Assessing the Effectiveness of Using Simulation on Nursing Students’ Education and Competencies about Cardiopulmonary Resuscitation
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Abstract
High fidelity simulation (HFS) has emerged as a crucial tool in healthcare education due to its ability to facilitate the implementation of realistic clinical scenarios. Proficiency in Cardiopulmonary Resuscitation (CPR) is imperative for nursing professionals. This study aims to explore previous literature that investigates the effects of HFS on the acquisition and retention of CPR knowledge and skills, comparing two teaching methods: (1) traditional CPR lecture accompanied by static manikin training, and (2) CPR lecture combined with high fidelity simulation training. Although high fidelity simulators have been widely utilized in various aspects of clinical nursing, their impact on the acquisition and retention of CPR knowledge and skills in nursing education remains understudied.
To bridge this research gap, this study seeks to assess the effectiveness of traditional training program and high-fidelity simulation training program in enhancing the acquisition and retention of CPR knowledge and skills among nursing students.
The findings of this study will contribute to the expanding body of literature on the efficacy of HFS in nursing education, offering evidence-based recommendations for the integration of HFS into CPR training programs. Ultimately, this research aims to enhance the quality of CPR education and ensure that nursing students develop the necessary competence in this vital clinical skill.
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References
I. Abella, B., Alvarado, J., Myklebust, H., Edelson, D., Barry, A., O’Hearn, N., ... & Becker, L. (2005). Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. Jama, 293(3), 305-310. https://doi.org/10.1001/jama.293.3.305.
II. Ackermann, A. (2009). Investigation of Learning Outcomes for the Acquisition and Retention of CPR Knowledge and Skills Learned with the Use of High-Fidelity Simulation. Clinical Simulation In Nursing, 5(6), e213-e222. https://doi.org/10.1016/j.ecns.2009.05.002.
III. Akhu-Zaheya, L., Gharaibeh, M., & Alostaz, Z. (2013). Effectiveness of Simulation on Knowledge Acquisition, Knowledge Retention, and Self-Efficacy of Nursing Students in Jordan. Clinical Simulation In Nursing, 9(9), e335-e342. https://doi.org/10.1016/j.ecns.2012.05.001 .
IV. Al Hadid, L., & Suleiman, K. (2012). Effect of boost simulated session on CPR competency among nursing students: A pilot study. Journal of education and practice, 3(16), 186-193.
V. Alessi, S. (2000). Designing Educational Support in System-Dynamics-Based Interactive Learning Environments. Simulation & Gaming, 31(2), 178-196. https://doi.org/10.1177/104687810003100205.
VI. Alinier, G. (2010). Developing High-Fidelity Health Care Simulation Scenarios: A Guide for Educators and Professionals. Simulation & Gaming, 42(1), 9-26. https://doi.org/10.1177/1046878109355683.
VII. Alinier, G., Hunt, B., Gordon, R., & Harwood, C. (2006). Effectiveness of intermediate‐fidelity simulation training technology in undergraduate nursing education. Journal of advanced nursing, 54(3), 359-369.
VIII. Alspach, G. (2005). CPR—The Vanishing Competency. Critical Care Nurse, 25(6), 8-12. https://doi.org/10.4037/ccn2005.25.6.8.
IX. American Heart Association (AHA) (2015). The 2015 Guidelines for CPR and ECC. Retrieved 11-28-2010, from
http://www.americanheart.org/downloadable/heart.
X. Andresen, D., Arntz, H., Gräfling, W., Hoffmann, S., Hofmann, D., & Kraemer, R. et al. (2008). Public access resuscitation program including defibrillator training forlaypersons: A randomized trial to evaluate the impact of training course duration. Resuscitation, 76(3), 419-424. https://doi.org/10.1016/j.resuscitation.2007.08.019 .
XI. Bearnson, C., & Wiker, K. (2005). Human Patient Simulators: A New Face in Baccalaureate Nursing Education at Brigham Young University. Journal Of Nursing Education, 44(9), 421-425. https://doi.org/10.3928/01484834-20050901-07 .
XII. Benson, E. (2004). Online Learning: A Means to Enhance Professional Development. Critical Care Nurse, 24(1), 60-63. https://doi.org/10.4037/ccn2004.24.1.60.
XIII. Benner, P., Kyriakidis, P. H., & Stannard, D. (2011). Clinical Wisdom and Interventions and Acute and Critical Care: A Thinking-in-Action Approach. New York, NY: Springer Publishing Company, 600 pages, $75.00, softcover, ISBN. Journal of Hospital Librarianship, 12, 391-398. https://www.researchgate.net/profile/Mary-Harnegie/publication/268981101.pdf
XIV. Bremner, M., Aduddell, K., Bennett, D., & VanGeest, J. (2006). The Use of Human Patient Simulators. Nurse Educator, 31(4), 170-174. https://doi.org/10.1097/00006223-200607000-00011 .
XV. Broomfield, R. (1996). A quasi-experimental research to investigate the retention of basic cardiopulmonary resuscitation skills and knowledge by qualified nurses following a course in professional development. Journal Of Advanced Nursing, 23(5), 1016-1023. https://doi.org/10.1111/j.13652648.1996.tb00084.x.
XVI. Bullock, I. (2000). Skill acquisition in resuscitation. Resuscitation, 45(2), 139-143. https://doi.org/10.1016/s0300-9572(00)00171-4.
XVII. Cantrell, M. A. (2008). The importance of debriefing in clinical simulations. Clinical simulation in nursing, 4(2), e19-e23. https://www.fhft.nhs.uk/media/2686/15-the-importance-of-debriefing-in-clinical-simulations_cantrell.pdf.
XVIII. Childs, J., & Sepples, S. (2006). Clinical teaching by simulation: Lessons learned from a complex patient care scenario. Nursing Education Perspectives, 27(3), 154-158.
XIX. Creutzfeldt, J., Hedman, L., Medin, C., Stengård, K., & Felländer-Tsai, L. (2009). Retention of knowledge after repeated virtual world CPR training in high school students. Studies in health technology and informatics, 142, 59-61.
XX. Curran, V., Aziz, K., O'Young, S., & Bessell, C. (2004). Evaluation of the Effect of a Computerized Training Simulator (ANAKIN) on the Retention of Neonatal Resuscitation Skills. Teaching And Learning In Medicine, 16(2), 157-164. https://doi.org/10.1207/s15328015tlm1602_7 .
XXI. Decker, S., Sportsman, S., Puetz, L., & Billings, L. (2008). The Evolution of Simulation and Its Contribution to Competency. The Journal Of Continuing Education In Nursing, 39(2), 74-80. https://doi.org/10.3928/00220124-20080201-06 .
XXII. Dine, C., Gersh, R., Leary, M., Riegel, B., Bellini, L., & Abella, B. (2008). Improving cardiopulmonary resuscitation quality and resuscitation training by combining audiovisual feedback and debriefing*. Critical Care Medicine, 36(10), 2817-2822.
https://doi.org/10.1097/ccm.0b013e318186fe37 .
XXIII. Dobbs, C., Sweitzer, V., & Jeffries, P. (2006). Testing simulation design features using an insulin management simulation in nursing education. Clinical Simulation in Nursing, 2(1), e17-e22.
XXIV. Durham, C., & Alden, K. (2008). Enhancing patient safety in nursing education through patient simulation. Patient safety and quality: An evidence-based handbook for nurses.
XXV. Fredriksson, M., Herlitz, J., & Nichol, G. (2003). Variation in outcome in studies of out-of-hospital cardiac arrest: a review of studies conforming to the Utstein guidelines. The American journal of emergency medicine, 21(4), 276-281.
XXVI. Gombotz, H., Weh, B., Mitterndorfer, W., & Rehak, P. (2006). In-hospital cardiac resuscitation outside the ICU by nursing staff equipped with automated external defibrillators—the first 500 cases. Resuscitation, 70(3), 416-422.
XXVII. Hamilton, R. (2005). Nurses’ knowledge and skill retention following cardiopulmonary resuscitation training: a review of the literature. Journal of advanced nursing, 51(3), 288-297.
XXVIII. Hazinski, M., Nolan, J., Aickin, R., Bhanji, F., Billi, J., & Callaway, C. et al. (2015). Part 1: Executive Summary. Circulation, 132(16 suppl 1), S2-S39. https://doi.org/10.1161/cir.0000000000000270 .
XXIX. Hertel, J., & Millis, B. (2002). Using simulations to promote learning in higher education: An introduction. Stylus Publishing, LLC.
XXX. Jabbour, M., Osmond, M., & Klassen, T. (1996). Life support courses: are they effective? Annals of emergency medicine, 28(6), 690-698.
XXXI. Jacobs, I., Nadkarni, V. (2004). ILCOR Task Force on Cardiac Arrest and Cardiopulmonary ResuscitationOutcomes and Cardiac arrest and cardiopulmonary resuscitation outcome reports. International Liaison Committee on Resuscitation, 110(21), 3385-3397.
XXXII. Jeffries, P., & Rizzolo, M. (2006). Designing and implementing models for the innovative use of simulation to teach nursing care of ill adults and children: A national, multi-site, multi-method study. New York, NY: National League for Nursing.
XXXIII. Kardong-Edgren, S., & Adamson, K. (2009). BSN Medical-Surgical Student Ability to Perform CPR in a Simulation: Recommendations and Implications. Clinical Simulation In Nursing, 5(2), e79-e83. https://doi.org/10.1016/j.ecns.2009.01.006
XXXIV. Kardong-Edgren, S., Lungstrom, N., & Bendel, R. (2009). VitalSim® Versus SimMan®: A Comparison of BSN Student Test Scores, Knowledge Retention, and Satisfaction. Clinical Simulation In Nursing, 5(3), e105-e111. https://doi.org/10.1016/j.ecns.2009.01.007
XXXV. Leigh, G. (2008). High-Fidelity Patient Simulation and Nursing Students' Self-Efficacy: A Review of the Literature. International Journal Of Nursing Education Scholarship, 5(1), 1-17. https://doi.org/10.2202/1548-923x.1613 .
XXXVI. Leighton, K., & Scholl, K. (2009). Simulated Codes: Understanding the Response of Undergraduate Nursing Students. Clinical Simulation In Nursing, 5(5), e187-e194.
https://doi.org/10.1016/j.ecns.2009.05.058 .
XXXVII. Luctkar-Flude, M., Wilson-Keates, B., & Larocque, M. (2012). Evaluating high-fidelity human simulators and standardized patients in an undergraduate nursing health assessment course. Nurse Education Today, 32(4), 448-452. https://doi.org/10.1016/j.nedt.2011.04.011 .
XXXVIII. Madden, C. (2006). Undergraduate nursing students’ acquisition and retention of CPR knowledge and skills. Nurse Education Today, 26(3), 218-227. https://doi.org/10.1016/j.nedt.2005.10.003 .
XXXIX. McFetrich, J., & Price, C. (2006). Simulators and scenarios: training nurses in emergency care. Medical Education, 40(11), 1139-1139. https://doi.org/10.1111/j.1365-2929.2006.02591.x .
XL. Nehring, W., Ellis, W., & Lashley, F. (2001). Human Patient Simulators in Nursing Education: An Overview. Simulation & Gaming, 32(2), 194-204. https://doi.org/10.1177/104687810103200207 .
XLI. Nicholson, A., Boese, T., Cram, E., Stineman, A., & Swanson, E. (2009). Comparison of Selected Outcomes Based on Teaching Strategies That Promote Active Learning. Clinical Simulation In Nursing, 5(3), S11.
https://doi.org/10.1016/j.ecns.2009.03.217 .
XLII. Rizzolo, M., Oermann, M., Jeffries, P., & Kardong-Edgren, S. (2011). NLN Project to Explore Use of Simulation for High Stakes Assessment. Clinical Simulation In Nursing, 7(6), e261-e262. https://doi.org/10.1016/j.ecns.2011.09.062
XLIII. Saraç, L., & Ok, A. (2010). The effects of different instructional methods on students’ acquisition and retention of cardiopulmonary resuscitation skills. Resuscitation, 81(5), 555-561. https://doi.org/10.1016/j.resuscitation.2009.08.030 .
XLIV. Savoldelli, G., Naik, V., Park, J., Joo, H., Chow, R., Houston, P., & Hamstra, S. (2006). The Value of Debriefing in Simulation-based Education: Oral versus Video-assisted Feedback. Simulation In Healthcare: The Journal Of The Society For Simulation In Healthcare, 1(2), 93. https://doi.org/10.1097/01266021-200600120-00010 .
XLV. Spooner, B., Fallaha, J., Kocierz, L., Smith, C., Smith, S., & Perkins, G. (2007). An evaluation of objective feedback in basic life support (BLS) training. Resuscitation, 73(3), 417-424. https://doi.org/10.1016/j.resuscitation.2006.10.017 .
XLVI. Wall, A. (2000). Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95. British Journal Of Healthcare Management, 6(9), 413-413. https://doi.org/10.12968/bjhc.2000.6.9.19311.
XLVII. Wang, E., Quinones, J., Fitch, M., Dooley-Hash, S., Griswold-Theodorson, S., & Medzon, R. et al. (2008). Developing Technical Expertise in Emergency Medicine-The Role of Simulation in Procedural Skill Acquisition. Academic Emergency Medicine, 15(11), 1046-1057. https://doi.org/10.1111/j.1553-2712.2008.00218.x .
XLVIII. Wayne, D., Siddall, V., Butter, J., Fudala, M., Wade, L., Feinglass, J., & McGaghie, W. (2006). A Longitudinal Study of Internal Medicine Residents??? Retention of Advanced Cardiac Life Support Skills. Academic Medicine, 81(Suppl), S9-S12. https://doi.org/10.1097/00001888-200610001-00004 .
XLIX. Woollard, M., Whitfield, R., Smith, A., Colquhoun, M., Newcombe, R., Vetter, N., & Chamberlain, D. (2004). Skill acquisition and retention in automated external defibrillator (AED) use and CPR by lay responders: a prospective study. Resuscitation, 60(1), 17-28.
https://doi.org/10.1016/j.resuscitation.2003.09.006 .
L. Ziv, A., Wolpe, P., Small, S., & Glick, S. (2003). Simulation-Based Medical Education. Academic Medicine, 78(8), 783-788. https://doi.org/10.1097/00001888-200308000-00006