Palmisano Francesco, Santuari Nadia, Moletta Cristina, Ambrosi Elisa, Rizzoli Andrea
Continuing Education Service, Azienda Provinciale Per I Servizi Sanitari, Trento, Italy.
Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
BMC Med Educ. 2024 Dec 24;24(1):1524. doi: 10.1186/s12909-024-06543-3.
The quality of Cardio Pulmonary Resuscitation (CPR) and Automated External Defibrillations (AED) treatment provided by individual practitioners is the most important factor in surviving an in-hospital cardiac arrest (IHCA); therefore, healthcare professionals (HCPs) require sufficient resuscitation competency. This study aimed to analyze the effects of a blended team-based CPR and AED simulation training (riAniMO program) on HCPs performance, satisfaction and perception on transferability, and costs.
The riAniMO is based on a multimedia training program with video lessons and a virtual CPR resuscitation simulation, and a team-based CPR and AED simulation. The study utilized a mixed-method design. The quantitative phase involved a retrospective cohort study with a comparison group to assess the impact of the riAniMO. Meanwhile, the qualitative phase involved four focus groups (FGs) to investigate the viewpoints of professionals on the strengths and limitations of the riAniMO. We compared the 845 HCPs who participated in the BLSD (Basic Life Support- early Defibrillation) re-training program with ERC (European Resuscitation Council) approach and the 1,167 who participated in the riAniMO re-training program. BLSD re-training took place between January and December 2019 and riAniMO re-training took place between January and December 2022.
From quantitative analysis, a slight increase in the number of HCPs satisfied with retraining in the riAniMO group compared to the BLSD group was found. However, the percentage of HCPs certified decreased by 9% in the riAniMo group (90.2%) compared to the BLSD group (99.2%). The RiAniMO approach resulted in cost savings by training 322 more healthcare providers and saving € 61.7 per participant. From the FG analysis, five themes emerged: 1) Realism in Learning: Experimenting in your own operating context and using your own devices; 2) Strength of the working group and multidisciplinarity; 3) Improved perception of training burden; 4) Facilitator as consultant and guide, which provides real-time situational feedback; 5) Transparency on evaluations and certifications for the simulations.
The riAniMO approach maintained high standards in terms of HCPs' satisfaction and performance and seemed to be cost-saving. Further studies are necessary to verify the long-term effectiveness of training methods for team-based CPR and AED simulation.
个体从业者提供的心肺复苏（CPR）和自动体外除颤（AED）治疗质量是院内心脏骤停（IHCA）患者存活的最重要因素；因此，医疗保健专业人员（HCPs）需要具备足够的复苏能力。本研究旨在分析基于团队的心肺复苏和AED模拟混合培训（riAniMO项目）对HCPs的表现、满意度、对可转移性的认知以及成本的影响。
riAniMO基于一个多媒体培训项目，包括视频课程、虚拟心肺复苏模拟以及基于团队的心肺复苏和AED模拟。本研究采用混合方法设计。定量阶段采用回顾性队列研究并设立对照组以评估riAniMO的影响。同时，定性阶段包括四个焦点小组（FGs），以调查专业人员对riAniMO优缺点的看法。我们将845名采用欧洲复苏委员会（ERC）方法参加基础生命支持-早期除颤（BLSD）再培训项目的HCPs与1167名参加riAniMO再培训项目的HCPs进行了比较。BLSD再培训于2019年1月至12月进行，riAniMO再培训于2022年1月至12月进行。
定量分析发现，与BLSD组相比，riAniMO组对再培训满意的HCPs数量略有增加。然而，riAniMO组（90.2%）获得认证的HCPs百分比相较于BLSD组（99.2%）下降了9%。riAniMO方法通过多培训322名医疗保健提供者并为每位参与者节省61.7欧元实现了成本节约。从焦点小组分析中得出了五个主题：1）学习的真实性：在自己的操作环境中进行实践并使用自己的设备；2）工作组的优势和多学科性；3）对培训负担的认知改善；4）促进者作为顾问和指导，提供实时情境反馈；5）模拟评估和认证的透明度。
riAniMO方法在HCPs的满意度和表现方面保持了高标准，并且似乎具有成本效益。有必要进一步研究以验证基于团队的心肺复苏和AED模拟培训方法的长期有效性。
