Abstract
BackgroundNurses are presumably the first to see an in-hospital cardiac arrest patient. This study proposed measuring nursing students’ knowledge, self-efficacy, and skills performance in advanced life support (ALS), 6 months after training, by sending videos taken during their final skills test after the ALS training.MethodsThis is an experimental study using a randomised control group design. This study was conducted from June to December 2018, and the subjects of the study were 4th year students, recruited through a bulletin board at a nursing university. The participants’ knowledge, self-efficacy, and skill performance in ALS were evaluated immediately after the training, and participants were videotaped during the final skills test. Thereafter, the videos were sent to the experimental group through a mobile phone messenger application, once a month, from the third month after training. Approximately six months after training day, a follow-up test was conducted for the measured variables using a blinded method. The paired t-test and Wilcoxon signed-rank test were used to compare the two groups pre-and post-intervention. The statistical significance level was set at p < .05.ResultsSix months after the ALS training, knowledge scores decreased significantly in both groups (p < 0.001). Self-efficacy decreased by about 3 points from 50.55 to 47.18 in the experimental group (p = 0.089), while it decreased by 10 points in the control group, from 50.67 to 39 (p < 0.001). The skills performance decreased from 27.5 to 26.68 in the experimental group, while it decreased significantly from 27.95 to 16.9 in the control group (p < 0.001).ConclusionSelf-study with videos taken during an ALS skills test helps enhance the sustainable effects of training such as knowledge, self-efficacy, and skills performance.
Highlights
Nurses are presumably the first to see an in-hospital cardiac arrest patient
When a cardiac arrest occurs in a hospital, Advanced Life Support (ALS), including Basic Life Support (BLS), monitor use, emergency medication, and advanced airway maintenance, is performed [5]
Korean Advanced Life Support (KALS) provider course KALS training is an advanced life support (ALS) training program developed by the Korean Association of Cardiopulmonary Resuscitation (KACPR) ALS committee, since factors such as long training hours and the high training costs of the American Heart Association’s
Summary
Nurses are presumably the first to see an in-hospital cardiac arrest patient. This study proposed measuring nursing students’ knowledge, self-efficacy, and skills performance in advanced life support (ALS), 6 months after training, by sending videos taken during their final skills test after the ALS training. In a study conducted in a tertiary medical institution in Korea [2], the survival rate of cardiac arrest patients in the hospital for 24-h survival and survival discharge was 23.7 and 6.4%, respectively. These findings may be related to the healthcare provider’s ability to perform CPR, in addition to the patient’s age and health status. Nursing students who will become future nurses are more likely to encounter cardiac arrest patients for the first time; training them in ALS is essential [8]. Nursing students should be ready to work without fear when encountering cardiac arrest patients while working in the hospital after obtaining qualifications
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