Development of Guide Basic Life Support (BLS) Application Based on Android to Increase Accuracy Compression Ritme And Ventilation to Handling of Out Hospital Cardiac Arrest

Main Article Content

Candra Adi Wirawan
Sandi Alfa Wiga Arsa


Introduction: Public health center as first-rate health facilities must be equipped with basic emergency services capability to support optimal health service systems. The ability of nurses in doing a heart massage or BLS is still below 50%. In the management of BLS, increasing the ability of nursing was important to reduce mortality due to cardiac arrest. The purpose of this research was to know the effect of Basic Life Support (BLS) based guide application in handling Out Cardiac arrest (OHCA) Nurse emergency departments Public health center.

Methods: This research used the R & D method. Data of stage 1 was collected through a questionnaire of knowledge, attitude and Psychomotor BLS from 50 nurses for application development in stage 2, then conducted trials and evaluation. Phase 2 was conducted by a quasi-experiment method with a simple random sampling technique with 25 respondents in each group. The control group was given the BLS module and the treatment group was given Guide Basic Life Support (BLS) application for 2 weeks.  The variables in phase 2 of were the accuracy and speed of resuscitation, measured by a checklist and stopwatch.

Results: The result of the research was an application of basic life support (BLS) based on Android. The result for the treatment group showed the precision variable (p = 0,000) and speed (p = 0,000) for the Wilcoxon Test and the precision variable (p = 0,000) and speed (p = 0,000) for Mann U Whitney Test.

Conclusion: Basic android basic life support (BLS) application can improve the accuracy and speed of nurses in doing BLS.


Article Details

How to Cite
C. A. Wirawan and S. A. W. Arsa, “Development of Guide Basic Life Support (BLS) Application Based on Android to Increase Accuracy Compression Ritme And Ventilation to Handling of Out Hospital Cardiac Arrest”, Babali Nurs. Res., vol. 1, no. 1, pp. 18-30, Mar. 2020.


[1] N. E. Hammond et al., “The effect of implementing a modified early warning scoring (MEWS) system on the adequacy of vital sign documentation,” Australian Critical Care, vol. 26, no. 1, pp. 18–22, 2013, doi: 10.1016/j.aucc.2012.05.001.

[2] AHA, Hightlights of the 2015 American Heart Association Guidelines Update for CPR and ECC, Texas: American Heart Association, 2015.

[3] M. Wissenberg et al., “Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest,” Journal of the American Medical Association, vol. 310, no. 13, pp. 1377–1384, 2013, doi: 10.1001/jama.2013.278483.

[4] P. S. Chan et al., “Readmission rates and long-term hospital costs among survivors of an in-hospital cardiac arrest,” Circulation: Cardiovascular Quality and Outcomes, vol. 7, no. 6, pp. 889–895, 2014, doi: 10.1161/CIRCOUTCOMES.114.000925.

[5] Badan Penelitian dan Pengembangan Kesehatan, “Riset Kesehatan Dasar (RISKESDAS) 2013,” Jakarta, 2013.

[6] K. Sunde, “Implementation of a standardised treatment protocol for post resuscitation care after out-of-hospital cardiac arrest,” Resuscitation, vol. 73, no. 1, pp. 29–39, 2007, doi: 10.1016/j.resuscitation.2006.08.016

[7] S. L. Kronick et al., “Part 4: Systems of care and continuous quality improvement: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care,” Circulation, vol. 132, no. 18, pp. S397–S413, 2015, doi: 10.1161/CIR.0000000000000258.

[8] B. J. Bobrow et al., “Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest,” Journal of the American Medical Association, vol. 299, no. 10, pp. 1158-65, 2008, doi: 10.1001/jama.299.10.1158.

[9] J. A. Razzak and A. L. Kellermann, “Emergency medical care in developing countries : is it worthwhile?,” Bulletin of the World Health Organization, vol. 80, no. 01, 2002.

[10] K. S. Chew et al., “A survey on the knowledge, attitude and confidence level of adult cardiopulmonary resuscitation among junior doctors in hospital Universiti Sains Malaysia and hospital raja Perempuan Zainab ii, Kota Bharu, Kelantan, Malaysia,” Medical Journal of Malaysia, vol. 66, no. 1, pp. 56–59, 2011.

[11] F. Semeraro et al., “iCPR: a new application of high-quality cardiopulmonary resuscitation training,” Resuscitation, vol. 82, no. 4, pp. 436–441, 2011, doi: 10.1016/j.resuscitation.2010.11.023

[12] S. Notoatmodjo, Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta, 2012.

[13] K. Glanz, B. K. Rimer, and National Cancer Institute (U.S.), Theory at a glance : a guide for health promotion practice, Bethesda, MD: U.S. Dept. of Health and Human Services, National Institutes of Health, National Cancer Institute, 2005.

[14] M. Mäkinen et al., “Nurses’ attitudes towards resuscitation and national resuscitation guidelines-Nurses hesitate to start CPR-D,” Resuscitation, vol. 80, no. 12, pp. 1399–1404, 2009, doi: 10.1016/j.resuscitation.2009.08.025.

[15] K. Shibahashi, K. Sugiyama, and Y. Hamabe, “A potential termination of resuscitation rule for EMS to implement in the field for out-of-hospital cardiac arrest: an observational cohort study,” Resuscitation, vol. 130, pp. 28–32, 2018, doi: 10.1016/j.resuscitation.2018.06.026.

[16] K. B. Kaban and K. Rani, Hubungan Pengetahuan Perawat Tentang Basic Life Support (BLS) dengan Perilaku Perawat dalam Pelaksanaan Primary Survey di Ruang IGD Royal Prima Hospital,” Jurnal Keperawatan Priority, vol. 1, no. 1, 2018.

[17] K. K. Smith, D. Gilcreast, and K. Pierce, “Evaluation of staff’s retention of ACLS and BLS skills,” Resuscitation, vol. 78, no. 1, pp. 59–65, 2008, doi: 10.1016/j.resuscitation.2008.02.007.

[18] W. Shen et al., ”2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society,” Circulation, vol. 136, no. 5, pp. e60–e122, 2017, doi: 10.1161/CIR.0000000000000499.

[19] M. Keenan, G. Lamacraft, and G. Joubert, “A Survey of Nurses’ Basic Life Support Knowledge and Training at a Tertiary Hospital,” African Journal of Health Professions Education, vol. 1, no. 1, pp. 3–7, 2009.

[20] D. Low et al., “A randomised control trial to determine if use of the iResus©application on a smart phone improves the performance of an advanced life support provider in a simulated medical emergency,” Anaesthesia, vol. 66, no. 4, pp. 255–262, 2011, doi: 10.1111/j.1365-2044.2011.06649.x

[21] L. Ertl and F. Christ, “Significant improvement of the quality of bystander first aid using an expert system with a mobile multimedia device,” Resuscitation, vol. 74, no. 2, pp. 286–295, 2007, doi: 10.1016/j.resuscitation.2007.01.006.

[22] K. B. Lee and R. Salman, “The Design and Development of Mobile Collaborative Learning Application Using Android,” Journal of Information Technology and Application in Education, vol. 1, no. 1, pp. 1–8, 2012.

[23] L. Q. Krogh et al., “E-learning in pediatric basic life support: A randomized controlled non-inferiority study,” Resuscitation, vol. 90, pp. 7–12, 2015, doi: 10.1016/j.resuscitation.2015.01.030.