":["https://openalex.org/I4389425401"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5092440264","display_name":"Hanna Plata","orcid":"https://orcid.org/0009-0000-9913-8568","observed_orcids":["https://orcid.org/0009-0000-9913-8568"]},"institutions":[{"id":"https://openalex.org/I4389425401","display_name":"Powi\u015bla\u0144ska Szko\u0142a Wy\u017csza","ror":"https://ror.org/028402669","country_code":"PL","type":"education","lineage":["https://openalex.org/I4389425401"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Hanna Plata","raw_affiliation_strings":["Powi\u015bla\u0144ski University, Kwidzyn, Poland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Powi\u015bla\u0144ski University, Kwidzyn, Poland","institution_ids":["https://openalex.org/I4389425401"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4389425401"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.04204285,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10645","display_name":"Cardiac Arrest and Resuscitation","score":0.9785000085830688,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10645","display_name":"Cardiac Arrest and Resuscitation","score":0.9785000085830688,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.021299999207258224,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/automated-external-defibrillators","display_name":"automated external defibrillators","score":0.8479999899864197},{"id":"https://openalex.org/keywords/cardiopulmonary-resuscitation","display_name":"cardiopulmonary resuscitation","score":0.9850000143051147},{"id":"https://openalex.org/keywords/chest-compression","display_name":"chest compression","score":0.7519999742507935},{"id":"https://openalex.org/keywords/out-of-hospital-cardiac-arrest","display_name":"out-of-hospital cardiac arrest","score":0.9480000138282776},{"id":"https://openalex.org/keywords/nursing-students","display_name":"nursing students","score":0.7200000286102295},{"id":"https://openalex.org/keywords/teamwork","display_name":"teamwork","score":0.3400000035762787},{"id":"https://openalex.org/keywords/simulation-based-training","display_name":"simulation-based training","score":0.5820000171661377},{"id":"https://openalex.org/keywords/stress-and-performance","display_name":"performance under stress","score":0.3889999985694885}],"concepts":[{"id":"https://openalex.org/C2777055891","wikidata":"https://www.wikidata.org/wiki/Q185325","display_name":"Cardiopulmonary resuscitation","level":3,"score":0.7662000060081482},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6453999876976013},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.5691999793052673},{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.4611999988555908},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.448199987411499},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.39160001277923584},{"id":"https://openalex.org/C2777953023","wikidata":"https://www.wikidata.org/wiki/Q1073121","display_name":"Heart rate","level":3,"score":0.37630000710487366},{"id":"https://openalex.org/C2779084015","wikidata":"https://www.wikidata.org/wiki/Q16250470","display_name":"Basic life support","level":4,"score":0.30140000581741333},{"id":"https://openalex.org/C2779729227","wikidata":"https://www.wikidata.org/wiki/Q787407","display_name":"Automated external defibrillator","level":4,"score":0.29120001196861267},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.2833999991416931},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.2696000039577484},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2603999972343445},{"id":"https://openalex.org/C100480397","wikidata":"https://www.wikidata.org/wiki/Q7836899","display_name":"Treatment and control groups","level":2,"score":0.25999999046325684},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.25929999351501465},{"id":"https://openalex.org/C2777795826","wikidata":"https://www.wikidata.org/wiki/Q954202","display_name":"Defibrillation","level":2,"score":0.2556999921798706}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.18502/fem.v9i4.20869","doi":"https://doi.org/10.18502/fem.v9i4.20869","is_oa":false,"landing_page_url":"https://doi.org/10.18502/fem.v9i4.20869","pdf_url":null,"source":{"id":"https://openalex.org/S4210237682","display_name":"Frontiers in Emergency Medicine","issn_l":"2717-3593","issn":["2717-3593"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["norway-1","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310319396","host_organization_name":"Knowledge E","host_organization_lineage":["https://openalex.org/P4310319396"],"host_organization_lineage_names":["Knowledge E"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Emergency Medicine","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4389050595","https://openalex.org/W7156035002","https://openalex.org/W3086949581","https://openalex.org/W7125946995","https://openalex.org/W2092792341","https://openalex.org/W3138444911","https://openalex.org/W2599259407","https://openalex.org/W2001301545","https://openalex.org/W11092270","https://openalex.org/W2794063632"],"abstract_inverted_index":{"Objective:":[0],"The":[1,92,150,186],"aim":[2],"of":[3,13,22,114,152,181],"this":[4],"randomized-controlled":[5],"simulation":[6,69,175],"study":[7,53,104,144,160],"was":[8,77,86,155,196],"to":[9,51,163,193,207],"evaluate":[10],"the":[11,18,52,84,96,103,112,119,124,132,143,159,164,179,191],"impact":[12],"external":[14,24],"verbal":[15],"pressure":[16,173,187],"on":[17],"effectiveness":[19],"and":[20,28,56],"safety":[21],"automatic":[23],"defibrillator":[25],"(AED)":[26],"use":[27,101],"hands-on":[29,153],"cardiopulmonary":[30],"resuscitation":[31],"(CPR)":[32],"performed":[33,148,204],"by":[34],"students.":[35],"Methods:":[36],"Sixty-two":[37],"first-year":[38],"nursing":[39],"students":[40],"were":[41,44,110],"recruited.":[42],"Participants":[43,117],"split":[45],"into":[46],"pairs":[47],"(n=31),":[48],"randomly":[49],"assigned":[50],"(n=16":[54],"pairs)":[55],"control":[57,120,133,165],"groups":[58],"(n=15":[59],"pairs).":[60],"Subsequently,":[61],"each":[62],"pair":[63],"took":[64],"part":[65],"in":[66,102,118,131,142,158,174],"a":[67],"brief":[68],"scenario":[70],"concerning":[71],"out-of-hospital":[72],"cardiac":[73],"arrest.":[74],"One":[75],"student":[76],"responsible":[78,87,98],"for":[79,88,99],"performing":[80,107],"chest":[81,108],"compressions,":[82],"whilst":[83],"second":[85],"using":[89],"an":[90],"AED.":[91],"researcher":[93],"verbally":[94],"pressed":[95],"participants":[97,130,141,192],"AED":[100,136,184],"group.":[105],"Students":[106],"compressions":[109],"not":[111,189],"addressee":[113],"any":[115],"comments.":[116],"group":[121,134,145,161,166],"acted":[122],"without":[123,209],"researcher's":[125],"pressure.":[126],"Results:":[127],"Only":[128],"2":[129],"used":[135],"incorrectly,":[137],"compared":[138,162,206],"with":[139],"8":[140],"who":[146,203],"incorrectly":[147],"defibrillation.":[149],"rate":[151],"CPR":[154],"significantly":[156,177],"faster":[157],"(124\u00b129.7":[167],"versus":[168],"104\u00b120.8;":[169],"P=0.028).":[170],"Conclusion:":[171],"Verbal":[172],"settings":[176],"diminishes":[178],"quality":[180],"performance":[182],"during":[183],"use.":[185],"affected":[188],"only":[190],"whom":[194],"it":[195],"directly":[197],"addressed":[198],"but":[199],"also":[200],"their":[201],"teammates,":[202],"worse":[205],"those":[208],"additional":[210],"stressors.":[211]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-01-29T00:00:00"}