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The general objective of this study is to develop, validate and evaluate the effectiveness of simulation in basic life support training (SBLST) among newly employed nurses in Jordanian governmental hospitals; the study design is a basic experimental study design, randomized control trial (RCT) design, the dependant variables measure in this study; knowledge, practice and confidence by using a pre-test and two follow up tests, two groups are participating in this study; experimental and control group. The control group treatment is the standard intervention (brochure), and the experimental group intervention is a simulation in basic life support training (SBLST). The study process includes four steps
The general objective of this study is to develop, validate and evaluate the effectiveness of simulation in basic life support training (SBLST) among newly employed nurses in Jordanian governmental hospitals; the study design is a basic experimental study design, randomized control trial (RCT) design, the dependant variables measure in this study; knowledge, practice and confidence by using a pre-test and two follow up tests, two groups are participating in this study; experimental and control group. The control group treatment is the standard intervention (brochure), and the experimental group intervention is a simulation in basic life support training (SBLST); researchers' hypothesized that there are no significant differences between the control and experimental group in the inclusion criteria and pre-test score; furthermore, the simulation in basic life support training intervention significantly improves knowledge, practice and confidence level among newly employed nurses (NEN) in Jordanian governmental hospitals; moreover, the is a significant difference between control and experimental group in the post-test scores in all dependant variables. The study process include four steps
Study title:
DEVELOPMENT, VALIDATION, AND EVALUATION OF THE EFFECTIVENESS OF SIMULATION IN BASIC LIFE SUPPORT TRAINING (SBLST) ON NEWLY EMPLOYED NURSES IN GOVERNMENTAL JORDANIAN HOSPITALS
Research Hypotheses i. The simulation in basic life support training intervention effectively improves knowledge among newly employed nurses (NEN) in Jordanian governmental hospitals.
ii. The simulation in basic life support training intervention effectively improves practice among newly employed nurses (NEN) in Jordanian governmental hospitals.
iii. The simulation in basic life support training intervention effectively improves the confidence level among newly employed nurses (NEN) in Jordanian governmental hospitals.
iv. There is no significant difference in means between the pre-test among the newly employed nurses (NEN) among interventional and the control groups in all dependent variables.
v. There is a significant mean difference between PRE-SBLST and all POST-SBLST results among NEN in all dependent variables.
Study Design The study design was a prospective, longitudinal, single-blind basic experimental design, randomized control trial (RCT) design.
Study Location The study was carried out in Jordan, Amman and Al-Zarqa City. The accessible population was NEN in five hospitals. The researchers selected three Jordanian hospitals. The selection was according to the capacity, capability of the institution and eligibility criteria. Computer-generated randomization (Random Allocation Software, version 1.0) was applied in blocks to allocate the hospitals by distributing them into two arms. The first arm was the control group; selected from three hospitals; Prince Hamza Hospital, AL-Basheer Hospital, and AL-Zarqa Governmental Hospital (n=51); the second arm was the interventional group from two hospitals; Prince Faisal Governmental Hospital and Dr.Jameel AL-Totanji Hospital.
Randomization of the Hospitals To prevent data contamination between the control and interventional groups, computer-generated randomization (Random Allocation Software, version 1.0) was applied in blocks to allocate the hospitals by distributing them into two arms. The first arm was the control group; selected from three hospitals; Prince Hamza Hospital, AL-Basheer Hospital, and AL-Zarqa Governmental Hospital (n=51); the second arm was the interventional group from two hospitals; Prince Faisal governmental hospital and Dr.Jameel AL-Totanji hospital. The control and interventional groups were selected from different hospitals because the researchers are always worried about data contamination and try to minimize it between the control and intervention groups; if the sample was selected from the same area and both groups worked closely together, the data would be contaminated.
The study consists of a pre-test, intervention, immediate post-test-1 after the intervention, and post-test-2 three months after the intervention. This study measured knowledge, practice, and confidence through pre- and post-tests in control and experimental groups. This study used two interventions: SBLST for the interventional group and AHA-BLS 2020 brochure as a standard treatment for the control group. Data collection proceeded using the Google Form Platform (A web-based instrument Copyrighted by Google application).
The evaluation process includes a pre-test and two follow-up assessments to measure knowledge, practice and confidence. The researcher will analyze the means of each test; the total dependent variables were 30 questions.
Research Instruments
Languages of the Tools According to the HCP educational level, all four sections of the tools assessment are written in English; furthermore, the researchers' assistance clarified any misunderstanding points or need for translation to the participants.
Tools Sections The tools consist of five sections; research information sheet and consent forms, demographical data, knowledge assessment tools, skills assessment tools, and confidence level assessment tools.
Research information sheet and Consent Forms The research information sheet is a piece of brief researcher information and contact details; it also includes subject information and a consent form with an area for the participant's signature when they are approved to participate in this study. Furthermore, the research information sheets include a participant's publication consent form.
Demographical data Demographic parts are attached; these data consist of dichotomous questions (Yes\NO), nominal data, ordinal data, and interval measurement questions. Nominal measurements include sex and ordinal assessment as educational level and area of experience; interval assessment questions include age and work experience. Dichotomous assessments (Yes\NO), asking if the participant previously participated in a CPR episode or observed any CPR before, if the participants had finished training the BLS using simulation previously, and if the participant gained the certification of BLS training from formal and accredited institutions.
Knowledge and practice Nursing knowledge is the interaction of science and research to improve practice. Researchers use a 13-question MCQ tool to assess knowledge. Nursing practice is performing the knowledge learned before; the researchers assessed skills using a tool consisting of ten MCQ. The participants got zero for each wrong answer and one mark for each correct answer.
Confidence Confidence is the building and accomplishment of the nursing profession through knowledge acquisition, skills, and critical thinking. Confidence is the positive feeling of faith and dependability to perform BLS without fear and free from risk to the patient. The researchers assessed confidence level using seven statements rated as a dropdown in percent value from the lowest value of 5% to the highest value of 100%.
Study process steps
Pre-test After NEN enrolled according to the inclusion criteria for both the control group and experimental group (n= 102), the participants started by signing the informed consent, filled out the demographical data and pre-test as proactive steps before the intervention; many sessions of pre-test data collection and intervention were performed according to the availability of NEN, the arrangement of the hospital's nursing director. The estimated time to fill in the demographical data and pre-test is around 30 minutes. Oermann et al. (2020) addressed that the trainer performs a pre-test assessment to assess the effectiveness of SBLST. The investigators discussed the purpose of the study with the control group and explained to them the procedure to prevent any data contamination and minimize the interpretation of the survey content by the other research assistants.
Intervention The control group read the brochure containing a brief guideline about basic life support for 30-60 minutes before taking the post-test. Standard treatment ran from Dec 2022 to Jan 2023. One full day for SBLST intervention, from 5 to 7 hours for SBLST intervention, is required based on the recent research and uses AHA-2020 guidelines. The number of participants was ten NEN in each session. The interventional treatment consists of theoretical and practical parts. The SBLST intervention was conducted in an educational lab according to the hospital's capability; SBLST ran for seven days, from 22 Nov 2022 to 20-Dec, 2022.
Researchers combined two frameworks in the SBLST. Miller's Pyramid and Kolb's Cycle; Miller's Pyramid focuses on teaching theoretical and practical aspects of the task through simulation and allowing trainees to perform the procedure independently with guidance; Kolb's Cycle suggests giving learners a scenario to practice until they eliminate errors before moving to another scenario. The SBLST intervention was reviewed by three experts in BLS and approved by the Jordanian Ministry of Health-Life Support Center. It was found to be compliant, safe and covered all aspects of AHA-2020. English experts provided feedback to improve clarity. A pilot study was conducted on 20 nurses to calculate SBLST time, identify errors, monitor the progress and calculate Cronbach's Alpha.A pilot study was performed to check the stability of the tools. Cronbach's alpha of knowledge and skills assessment tools was 0.748, reflecting the suitability and strength of using these tools. Moreover, Cronbach's alpha of confidence tools was 0.731, reflecting the suitability and stability of the confidence tools.
Adult half-body manikin and a pediatric full-body manikin are necessary; with lung bag inflation and deflation characteristics, palpable carotid pulse, the chest includes spring inside to facilitate chest recoil, and chest compression board, bag-valve-mask-ventilation, chest compression performed on the Charlie simulator to relieve choking. The principles investigator (PI) had a master's degree in critical care nursing, eighteen years of experience between ICUs, lecturers and clinical instructors, valid BLS and ACLS, training of trainers in nursing education, and randomized control trial training. The facilitator must have CPR certifications in BLS and ACLS, enough expertise in education and training, and good communication skills. The investigator had a master's degree in critical care. Two research assistants supported the PI in collecting data; one research assistant for the control group and the other for the interventional group.
post-test All participants completed the immediate post-test-1 after the interventions. The post-tets-2 was conducted by providing the participants with a Google Form Platform link through their phone and email addresses. The post-test after three months evaluates whether the participants' level stayed at the same level or minimized by comparing the mean value between all post-tests. Forty-eight participants in the experimental group completed post-test-2 with a response rate of 94%, and 45 participants in the control group with a response rate of 88%.
Sample Size Estimation Sample size calculation is performed by using G*POWER software (version 3.1); sample size calculation is summarized and consists of the following steps (1) Select the test family (F-test family), (2) Select the statistical test (Select ANOVA-repeated test, between factors), the preliminary test analysis the researchers used in this study, the rationale for using the Select ANOVA-repeated test between factors due to measuring many dependent variables means at different time points. (3) The parameters selected to calculate sample size include one side tail, alpha (α) and equals (0.05)- type one error, Power (P) and equal (0.8), effect size, the number of groups is two (each group = n\2) n= the estimated sample size, number of measurements were four measurements (Pre-test, Post-test immediately, Post-test after two months, and Post-test after three months).
Effect Size (ES) = 0.26, automatically calculated by G*Power software, depending on the sample size of the previous study, the effect size is calculated, the Control group's post-test result M±SD was equal (25.03±3.04) with a sample size of 28 participants, and the interventional group (26.64±2.64) with sample size 29 participants. The sample size is 72 participants; because the research study continued for three months, the invistigators added a 10% drop rate for each month, so the drop rate is 30%. Final sample size estimation including drop rate (n\1-dropout rate) = 72/(1-0.30) = 102 participants, the intervention group arm is 51 participants, and The largest sample size was obtained from the interventional group, more than the Control Group and the Control group arm 51 participants.
Simple Random Sampling of the Participants After obtaining ethical approval and permission to conduct the study from the Ministry of Health in Jordan, approval letter (Education/Info\ 15177) and ethical approval letter (MOH/REC/2022/340), The researchers started the formal face-to-face visits to arrange with the nursing director and a continuous education office in the selected hospitals about the study objective and how the study would proceed; The researchers received the activation letter to initiate the study and prepared the list of the available participants who met the study's eligibility criteria. The number of participants depends on the availability of newly employed nurses in the institution who meet the inclusion criteria. The researchers randomly selected the participants from the participants' list by randomly sampling from newly employed nurses in each hospital for interventional and control groups.
. The response of the control group hospitals was as the following; the nursing director and continuous education in AL-Zarqa Governmental Hospital responded by providing all the information about participants and selecting a time and day to perform the Pre-test, standard treatment and the immediate post-test. Prince Hamzah Hospital and AL-Basheer Hospital gave the researcher the names of departments in the hospital, including those with NEN, and the invistigators visited these departments to select the available NEN randomly and performed Pre-test, standard treatment, and immediate post-test in their departments.
The response of the interventional group hospitals was as the following; Prince Faisal Governmental Hospital and Dr.Jameel AL-Totanji Hospital scheduled many days and times to perform the intervention, and the hospitals arranged with the available participants who met the eligibility criteria; then, the researcher selected the participants randomly.
Ethical Considerations
Permission to Conduct the Study Regarding ethical considerations, approval for the study was obtained from the Human Research Ethics Committee (HREC), Universiti Sains Malaysia (USM). Moreover, ethical approvals to initiate SBLST intervention in Jordanian Hospitals in Amman and AL-Zarqa city were obtained from the Ministry of Health in Jordan; the study protocol was revised and approved for implementation by Jawatankuasa Etika Penyilidikan Manusia Universiti Sains Malaysia (JEPeM-USM) with study protocol code USM/JEPeM/22110681, which compliance with the Declaration of Helsinki, International Conference on Harmonization (ICH) Guidelines, Good Clinical Practice (GCP) Standards, Council for International Organizations of Medical Sciences (CIOMS) Guidelines, World Health Organization (WHO) Standards and Operational Guidance for Ethics Review of Health-Related Research and Surveying and Evaluating Ethical Review Practices, EC/IRB Standard Operating Procedures (SOPs), and Local Regulations and Standards in Ethical Review.
Subject Vulnerability There is no vulnerability group in this study. All the participants were nurses over 20 years old and working in hospitals; no participants had handicaps or physical problems. The participants made the voluntary choice to take part in the trial. The researchers discussed the study's objectives, methods, benefits and risks. The study was free from any potential hazards or adverse effects on participants, no intervention was applied in emergencies, and no medicine product will be used in this study. The procedure was simple, the devices used in the intervention were safe, and the investigator was instructed to frequently ask the participant about health and physical condition, especially during chest compression.
The participants who signed a hard copy of the consent are part of this trial study. During all study phases, the participants will be asked using the electronic method; Google Form Platform, if they would like to participate in this study, and they will answer (YES\NO) before completing the questionnaires. Furthermore, the intervention will be applied in simulation; the participant voluntarily withdraws from the study without any influence or effect on annual evaluation or salary. The institutions took full responsibility for the trial and protecting the participants and treated the participants if there were unexpected adverse effects or physical harm.
The research includes minimal risk toward participants, observable by the time length and components of the intervention; participants may be feeling discomfort. This risk is equal to the nurses' daily life activity. They can be adapted with this minimal risk; only four components require a long time to cover the knowledge and practice in the intervention, but the other four components are easy and need a short time. The researchers planned to minimize the participant's discomfort due to the time and length of the intervention by giving the participant "break times" between the components of the intervention.
Declaration of Absence of Conflict of Interest The researchers had declared that there was no conflict of interest, and all co-authors had no financial interest to report. The invistigators certify that the first author is purely a Ph.D. student's original work and has not been given to submit to other universities or journals.
Privacy and Confidentiality When the study was completed, the trial master files and documents were protected and kept safe, and all records were kept confidential. Furthermore, the data collected is not associated with individuals by name but only by phone number and email to contact them later to complete the post-test; data is kept properly and handled only in the research. In addition, the researchers also emphasized that only research groups can access the relevant data in this research and not use it in the future without consent from the participants; moreover, after finishing the study, the data will archive properly according to the policy.
Community Sensitivities and Benefits The intervention benefits of NEN as a part of a contentious education, and the knowledge and practice shared through the natural learning process in the classroom, face-to-face learning, and the questionnaires filled using an electronic method, Google Forms Platform; there is no sensitive information about the participants. The primary benefits of this study's findings toward participants are to increase newly employed nurses' knowledge, practice skills, and confidence level when facing critical situations inside or outside the hospitals, increases professionalism in all healthcare delivery systems, self-esteem, improve newly employed nurses' performance competency, decision-making, satisfaction, to decrease turnovers and dissatisfaction. Furthermore, the benefits of this study are to develop patient care processes and enhance the victims' survival and patient satisfaction, maintain patient safety, enhance the welfare and hospital discharge outcomes, become cost-effective for patients and their families, and keep patients away from hazards.
Incentive and Reimbursement The researcher verbally thanked all participants for their sincere cooperation following the completion. Furthermore, the researcher planned to give the control group an SBLST on a selected day; finally, the participant received feedback about the pre and post-result and a certification attendance of 4 hours from the researcher, adding to the required job development hours in the yearly self-evaluation form.
Collaborative Study Terms of Reference: None
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SBLST Group | Experimental | Treatment (B): Simulation in basic life support training The interventional tools, simulation in basic life support training (SBLST), were prepared in English. The researcher will use an already established BLS training from the American Guidelines 2020, a simplified two-part; PowerPoint presentation and clinical simulation training. |
|
| Standard Group | Active Comparator | The investigator will give the participants in the control group; the standard treatment by using an AHA-BLS 2020 brochure. The participants will read and understand this brochure over 30 minutes, including a brief guideline about basic life support guidelines, and after these 30 minutes, the participants will move to the post-test. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Simulation in basic life support training (SBLST) | Other | The interventional tools, simulation in basic life support training (SBLST), were prepared in English. The researcher will use an already established BLS training from the American Guidelines 2020, a simplified two-part; PowerPoint presentation, and clinical simulation training. |
| Measure | Description | Time Frame |
|---|---|---|
| The Effectiveness of Simulation in basic life support training (SBLST) on the Knowledge Score | To evaluate the effectiveness of SMBST on knowledge scores, investigators will conduct three measurements: a pretest, an immediate post-test after the intervention, and a post-test 2 after three months for both experimental and control groups. Participants will be sent a questionnaire consisting of 13 MCQ three times via Google Form Platforms. These questions will be sent to their cell phone numbers. Repeated measure ANOVA will be conducted for both groups and the mean knowledge scores between the pretest and post-test will be compared. The level of significance will be determined by the p-value to accept or reject the alternative hypothesis (The simulation in basic life support training intervention improves knowledge among newly employed nurses (NEN) in a Jordanian governmental hospital). The intervention is educational and poses no risk or adverse effects to the participants. | 6 Months after finish all data collection |
| The Effectiveness of Simulation in basic life support training (SBLST) on the Practice Score | The investigators performed three measurements to assess the effectiveness of SMBST on practice score; Pretest, immediate-posttest after the intervention, and post-test-2 after three months of the intervention for both experimental and control groups. The practice questionnaires consist of ten MCQs, and the participants will answer this survey three times; these questions will send to the participant's cell phone numbers as a link from Google Form Platforms at all times off-test family, ANOVA for experimental and control groups, then comparing the mean between practice score in both groups and between pretest and post-test and finally identify the level of significant by p-value to reject or accept the alternative hypothesis" The simulation in basic life support training intervention effectively improves practice among newly employed nurses (NEN) in Jordanian governmental hospital." The intervention is educational, and there is no adverse effect or risk to the participant. | 6 moths after finish all data collection |
| The Effectiveness of Simulation in basic life support training (SBLST) on the Confidence Level | The effectiveness of SMBST on confidence levels will be assessed by measuring pretest, immediate posttest, and post-test-2 results for both experimental and control groups. Participants will complete the survey three times using a Google Forms link sent to their cell phones. Repeated measure ANOVA will be used to analyze the data and compare mean confidence levels between the groups and pretest/post-test scores. The intervention has proven effective in improving confidence levels with no adverse effects or risks. |
| Measure | Description | Time Frame |
|---|---|---|
| There are no significant differences between the control and experimental groups in the knowledge score pretest | Before implementing any interventions for the experimental and control groups, the investigator ensures that the pretest levels of both groups are significantly similar to ensure accurate measurement. After conducting an ANOVA analysis and pairwise comparison with means, standard deviation (SD), and P value results, the investigator will decide on this hypothesis. The intervention is educational and poses no adverse effects or risks to the participants. |
| Measure | Description | Time Frame |
|---|---|---|
| There are no differences between the control and experimental groups in the inclusion criteria | The investigators selected inclusion criteria for both the control and experimental group, and both groups should be Homogenous in the demographical data by using Mann-Witney U-test and checking the median and IQ range. The intervention is educational, and there is no adverse effect or risk to the participant | 2 month after finsh the pre-test of both group |
Inclusion Criteria The researchers tried to maintain homogeneity and minimize any variations among the participants by
Exclusion Criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ministry of Health | Amman | 11118 | Jordan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33500268 | Background | Pallas JD, Smiles JP, Zhang M. Cardiac Arrest Nurse Leadership (CANLEAD) trial: a simulation-based randomised controlled trial implementation of a new cardiac arrest role to facilitate cognitive offload for medical team leaders. Emerg Med J. 2021 Aug;38(8):572-578. doi: 10.1136/emermed-2019-209298. Epub 2021 Jan 26. | |
| 32044335 |
| Label | URL |
|---|---|
| The Effect of Medium Fidelity Simulation on Perceived Competence Level of Novice Nursing Students | View source |
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Only the participant data related to the study after participate and publication consent without mentioned name, ID, email...and providing the privacy
after finish and publish the study and will not use in any other study
Data is kept properly and handled only in the research. In addition, the researchers also emphasized that only research groups can access the relevant data in this research and not use it in the future without consent from the participants; moreover, after finishing the study, the data will archive properly according to the policy.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 20, 2023 | Aug 16, 2023 |
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The study design is a basic experimental study design, randomized control trial (RCT) design, SBLST for the intervention group and standard intervention to the control group by using a brochure; the SBLST intervention among the control group was delayed until the end of data collection as an appreciation for their participation in the study, control group participants are wait-listed and exposed to the experimental treatment at a later point.
Pre-prepared Basic Life Support Guidelines 2020 Treatment (A): Standard Treatment The investigator will give the participants in the control group; the standard treatment by using an AHA-BLS 2020 brochure. The participants will read and understand this brochure over 30 minutes Treatment (B): Simulation in basic life support training The interventional tools, simulation in basic life support training (SBLST), were prepared in English. The researcher will use an already established BLS training from the American Guidelines 2020 (AHA, 2020c)
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|
| standard treatment by using an AHA-BLS 2020 brochure | Other | The participants will read and understand this brochure over 30 minutes, including a brief guideline about basic life support guidelines, and after these 30 minutes, the participants will move to the post-test |
|
| 6 moths after finish all data collection |
| 2 month after finsh the pre-test of both group |
| There are no significant differences between the control and experimental groups in the practice score pretest | Before implementing any interventions for the experimental or control groups, the investigator takes measures to ensure that both groups possess comparable pretest scores, thus guaranteeing precise measurements. The validity of this hypothesis will be substantiated through ANOVA analysis, whereby means, standard deviation (SD), and P-values will be compared using pairwise comparisons. It is important to note that the educational intervention provided does not carry any risk or adverse effects for the participants. | 2 month after finsh the pre-test of both group |
| There are no significant differences between the control and experimental groups in the pretest regarding confidence level. | Before performing any intervention for the intervention; and experimental groups, the investigator makes sure that the pretest of both groups is significantly the same level to ensure the accuracy of the measurement; the investigator will decide on this hypothesis after ANOVA analysis and use pairwise comparison with means, standard deviation (SD), and P value results. The intervention is educational, and there is no adverse effect or risk to the participant. | 2 month after finsh the pre-test of both group |
| Significant differences exist between the control and experimental groups in the post-tests on knowledge scores. | The investigator will assess the effectiveness of SBLST on the experimental group by comparing post-test mean and SD and assess the level of significance (p-value) for the control and experimental group to decide that the SBLST was effective on knowledge score using ANOVA repeated measure analysis. The intervention is educational, and there is no adverse effect or risk to the participant. | 6 moths after finish all data collection |
| Significant differences exist between the control and experimental groups in the post-test after the interventions on practice score | The investigator will assess the effectiveness of SBLST on the experimental group by comparing post-test mean and SD and assess the level of significance (p-value) for the control and experimental group to decide that the SBLST was effective on practice score using ANOVA repeated measure analysis. The intervention is educational, and there is no adverse effect or risk to the participant. | 6 moths after finish all data collection |
| Significant differences exist between the control and experimental groups in the post-test after the interventions on the confidence level | The investigator will assess the effectiveness of SBLST on the experimental group by comparing post-test mean and SD and assess the significance level (p-value) for the control and experimental group to decide that the SBLST was effective on confidence level using ANOVA repeated measure analysis. The intervention is educational, and there is no adverse effect or risk to the participant. | 6 moths after finish all data collection |
| Nolan JP, Ornato JP, Parr MJA, Perkins GD, Soar J. Resuscitation highlights in 2019. Resuscitation. 2020 Mar 1;148:234-241. doi: 10.1016/j.resuscitation.2020.02.001. Epub 2020 Feb 7. No abstract available. |
| 31005392 | Background | Zhou XL, Wang J, Jin XQ, Zhao Y, Liu RL, Jiang C. Quality retention of chest compression after repetitive practices with or without feedback devices: A randomized manikin study. Am J Emerg Med. 2020 Jan;38(1):73-78. doi: 10.1016/j.ajem.2019.04.025. Epub 2019 Apr 12. |
| 33415282 | Result | Al Gharibi Msn KA, Arulappan MSc N PhD DNSc J. Repeated Simulation Experience on Self-Confidence, Critical Thinking, and Competence of Nurses and Nursing Students-An Integrative Review. SAGE Open Nurs. 2020 Jun 1;6:2377960820927377. doi: 10.1177/2377960820927377. eCollection 2020 Jan-Dec. |
| 32000691 | Result | Abelsson A, Odestrand P, Nygardh A. To strengthen self-confidence as a step in improving prehospital youth laymen basic life support. BMC Emerg Med. 2020 Jan 30;20(1):8. doi: 10.1186/s12873-020-0304-8. |
| 33237035 | Result | Aksoy ME. Comparing Basic Life Support Serious Gaming Scores With Hands-on Training Platform Performance Scores: Pilot Simulation Study for Basic Life Support Training. JMIR Serious Games. 2020 Nov 25;8(4):e24166. doi: 10.2196/24166. |
| 33773826 | Result | Lott C, Truhlar A, Alfonzo A, Barelli A, Gonzalez-Salvado V, Hinkelbein J, Nolan JP, Paal P, Perkins GD, Thies KC, Yeung J, Zideman DA, Soar J; ERC Special Circumstances Writing Group Collaborators. European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation. 2021 Apr;161:152-219. doi: 10.1016/j.resuscitation.2021.02.011. Epub 2021 Mar 24. |
| 31176242 | Result | Aliyari S, Pishgooie AH, Abdi A, Mazhari MS, Nazari MR. Comparing two teaching methods based on concept map and lecture on the level of learning in basic life support. Nurse Educ Pract. 2019 Jul;38:40-44. doi: 10.1016/j.nepr.2019.05.008. Epub 2019 May 31. |
| 32856402 | Result | Armstrong P, Peckler B, Pilkinton-Ching J, McQuade D, Rogan A. Effect of simulation training on nurse leadership in a shared leadership model for cardiopulmonary resuscitation in the emergency department. Emerg Med Australas. 2021 Apr;33(2):255-261. doi: 10.1111/1742-6723.13605. Epub 2020 Aug 27. |
| 35527256 | Result | Banfai B, Musch J, Betlehem J, Santa E, Horvath B, Nemeth D, Banfai-Csonka H. How effective are chest compressions when wearing mask? A randomised simulation study among first-year health care students during the COVID-19 pandemic. BMC Emerg Med. 2022 May 8;22(1):82. doi: 10.1186/s12873-022-00636-2. |
| 35874065 | Result | Barakat M, Farha RA, Muflih S, Al-Tammemi AB, Othman B, Allozi Y, Fino L. The era of E-learning from the perspectives of Jordanian medical students: A cross-sectional study. Heliyon. 2022 Jul 11;8(7):e09928. doi: 10.1016/j.heliyon.2022.e09928. eCollection 2022 Jul. |
| 28355934 | Result | Borggreve AS, Meijer JMR, Schreuder HWR, Ten Cate O. Simulation-based trauma education for medical students: A review of literature. Med Teach. 2017 Jun;39(6):631-638. doi: 10.1080/0142159X.2017.1303135. Epub 2017 Mar 30. |
| 34223335 | Result | Binkhorst M, van der Aar IM, Linders M, van Heijst AFJ, de Boode WP, Draaisma JMT, Hogeveen M. Training practices in neonatal and paediatric life support: A survey among healthcare professionals working in paediatrics. Resusc Plus. 2021 Jan 6;5:100063. doi: 10.1016/j.resplu.2020.100063. eCollection 2021 Mar. |
| 30836172 | Result | Bottiger BW, Lockey A, Aickin R, Bertaut T, Castren M, de Caen A, Censullo E, Escalante R, Gent L, Georgiou M, Kern KB, Khan AMS, Lim SH, Nadkarni V, Nation K, Neumar RW, Nolan JP, Rao SSCC, Stanton D, Toporas C, Wang TL, Wong G, Perkins GD. Over 675,000 lay people trained in cardiopulmonary resuscitation worldwide - The "World Restart a Heart (WRAH)" initiative 2018. Resuscitation. 2019 May;138:15-17. doi: 10.1016/j.resuscitation.2019.02.033. Epub 2019 Mar 2. No abstract available. |
| 23305947 | Result | Bukiran A, Erdur B, Ozen M, Bozkurt AI. Retention of nurses' knowledge after basic life support and advanced cardiac life support training at immediate, 6-month, and 12-month post-training intervals: a longitudinal study of nurses in Turkey. J Emerg Nurs. 2014 Mar;40(2):146-52. doi: 10.1016/j.jen.2012.08.011. Epub 2013 Jan 7. No abstract available. |
| 33773834 | Result | Semeraro F, Greif R, Bottiger BW, Burkart R, Cimpoesu D, Georgiou M, Yeung J, Lippert F, S Lockey A, Olasveengen TM, Ristagno G, Schlieber J, Schnaubelt S, Scapigliati A, G Monsieurs K. European Resuscitation Council Guidelines 2021: Systems saving lives. Resuscitation. 2021 Apr;161:80-97. doi: 10.1016/j.resuscitation.2021.02.008. Epub 2021 Mar 24. |
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| 30808611 | Result | Gonzalez-Salvado V, Rodriguez-Ruiz E, Abelairas-Gomez C, Ruano-Ravina A, Pena-Gil C, Gonzalez-Juanatey JR, Rodriguez-Nunez A. Training adult laypeople in basic life support. A systematic review. Rev Esp Cardiol (Engl Ed). 2020 Jan;73(1):53-68. doi: 10.1016/j.rec.2018.11.013. Epub 2019 Feb 23. English, Spanish. |
| 34157848 | Result | Goodloe JM, Topjian A, Hsu A, Dunne R, Panchal AR, Levy M, McEvoy M, Vaillancourt C, Cabanas JG, Eisenberg MS, Rea TD, Kudenchuk PJ, Gienapp A, Flores GE, Fuchs S, Adelgais KM, Owusu-Ansah S, Terry M, Sawyer KN, Fromm P, Panczyk M, Kurz M, Lindbeck G, Tan DK, Edelson DP, Sayre MR. Interim Guidance for Emergency Medical Services Management of Out-of-Hospital Cardiac Arrest During the COVID-19 Pandemic. Circ Cardiovasc Qual Outcomes. 2021 Jul;14(7):e007666. doi: 10.1161/CIRCOUTCOMES.120.007666. Epub 2021 Jun 23. No abstract available. |
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| 33773830 | Result | Van de Voorde P, Turner NM, Djakow J, de Lucas N, Martinez-Mejias A, Biarent D, Bingham R, Brissaud O, Hoffmann F, Johannesdottir GB, Lauritsen T, Maconochie I. European Resuscitation Council Guidelines 2021: Paediatric Life Support. Resuscitation. 2021 Apr;161:327-387. doi: 10.1016/j.resuscitation.2021.02.015. Epub 2021 Mar 24. |
| 17910532 | Result | Waldner MH, Olson JK. Taking the patient to the classroom: applying theoretical frameworks to simulation in nursing education. Int J Nurs Educ Scholarsh. 2007;4:Article18. doi: 10.2202/1548-923X.1317. Epub 2007 Sep 17. |
| 28123919 | Result | Williams KL, Rideout J, Pritchett-Kelly S, McDonald M, Mullins-Richards P, Dubrowski A. Mock Code: A Code Blue Scenario Requested by and Developed for Registered Nurses. Cureus. 2016 Dec 23;8(12):e938. doi: 10.7759/cureus.938. |
| 33242153 | Result | Wilson C, Furness E, Proctor L, Sweetman G, Hird K. A randomised trial of the effectiveness of instructor versus automated manikin feedback for training junior doctors in life support skills. Perspect Med Educ. 2021 Mar;10(2):95-100. doi: 10.1007/s40037-020-00631-y. Epub 2020 Nov 26. |
| 34933747 | Result | Wyckoff MH, Singletary EM, Soar J, Olasveengen TM, Greif R, Liley HG, Zideman D, Bhanji F, Andersen LW, Avis SR, Aziz K, Bendall JC, Berry DC, Borra V, Bottiger BW, Bradley R, Bray JE, Breckwoldt J, Carlson JN, Cassan P, Castren M, Chang WT, Charlton NP, Cheng A, Chung SP, Considine J, Costa-Nobre DT, Couper K, Dainty KN, Davis PG, de Almeida MF, de Caen AR, de Paiva EF, Deakin CD, Djarv T, Douma MJ, Drennan IR, Duff JP, Eastwood KJ, El-Naggar W, Epstein JL, Escalante R, Fabres JG, Fawke J, Finn JC, Foglia EE, Folke F, Freeman K, Gilfoyle E, Goolsby CA, Grove A, Guinsburg R, Hatanaka T, Hazinski MF, Heriot GS, Hirsch KG, Holmberg MJ, Hosono S, Hsieh MJ, Hung KKC, Hsu CH, Ikeyama T, Isayama T, Kapadia VS, Kawakami MD, Kim HS, Kloeck DA, Kudenchuk PJ, Lagina AT, Lauridsen KG, Lavonas EJ, Lockey AS, Malta Hansen C, Markenson D, Matsuyama T, McKinlay CJD, Mehrabian A, Merchant RM, Meyran D, Morley PT, Morrison LJ, Nation KJ, Nemeth M, Neumar RW, Nicholson T, Niermeyer S, Nikolaou N, Nishiyama C, O'Neil BJ, Orkin AM, Osemeke O, Parr MJ, Patocka C, Pellegrino JL, Perkins GD, Perlman JM, Rabi Y, Reynolds JC, Ristagno G, Roehr CC, Sakamoto T, Sandroni C, Sawyer T, Schmolzer GM, Schnaubelt S, Semeraro F, Skrifvars MB, Smith CM, Smyth MA, Soll RF, Sugiura T, Taylor-Phillips S, Trevisanuto D, Vaillancourt C, Wang TL, Weiner GM, Welsford M, Wigginton J, Wyllie JP, Yeung J, Nolan JP, Berg KM; COVID-19 Working Group. 2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group. Resuscitation. 2021 Dec;169:229-311. doi: 10.1016/j.resuscitation.2021.10.040. Epub 2021 Nov 11. |
| 33773828 | Result | Zideman DA, Singletary EM, Borra V, Cassan P, Cimpoesu CD, De Buck E, Djarv T, Handley AJ, Klaassen B, Meyran D, Oliver E, Poole K. European Resuscitation Council Guidelines 2021: First aid. Resuscitation. 2021 Apr;161:270-290. doi: 10.1016/j.resuscitation.2021.02.013. Epub 2021 Mar 24. |
| 38947304 | Derived | Abu-Wardeh Y, Ahmad WMAW, Che Hamzah MSS, Najjar YW, Hassan II. Enriching nursing knowledge and practice in Jordanian government hospitals through basic life support simulation training: A randomized controlled trial. Belitung Nurs J. 2024 Jun 28;10(3):261-271. doi: 10.33546/bnj.3328. eCollection 2024. |
| Effects of in-situ simulation training intervention on Intensive Care Unit and Emergency Department nurses ' competency and confidence to ability to perform cardio- pulmonary resuscitation | View source |
| Descriptive comparative study of nursing faculty self-efficacy in the simulation setting. Descriptive Comparative Study of Nursing Faculty Self-Efficacy in the Simulation Setting | View source |
| Brown, D. K., \& Benson, S. N. K. (2020). Does Time in Team Training Matter ? Evaluation of Team-Level Attitudes With Interprofessional Education. Clinical Simulation in Nursing, 48, 38-45 | View source |
| To assess the effectiveness of simulation teaching of defibrillation on the knowledge and skill of nurses working in the critical care unit of a Tertiary Care Teaching Institute: Prospective, | View source |
| Evaluate of Effectiveness of Planned Teaching Programmer Regarding Basic Life Support (BLS) among Nursing Staff in Basra General Hospital. International Journal of Nursing, 1(2), | View source |
| The Effects of Repeated Basic Life Support Training on Teachers' Knowledge and Skill Levels: A Quasi-experimental Study. Eurasian Journal of Emergency Medicine, 19(1), 46-51 | View source |
| A Study on How Beneficial Simulation Experience Is For Nursing Staff's Advanced Cardiac Life Support Knowledge at the New Najran General Hospita. Annals of Case Reports, 6(02) | View source |
| Purposeful Simulation Role Assignment. Clinical Simulation in Nursing | View source |
| Exploring nurses' knowledge of basic life support guideline of american heart association: A local study. Journal of Emergency Practice and Trauma | View source |
| Knowledge and Practice of Basic Life Support ( BLS ) Among Registered Nurse at a Private Hospital in Seremban. 13(January), 58-64 | View source |
| Jawabreh, N., Ayed, A., \& Batran, A. (2019). Effect of High Fidelity Simulation on Nursing Students' Knowledge in Palestine. Open Journal of Nursing, 09(04), 364-369 | View source |
| Deliberate Practice in Simulation : Evaluation of Repetitive Code Training on Nursing Students ' BLS Team Skills. Clinical Simulation in Nursing, 48, 8-14 | View source |
| High Fidelity Simulation Experience and Development of Clinical Judgment: Recent Graduate Nurses' Reflections. ProQuest Dissertations and Theses, 127. | View source |
| Quality improvement for self-confidence, critical-thinking, and psychomotor skills in basic life support of nursing health professionals through case-scenario simulation training. Journal of Nursing Education | View source |
| Guidance for Comprehensive Health Care Simulation Program Evaluation. Clinical Simulation in Nursing, 48, 20-28 | View source |
| Mcdermott, D. S., \& Ludlow, J. (2022). A Prebriefing Guide for Online , Virtual , or Distant Simulation Experiences. Clinical Simulation in Nursing, 67, 1-5. | View source |
| Assessing ventilation skills by nursing students in paediatric and adult basic life support: A crossover randomized simulation study using Bag-Val | View source |
| In Situ Simulation : Challenges and Results (Vol.3: Performance and Tools). Approaches in Patient Safety: New Directions and Alternative Approaches, 1-18 | View source |
| A study to assess knowledge andpractice of basic life support among nurses working in tertiary care hospital, New Delhi, India. Nursing \& Care Open Access Journal, 7(2), 48-52. | View source |
| Assessment of the knowledge level and its relevance in terms of CPR in medical personnel of the hospital emergency medical system of the Autonomous Community of the Region of Murcia | View source |
| The additional ımpact of simulation based medical training to traditional medical training alone in advanced cardiac life support: A scenario based evaluation | View source |
| Atualização de trabalhadores de enfermagem em suporte básico de vida. Revista de Enfermagem UFPE on Line, 13 | View source |
| The Effect of High-Fidelity Cardiopulmonary Resuscitation (CPR) Simulation on Athletic Training Student Knowledge, Confidence, Emotions, and Experiences. Athletic Training Education Journal, 10(2), 103-112. | View source |
| Suporte básico de vida: Avaliação da aprendizagem com uso de simulação e dispositivos de feedback imediato. Revista Latino-Americana de Enfermagem | View source |
| Knowledge Level of Healthcare Professionals on Basic and Advanced Life Support in Children. Eurasian Journal of Emergency Medicine | View source |
| Resuscitation and Emergency Cardiovascular Care Aid Task Forces ; and the COVID-19 Working Group International Liaison Committee on Resuscitation. 9. https://doi.org/10.1016/j.resuscitation.2021.10.040 | View source |
| Knowledge, attitude and practice of basic life support among junior doctors and students in a tertiary care medical institute. International Journal of Research in Medical Sciences | View source |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Apr 20, 2023 | Aug 16, 2023 | SAP_001.pdf |
| ICF | No | No | Yes | Informed Consent Form | Apr 20, 2023 | Aug 12, 2023 | ICF_002.pdf |