From games to high fidelity: A comparative study of CPR training methods in nursing education

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-07-23 DOI:10.1016/j.ecns.2025.101783

Dilek Yıldırım Tank RN, PhD, Nurten Taşdemir RN, PhD

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引用次数: 0

Abstract

Background

Clinical simulation is a promising teaching strategy for cardiopulmonary resuscitation (CPR) training and basic life support (BLS) education. However, the effectiveness of different simulation-based methods in CPR training requires further exploration.

Objective

This study compares the effectiveness of three simulation-based methods—game-based virtual reality (VR), high-fidelity simulation (HFS), and low-fidelity simulation (LFS)—on CPR performance, BLS knowledge retention, and skills acquisition in nursing students.

Methods

Ninety undergraduate nursing students were randomized into three groups (VR, HFS, LFS; n = 30 each). After standardized theoretical training, students underwent practical training in CPR techniques, including chest compressions and automated external defibrillator (AED) use, based on their assigned method. Knowledge was assessed pre- and post-training and at three- and six-months. Skills were evaluated immediately post-training. Qualitative feedback was collected to gain insights into student experiences.

Results

All groups showed significant CPR knowledge and skill improvement improvement post-training (p < .05). The VR group had significantly higher knowledge retention at three and six months (p = .035, p = .018) and higher skills scores compared to HFS and LFS (p < .001). Satisfaction and self-confidence scores were not statistically different but were higher in the VR group. Student feedback highlighted VR's realistic, immersive nature in CPR training.

Conclusion

Game-based VR simulation effectively enhances and retains CPR knowledge and skills and offers a cost-effective, innovative alternative to LFS and HFS.

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从游戏到高保真：护理教育中心肺复苏训练方法的比较研究

背景临床模拟教学是心肺复苏（CPR）培训和基础生命支持（BLS）教育的一种很有前途的教学策略。然而，不同的模拟方法在心肺复苏训练中的有效性还有待进一步探索。目的比较基于游戏的虚拟现实（VR）、高保真度模拟（HFS）和低保真度模拟（LFS）三种模拟方法对护理学生心肺复苏术表现、BLS知识保留和技能习得的效果。方法90名本科护生随机分为3组(VR、HFS、LFS；N = 30每个)。在标准化的理论培训之后，学生们根据指定的方法接受心肺复苏技术的实践培训，包括胸外按压和自动体外除颤器（AED）的使用。在训练前和训练后以及3个月和6个月时对知识进行评估。培训后立即对技能进行评估。收集了定性反馈，以深入了解学生的体验。结果各组患者培训后心肺复苏知识和技能均有显著提高(p <；. 05)。与HFS和LFS相比，VR组在3个月和6个月时的知识保留率显著高于HFS组（p = 0.035, p = 0.018），技能得分也显著高于LFS组(p <；措施)。满意度和自信心得分无统计学差异，但VR组更高。学生的反馈强调了VR在心肺复苏术培训中的真实感和沉浸性。结论基于游戏的VR模拟有效地增强和保留了心肺复苏术的知识和技能，为LFS和HFS提供了经济、创新的替代方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.