Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Federal University Birnin-Kebbi, Birnin Kebbi, Kebbi, Nigeria.
Front Public Health. 2023 Mar 21;11:1124270. doi: 10.3389/fpubh.2023.1124270. eCollection 2023.
Adaptable cardiopulmonary resuscitation/basic life support (CPR/BLS) training are required to reduce cardiac arrest mortality globally, especially among nurses. Thus, this study aims to compared CPR knowledge and skills retention level between instructor-led (control group) and video self-instruction training (intervention group) among nurses in northwestern Nigeria.
A two-arm randomized controlled trial study using double blinding method was conducted with 150 nurses from two referral hospitals. Stratified simple random method was used to choose eligible nurses. For video self-instruction training (intervention group), participants learnt the CPR training computer in a simulation lab for 7 days, in their own available time whereas for instructor-led training (control group), a 1-day program was conducted by AHA certified instructors. A generalized estimated equation model was used for statistical analysis.
Generalized Estimated Equation showed that there were no significant differences between the intervention group ( = 0.055) and control group ( = 0.121) for both CPR knowledge and skills levels respectively, whereas higher probability of having good knowledge and skills in a post-test, one month and three-month follow-up compared to baseline respectively, adjusted with covariates ( < 0.05). Participants had a lower probability of having good skills at 6-month follow-up compared to baseline, adjusted with covariates ( = 0.003).
This study showed no significant differences between the two training methods, hence video self-instruction training is suggested can train more nurses in a less cost-effective manner to maximize resource utilization and quality nursing care. It is suggested to be used to improve knowledge and skills among nurses to ensure cardiac arrest patients receive excellent resuscitation care.
为了降低全球范围内的心脏骤停死亡率，尤其是在护士群体中，适应性心肺复苏/基础生命支持（CPR/BLS）培训必不可少。因此，本研究旨在比较尼日利亚西北部的护士接受讲师指导（对照组）和视频自我指导培训（干预组）后的 CPR 知识和技能保留水平。
这是一项采用双盲法的两臂随机对照试验研究，对象为来自两家转诊医院的 150 名护士。采用分层简单随机方法选择合格的护士。对于视频自我指导培训（干预组），参与者在模拟实验室中自行学习 CPR 培训计算机课程，时间为 7 天；而对于讲师指导培训（对照组），则由 AHA 认证讲师进行为期 1 天的课程。采用广义估计方程模型进行统计分析。
广义估计方程显示，干预组（ = 0.055）和对照组（ = 0.121）的 CPR 知识和技能水平均无显著差异，然而，在进行测试后、一个月和三个月的随访中，与基线相比，参与者具有良好知识和技能的可能性更高，调整了协变量（ < 0.05）。与基线相比，调整了协变量后，参与者在 6 个月随访时具有良好技能的可能性较低（ = 0.003）。
本研究表明，两种培训方法之间无显著差异，因此建议采用视频自我指导培训，以更低的成本效益方式培训更多的护士，最大限度地利用资源并提供优质的护理服务。建议使用该方法来提高护士的知识和技能，以确保心脏骤停患者得到卓越的复苏护理。
