S12222 Benthem Y, de Pol EMRV, Draaisma JMT, Donders R, van Goor H, Tan ECTH. Professionalizing peer instructor skills in basic life support training for medical students: a randomized controlled trial. Hong Kong J Emerg Med. 2020;27(2):71-8. http://dx.doi.org/10.1177/1024907918806644. http://dx.doi.org/10.1177/10249079188066...
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DP |
Instructors’ assessment by participants through an adapted instrument. |
There were no differences in self-assessments and expert assessments regarding the performance of instructors in the control and intervention groups. Regarding students’ assessment, there was no significant difference between the groups of instructors in theoretical training. Regarding practical training, the intervention group was better assessed, and there was also no difference between groups regarding feedback after training. |
Self-assessment instrument for instructors regarding their teaching and practical skills in BLS. |
Assessment of instructors by experts through the self-assessment instrument. |
S22323 Hunt EA, Duval-Arnould JM, Chime NO, Jones K, Rosen M, Hollingsworth M et al. Integration of in-hospital cardiac arrest contextual curriculum into a basic life support course: a randomized, controlled simulation study. Resuscitation. 2017;114:127-32. http://dx.doi.org/10.1016/j.resuscitation.2017.03.014. PMid:28323084. http://dx.doi.org/10.1016/j.resuscitatio...
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RCDP |
Students answered a BLS skills test, and an instrument was completed with multiple-choice questions about IHCRA knowledge, constructed by the authors and validated by experts. |
Both in the intra- and extra-hospital context, the teams trained with RCDP had faster responses and better performance in the chest compression fraction as well as in identifying the need to apply CPR maneuvers. Also, both teams (traditional method and RCDP) applied defibrillation within the expected time. |
S32424 Knipe GA, Fox SD, Donatello RA. Deliberate practice in simulation: evaluation of repetitive code training on nursing students’ BLS team skills. Clin Simul Nurs. 2020;48:8-14. http://dx.doi.org/10.1016/j.ecns.2020.08.001. http://dx.doi.org/10.1016/j.ecns.2020.08...
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Skill training using DP |
Each DP was analyzed with a tool called “BLS team assessment (BLSTA)” during a video review, emphasizing the AHA guidelines for effective CPR. |
All groups of students performed well and efficiently on DP. All teams met the AHA’s five critical components for quality CPR targets. The final assessment was similar to the scores from the first day of training; however, there was a modest decline in CPR quality, which reinforces that frequent practice is necessary to maintain CPR skills. |
S42525 Scordino D, Shilkofski N, Hunt E, Jung J. Deliberate practice for the development of expert performance in basic cardiopulmonary resuscitation [Internet]. Atlanta: Society for Academic Emergency Medicine; 2013 [citado 2021 jul 10]. Disponível em: https://www.hopkinsmedicine.org/institute_excellence_education/pdf/scordino%20abstract.pdf https://www.hopkinsmedicine.org/institut...
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Skill training using DP |
Each participant was assessed individually and performance was rated using a checklist. |
Students in the DP group were more likely to ask for help promptly and were also more likely to initiate CPR quickly. Student satisfaction was rated “very helpful” by 98% of control students and 96% of students in the DP group. |
S52626 Oermann MH, Kardong-Edgren S, Odom-Maryon T, Hallmark BF, Hurd D, Rogers N et al. Deliberate practice of motor skills in nursing education: CPR as exemplar. Nurs Educ Perspect. 2011;32(5):311-5. http://dx.doi.org/10.5480/1536-5026-32.5.311. PMid:22029243. http://dx.doi.org/10.5480/1536-5026-32.5...
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Skill training and DP |
For assessment, students participated in a 3-minute simulation with compression, ventilation and CPR with 1 rescuer. Data were collected electronically and transmitted to a database. |
Intervention group participants showed knowledge retention and also demonstrated improvement in practice throughout the study. |
S62727 Knowles T, Rea B, Duke O, Butcher C, Good E, Carby M. Does deliberate practice with high fidelity simulation training improve the resuscitation technique of UK final year medical students? Resuscitation. 2013;84(Suppl. 1):S90. http://dx.doi.org/10.1016/j.resuscitation.2013.08.229. http://dx.doi.org/10.1016/j.resuscitatio...
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DP and high-fidelity simulation use |
Students were assessed for the time needed to start CPR and the time for defibrillation. |
The simulation produced objective improvements in resuscitation quality. The comments made by the students regarding the method used for training were positive. |
A focus group was used to qualitatively assess students’ attitudes towards training. |
S72828 Li Q. A time based or competency-based basic life support refresh course before clerkship: The effect on skill retention in medical students. Eur J Anaesthesiol. 2014;31(Suppl. 52):1. http://dx.doi.org/10.1097/00003643-201406001-00709. http://dx.doi.org/10.1097/00003643-20140...
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Skill training and DP |
A pre- and post-test skills assessment and knowledge retention assessment was carried out. |
Higher rates of competence in BLS skills were observed in the control group in the posttest and in the retention test, compared to the test group. |
S82929 Berry C, Zhu B, Glassford K, Halupa A, Reed E, Sallade TD et al. Simple interventions improve cardiopulmonary resuscitation quality measures during team-based training. Circulation [Internet]. 2017; [citado 2022 out 31];136:A15368. Disponível em: https://www.ahajournals.org/doi/10.1161/circ.136.suppl_1.15368 https://www.ahajournals.org/doi/10.1161/...
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RCDP |
Assessment of CPR technical skills. |
Simple compression and ventilation techniques taught with RCDP and real-time feedback led to a significant improvement in all CPR quality parameters during simulated resuscitations in healthcare teams. |
S93030 Arrogante O, Ríos-Díaz J, Carrión-García L, Samith S, González-Romero GM, Caperos JM. Deliberate practice in resuscitation training using a feedback device, and the effects of the physical characteristics of the rescuer on the acquisition and retention of cardiopulmonary resuscitation skills: randomized clinical trial. Int Emerg Nurs. 2021;58:101037. http://dx.doi.org/10.1016/j.ienj.2021.101037. PMid:34332453. http://dx.doi.org/10.1016/j.ienj.2021.10...
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Skill training using DP |
Physical characteristics were assessed using calibrated devices designed for each measurement. Skills were measured by simulating CPR for 2 minutes, with a feedback device attached to the dummy used. |
The study showed that the structured DP-based training program using the feedback device improved CPR skill acquisition and retention three months later. Rescuer physical characteristics did not affect CPR performance while performing 2-minute compression/ventilation cycles. |