Comparison of basic life support (BLS) video self-instructional system and traditional BLS training in first year nursing students

  • R Nikandish Associate professor of anesthesiology, Fasa School of Medicine
  • AR Askaree Medical student, Fasa School of Medicine
  • T Karamad Medical student, Fasa School of Medicine
Keywords: cardiopulmonary resuscitation (CPR), nursing students, cpr skills, education

Abstract

Background: For several years, educators have criticized the lecture-based  approach  to teaching and learning. Experts have rightly stressed on acquisition  of a number of critical  skills rather than focusing on lectures. Purpose. To compare students'  pe1jormance after self-education  with VCD and manikin,  with thei performance after standard BLS training.

Methods: In this randomized controlled study, twenty first-year nursing students were divided into two groups randomly, and were provided with basic life support (BLS) instruction either in the traditional format of lecturing or with VCD and manikin without tutor. The students’ Performance was evaluated on a manikin with a checklist including all steps in BLS.

Results: With traditional  instruction,  students'  mean score was 42.2±3.91, while it was 46.3±3.86 with self-education,  showing no significant  difference.

Conclusion: In nursing students with no previous BLS training, access to VCD and manikin facilitates immediate achievement of educational objectives similar to those  of a standard  BLS course.  Self­ learning BLS with VCD should be enhanced with a short period of hands-on practice.

Keywords: cardiopulmonary resuscitation (CPR), nursing students, cpr skills, education

References

Eisenburger P, Safar P. Life supporting first aid training of the public-review and recommendations. Resuscitation 1999; 41: 3- 18.

Jansen JJ, Berden HJ, Van der Vleuten CP, et al. Evaluation of cardiopulmonary resuscitation skills of general practitioners using different scoring methods. Resuscitation 1997; 34: 35-41.

Nyman J, Sihvonen M. Cardiopulmonary resuscitation sk ills in nurses and nursing students. Resuscitation 2000; 47: 179-184.

Ragavan S, Schneider H, Klocek WG. Basic resuscitation-knowledge and skills of full-time medical practitioners at public hospitals in Northern Province. S Afr Med J 2000; 90: 504- 508

-Brcnncr BE, Van DC, Cheng D, et al. Determinants of reluctance to perform CPR among residents and applicants: the impact of experience on helping behavior. Resuscitation 1997;35: 203-211.

-Perkins GO, Hulme J, Bion JF. Peer-led resuscitation training for healthcare students: a randomized controlled study. Intensive Care Med 2002; 28: 698-700.

-Kayc W, Mancini ME. Teaching adult resuscitation in the United States: time for rethink. Resuscitation 1998; 37:177-187

-Kaye W, Wynne G, Marteau T, et al. An advanced resuscitation training course for pre­ registration house officers. J R Coll Physicians Lond1990; 24:51-54

-Kaye W, Rallis SF, Mancini ME, et al. The problem of poor retention of cardiopulmonary resuscitation skills may lie with instructor, not the learner or curriculum.Resuscitattion199l; 21:67-87

-Brennan RT, Braslow A. Skill mastery in cardiopulmonary resuscitation training classes. Am J Emerg Med1995;13: 505-508

Braslow A, Brennan RT, Newman MM, Brichcr NO , Batcheller AM, Kaye W. CPR training without instructor: development and eval uation of a video self-instructional system for effective performance of cardiopulmonary resuscitation. Resuscitationl997; 34: 207-220

Todd KH, Heron SL, Thompson M, Denis R, O'Connor J, Kellerman AL. Simple CPR: a randomized, controlled trial of video self­ instructional cardiopulmonary resuscitation training in an African American church congration. Ann Emerg Med 1999; 34:730-737

Todd KH, Braslow A, Brennan RT, et al. A randomized, controlled trial of video self­ instruction versus traditional CPR training. Ann Emerg Med 1998; 31:364-369

Starr LM. An effective CPR home learning system: a program evaluation. AAOHN J 1998; 46: 289-295.

Fong YT, Anantharaman V, Lim SH, et al. Mass cardiopulmonary resuscitation 99-survey results of a multi-organizational effort in public education in cardiopulmonary resuscitation. Resuscitation 2001; 49: 201-205.

Wik L, Myklebust H, Auestad BH, et al. Retention of basic life support skills 6 months after training with an automated voice advisory manikin system without instructor involvement. Resuscitation 2002; 52: 273-279.

Dracup K, Moser DK, Doering LV, et al. Comparison of cardiopulmonary resuscitation training methods for parents of infants at high risk for cardiopulmonary arrest. Ann Emerg Med 1998; 32: 170-177.

Starr LM. An effective CPR home learning system: a program evaluation. AAOHN J 1998; 46: 289-295

Messmer P, Meehan R, Gilliam N, et al. Teaching infant CPR to mothers of cocaine­ positive infants. J Contin Educ Nurs 1993; 24: 217-220.

Eisenberg M, Damon S, Mandel L, et al. CPR instruction by videotape: results of a community project. Ann Emerg Med 1995; 25: 198-202.

Braslow A, Brennan RT, Newman MM, et al. CPR training without an instructor: development and evaluation of a video self­ instructional system for effective performance of cardiopulmonary resuscitation. Resuscitation 1997; 34: 207-220.

Nolan RP, Wilson E, Shuster M, et al. Readiness to perform cardiopulmonary resuscitation: an emerging strategy against sudden cardiac death. PsychosomMed 1999; 61: 546-551.

Batcheller AM, Brennan RT, Braslow A, et al. Cardiopulmonary resuscitation performance of subjects over forty is better following half­ hour video self-instruction compared totraditional four-hour classroom training. Resuscitation 2000; 43: 101-110.

Brennan RT, Braslow A. Video self­ instruction for cardiopulmonary resuscitation. Ann Emerg Med 2000; 36: 79-80.

Capone PL, Lane JC, Kerr CS, et al. Life supporting first aid (LSFA) teaching to Brazilians by television spots. Resuscitation 2000; 47: 259-265.

Published
2009-03-11
Section
Original (Research) Articles