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Life-threatening conditions such as respiratory failure, shock, and cardiac arrest require rapid recognition and timely intervention in pediatric emergency settings. Pediatric emergency nurses play a critical role in initiating and supporting cardiopulmonary resuscitation (CPR). However, the low frequency of CPR events may limit skill practice and lead to a decline in knowledge and performance over time.
Low-dose, high-frequency (LDHF) training, which involves brief and repeated practice sessions, has been proposed as an effective approach to improve skill retention.
This study aims to evaluate the effect of LDHF CPR training on the knowledge and skill levels of pediatric emergency nurses and to compare its effectiveness with the massed training (MT) model.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low-Dose High-Frequency CPR Training | Experimental | Participants will receive a structured CPR training program consisting of 1 hour of theoretical and 30 minutes of practical training, followed by low-dose, high-frequency reinforcement sessions (approximately 20 minutes) conducted monthly for three months. Knowledge and skills will be assessed using standardized tests and OSPE-based performance evaluations. |
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| Massed CPR Training | Active Comparator | Participants will receive a structured CPR training program consisting of 1 hour of theoretical and 90 minutes of practical training delivered in a single session. No additional reinforcement sessions will be provided during the three-month follow-up period. Knowledge and skills will be assessed using standardized tests and OSPE-based performance evaluations. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low-Dose High-Frequency CPR Training | Behavioral | This intervention consists of a low-dose, high-frequency CPR training approach, including 1 hour of theoretical and 30 minutes of practical training, followed by monthly brief (approximately 20-minute) reinforcement sessions over a three-month period to enhance knowledge retention and skill performance. |
| Measure | Description | Time Frame |
|---|---|---|
| CPR Knowledge Score | CPR knowledge will be assessed using a standardized 25-item knowledge test. Scores will be compared between the low-dose, high-frequency and massed training groups and evaluated over time. | Baseline, immediately post-training, and 3 months post-training |
| Measure | Description | Time Frame |
|---|---|---|
| CPR Skill Performance Score | CPR skills will be evaluated using an Objective Structured Practical Examination (OSPE) based on a standardized clinical scenario. Performance scores will be compared between groups and over time. | Baseline and 3 months post-training |
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Inclusion Criteria:
Nurses actively working in the pediatric emergency department of Ankara Etlik City Hospital Nurses who are scheduled to be on duty during the data collection period Nurses who agree to participate in the study Nurses who provide written informed consent
Exclusion Criteria:
Nurses who have received structured low-dose, high-frequency CPR training within the last 6 months Nurses who are unable to attend training or assessment sessions due to planned leave, illness, or other unforeseen circumstances Nurses who do not participate in any stage of the training program or fail to complete the data collection process
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The aim of this study is to evaluate the effect of low-dose, high-frequency (LDHF) cardiopulmonary resuscitation (CPR) training on the knowledge and skill levels of pediatric emergency nurses and to compare its effectiveness with the traditional massed training (MT) model.
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| Massed CPR Training | Behavioral | This intervention consists of a massed CPR training approach, including 1 hour of theoretical and 90 minutes of practical training delivered in a single session, without additional reinforcement during the three-month follow-up period. |
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