Abstract
Training in basic life support (BLS) using clinical simulation improves compression rates and the development of cardiopulmonary resuscitation (CPR) skills. This study analyzed the learning outcomes of undergraduate nursing students taking a BLS clinical simulation course. A total of 479 nursing students participated. A pre-test and post-test were carried out to evaluate theoretical knowledge of BLS through questions about anatomical physiology, cardiac arrest, the chain of survival, and CPR. A checklist was used in the simulation to evaluate practical skills of basic CPR. The learning outcomes showed statistically significant differences in the total score of the pre-test and after completing the BLS clinical simulation course (pre-test: 12.61 (2.30), post-test: 15.60 (2.06), p < 0.001). A significant increase in the mean scores was observed after completing the course in each of the four parts of the assessment protocol (p < 0.001). The increase in scores in the cardiac arrest and CPR sections were relevant (Rosenthal’s r: −0.72). The students who had prior knowledge of BLS scored higher on both the pre-test and the post-test. The BLS simulation course was an effective method of teaching and learning BLS skills.
Highlights
The real incidence of out-of-hospital cardiac arrest (OHCA) is not exactly known [1].In Europe, the EuReCa ONE study confirms that sudden OHCA is the third leading cause of death [2]
A total of 479 nursing students answered the protocol to assess their knowledge of basic life support (BLS), which was divided into four parts, with questions related to anatomical physiology, cardiac arrest, the chain of survival, and basic cardiopulmonary resuscitation (CPR)
The mean age was 19.84 (4.90), 100% were first-year nursing students, 98.1% had not participated in previous emergency training, 66.4% had no prior knowledge of BLS, and none had participated in a clinical simulation course before
Summary
The real incidence of out-of-hospital cardiac arrest (OHCA) is not exactly known [1]. In Europe, the EuReCa ONE study confirms that sudden OHCA is the third leading cause of death [2]. The EuReCa TWO study describes the epidemiology of OHCA and the effects of cardiopulmonary resuscitation (CPR) before emergency medical services arrival in 28 countries in Europe [3]. In EuReCa TWO, overall survival in all cases in which CPR was attempted was 8%, compared with 10% in EuReCa ONE. Among patients in the Utstein comparison group, survival to hospital discharge was similar 31% in EuReCa TWO, respectively) [2,3]. This data can vary greatly between different
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