Personalized Training Schedules for Retention and Sustainment of Cardiopulmonary Resuscitation Skills

作者：Marilyn H. Oermann, Michael A. Krusmark, Suzan Kardong-Edgren, Tiffany S. Jastrzembski, Kevin A. Gluck · 发表于：Simulation in Healthcare The Journal of the Society for Simulation in Healthcare · 年份：2021 · DOI：10.1097/sih.0000000000000559 · 被引用次数：27 · 研究领域：Simulation-Based Education in Healthcare、Cardiac Arrest and Resuscitation、Family and Patient Care in Intensive Care Units

INTRODUCTION: The study examined how the spacing of training during initial acquisition of cardiopulmonary resuscitation (CPR) skill affects longer-term retention and sustainment of these skills. METHODS: This was a multiphased, longitudinal study. Nursing students were randomly assigned to 2 initial acquisition conditions in which they completed 4 consecutive CPR training sessions spaced by shorter (1 or 7 days) or longer (30 or 90 days) training intervals. Students were additionally randomized to refresh skills for 1 year every 3 months, 6 months, or at a personalized interval prescribed by the Predictive Performance Optimizer (PPO), a cognitive tool that predicts learning and decay over time. RESULTS: At the end of the acquisition period, performance was better if training intervals were shorter. At 3 or 6 months after acquisition, performance was better if initial training intervals were longer. At 1 year after acquisition, compression and ventilation scores did not differ by initial training interval nor by 3-month or PPO-prescribed sustainment interval refreshers. However, 6-month interval refreshers were worse than the PPO for compressions and worse than 3 months for ventilations. At the final test session, participants in the personalized PPO condition had less variability in compression scores than either the 3- or 6-month groups. CONCLUSIONS: Results suggest that CPR learning trajectories may be accelerated by first spacing training sessions by days and then expandi...