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Eur J Emerg Med. 2012 Aug;19(4):214-9. doi: 10.1097/MEJ.0b013e32834af5bf.

Efficacy of a self-learning station for basic life support refresher training in a hospital: a randomized controlled trial.

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Emergency Department bCritical Care Department, Ghent University Hospital, De Pintelaan, Ghent, Belgium.



Adult basic life support refresher training using voice feedback manikins has been shown to be feasible, but the superiority of this strategy over instructor-led (IL) refresher training for nurses in a hospital has not been studied in randomized trials.


To study if adult basic life support refresher training for nurses in a self-learning (SL) station using a voice feedback manikin is more effective than IL training.


A Resusci Anne Skills Station (Laerdal, Norway) was installed in a small room. A total of 235 nurses were randomized to SL or IL training. After 1 month and after 7 months, the proportions of nurses achieving a mean compression depth of 38-51 mm, a mean compression rate of 80-120/min, incomplete release of at least 5 mm and a mean ventilation volume of 400-1000 ml were compared between the SL and IL groups.


After 1 month, the proportion of nurses with any incomplete release of at least 5 mm was significantly lower in the SL group (23 of 54 nurses, 43%) compared with the IL group (33 of 47 nurses, 70%) (P=0.005). After 7 months, a lower proportion of nurses achieved a depth of 38-51 mm in the SL group (13 of 45 nurses, 29%) compared with the IL group (25 of 45 nurses, 56%) (P=0.01). For the other outcome parameters, no differences between SL and IL training could be demonstrated.


This randomized trial in a real-life setting showed that more nurses achieved adequate compression depth, 7 months after IL refresher training compared with training in a SL station. Further research is needed to improve the efficacy of this SL training strategy.

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