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Promoting Competence and Confidence: Simulation-Based Basic Life Support Training for Jordanian Nurses

Abstract

Cardiopulmonary arrest is a major health issue that affects healthcare providers. The COVID-19 pandemic has added a new risk to rescuers who may be attempting to resuscitate victims. It is essential to strike a balance between resuscitation and the need to protect oneself from infection. The study aims to evaluate the effectiveness of simulation training in enhancing the Basic Life Support (BLS) knowledge, skills, and confidence levels of newly employed nurses. The study employed a single-masked, prospective, randomized controlled trial design, which consisted of three phases: a pre-test, an immediate post-test, and a post-test conducted three months later. The American Heart Association’s BLS test was used to assess knowledge and practical skills of 102 nurses who were randomly assigned to two groups. The nurses' con- fidence was evaluated through a self-evaluation questionnaire. The control group received the brochure, and the inter- ventional group received a seven-hour BLS training using simulation. Both arms were homogenous in their characteris- tics, according to Mann-Whitney analysis. Independent T-test reflected homogenous pre-test results in knowledge, prac- tice, and confidence between both arms. The result also showed significant differences between both groups in the post- test-1 in knowledge (p < 0.001), practice (p < 0.001) and confidence (p = 0.024); and significant differences in the post- test-2 between both groups in knowledge (p < 0.001), practice (p = 0.002) and confidence (p < 0.001). BLS training using simulation is an efficient method that enables participants to become more knowledgeable and skilled in BLS, resulting in a high level of confidence. Frequent, short BLS training using simulation helps maintain competence and confidence, ensuring readiness for CPR in case of cardiopulmonary arrest.

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