School of Nursing
Date of Degree
Doctor of Nursing Practice (DNP)
Qiuping (Pearl) Zhou, PhD, RN; Colleen Brooks, MBA
Hemorrhage; Bleeding control (BCon) knowledge; Education
Background: Rural residents are 14% more likely to die from an injury than their urban counterparts due to untimely and ineffective prehospital treatment, inequitable access to the most comprehensive trauma centers, and a lack of injury prevention programs. Although bystanders with bleeding control (BCon) knowledge and skills are vital to injury survival, only 0.5% of Idahoans have completed STOP THE BLEED®.
Purpose: Implement an evidence-based BCon course on how to identify and control life-threatening bleeding with pressure, packing, and tourniquets to increase willingness, confidence, and BCon knowledge, while decreasing concerns.
Methods: A pre-post same subject design was used. Participants were recruited through convenience sampling, with the exclusion of children ≤ 12 years of age. A 22-item survey was administered prior to, immediately after, and within four months of training. Descriptive statistics, McNemar’s test, and a paired t-test were used to analyze data.
Results: After training, participants (N = 33) were more likely to help a stranger (70% vs 96.7%; p = 0.021) and render aid without a BCon kit (60% vs 86.7%; p = 0.008). Confidence improved significantly (63.3% vs 96.7%; p = 0.002). The average number of concerns decreased from 2.17 before training to 1.63 immediately after (p = 0.047) and to 1.54 within four months (p = 0.006). BCon knowledge scores improved from 74.3% on the pretest to 91.0% on posttest #1 (p < 0.001) and remained 88.3% on posttest #2 (p < 0.001).
Conclusion: STOP THE BLEED® improved willingness, confidence, and BCon knowledge, while reducing concerns.
©2021 Kristin Conti. All rights reserved.
Conti, K. (2021). Effectiveness of Community-Based Hemorrhage Control Education. , (). Retrieved from https://hsrc.himmelfarb.gwu.edu/son_dnp/98
Available for download on Tuesday, October 18, 2022