Student Satisfaction and Self Report CPR Competency: Heartcode™ BLS Courses, Instructor-Led CPR Courses, and Monthly VAM Practice for CPR Skill Maintenance
Montgomery, Cecily Ann
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Correctly performed cardiopulmonary resuscitation (CPR) can improve survival after sudden cardiac arrest; however, research demonstrates that CPR skills are not retained well. Objective: This quasi-experimental longitudinal study among 606 nursing students in diploma, associate degree, and baccalaureate nursing programs around the US determined if type of CPR course or monthly practice affects CPR skill retention, confidence, and training satisfaction. Ten nursing programs were randomized to course type, HeartCode™ BLS or an instructor-led (IL) course, and then randomized to practice group, 6 minutes of monthly practice or no further practice. Method: End of study survey results were compiled and reported as percentages. Short answer data was grouped by category for reporting. Results: Significantly fewer HeartCode™ BLS students (n=126, 87%) were satisfied with their CPR training compared to 95% (n=183) of IL students. Students who practiced CPR monthly (n=146, 90%) were significantly more confident than students who did no practice (n=136, 78%). Fewer students who practiced monthly thought their initial training was just right (n=101, 61%) than those who did no practice (n=131, 74%). Conclusions: Monthly practice improved CPR confidence, but course type did not. However, the CPR skills of students who took HeartCode™ BLS were better. Students were most satisfied when they participated in the IL course and frequent practice. According to students, future CPR practice should include: more practice and immediate feedback, more instructor involvement, and more realistic scenarios.