Retention of learning after training in Basic Life Support using low fidelity simulation in a dental hospital unit
DOI:
https://doi.org/10.15448/1980-6108.2018.1.29410Keywords:
simulation, learning, basic cardiac life support, cardiopulmonary resuscitation, dentistry.Abstract
AIMS: To evaluate the learning retention of participants of a Basic Life Support course in a dental unit of a university hospital.
METHODS: This study combined quantitative and qualitative methods in a quasi-experimental design, in which the same subjects were compared before and at two moments after an intervention, which consisted of a training course in Basic Life Support. The participants were employees of the Oral Health Unit of the University Hospital of Brasília. Three evaluations were performed: pre-test, post-test and late post-test, in order to assess participants' learning retention. In a second stage of the research, interviews were conducted with the participants approved in the retention learning test.
RESULTS: At all, 66 professionals participated in the course and carried out the theoretical pre-test and the theoretical and practical post-test. One year and five months after the course, 10 participants were submitted to the late post-test, also theoretical and practical. Regarding the theoretical knowledge, the mean was 6.3±2.31 points in the pre-test, 8.3±1.25 points in the post-test and 5.1±1.44 points in the late post-test. Late post-test results revealed also that 70% of participants met the minimum theoretical knowledge requirement for approval (5 of 10 points) but only 20% passed the practical retention assessment. The two participants who passed the practical evaluation had repeated the training after the initial course.
CONCLUSIONS: Basic Life Support training based on simulation resulted in practical and theoretical learning in cardiopulmonary resuscitation. However, the effect did not persist after one year and five months, except for participants who repeated the training during this period, indicating that the long term retention of this learning requires more opportunities for training or practice. Further studies are needed to investigate the ideal workload, the number of repetitions required during training and the appropriate frequency of training, as well as to obtain information about the influence of prior knowledge of the participants and the practice after training in retention of skills.
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References
Aguinis H, Kraiger K. Benefits of training and development for individuals and teams, organizations, and society. Annu Rev Psychol. 2009;60(1):451-74. https://doi.org/10.1146/annurev.psych.60.110707.163505
Burke LA, Hutchins HM. Training transfer: an integrative literature review. HRDR. 2007;6(3):263-96. https://doi.org/10.1177/1534484307303035
Bloom BS, Krathwohl DR, Masia BB. Taxonomia de objetivos educacionais: domínio cognitivo. 1ª ed. Porto Alegre: Globo; 1973.
Abbad GS, Borges-Andrade JE. Aprendizagem humana em organizações de trabalho. In: Zanelli JC, Borges-Andrade JE, Bastos AVB. Psicologia, organizações e trabalho no Brasil. 2a ed. Porto Alegre: Artmed; 2014. p 244-284.
Gonzalez MM, Timerman S, Gianotto-Oliveira R, Polastri TF, Dallan LAP, Araújo S, Lage SG, Schmidt A, Bernoche CSM, Canesin MF, Mancuso FJN, Favarato MH. I diretriz de ressuscitação cardiopulmonar e cuidados cardiovasculares de emergência da Sociedade Brasileira de Cardiologia: resumo executivo. Arq Bras Cardiol. 2013;100(2):105-13. https://doi.org/10.5935/abc.20130022
Hazinski MF, Nolan JP, Aickin R, Bhanji F, Billi JE, Callaway CW, Castren M, de Caen AR, Ferrer JM, Finn JC, Gent LM, Griffin RE, Iverson S, Lang E, Lim SH, Maconochie IK, Montgomery WH, Morley PT, Nadkarni VM, Neumar RW, Nikolaou NI, Perkins GD, Perlman JM, Singletary EM, Soar J, Travers AH, Welsford M, Wyllie J, Zideman DA. Part 1: Executive Summary: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation. 2015 Oct 20;132(16 Suppl 1):S2-39. https://doi.org/10.1161/CIR.0000000000000270
Reeves S, Pelone F, Harrison R, Goldman J, Zwarenstein M. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2017 Jun 22;6:CD000072. https://doi.org/10.1002/14651858.CD000072.pub3
Muller M, Hansel M, Stehr S, Weber S, Koch T. A state-wide survey of medical emergency management in dental practices: incidence of emergencies and training experience. Emerg Med J. 2008;25(5):296-300. https://doi.org/10.1136/emj.2007.052936
Nogami K, Taniguchi S, Ichiyama, T. Rapid deterioration of basic life support skills in dentists with basic life support healthcare provider. Anesth Prog. 2016;63(2):62-6. https://doi.org/10.2344/0003-3006-63.2.62
Jamalpour M, Asadi H, Zarei K. Basic life support knowledge and skills of Iranian general dental practitioners to perform cardiopulmonary resuscitation. Niger Med J. 2015;56(2):148-52. https://doi.org/10.4103/0300-1652.153407
Murphy M, Fitzsimons D. Does attendance at an immediate life support course influence nurses' skill deployment during cardiac arrest? Resuscitation. 2004;62(1):49-54. https://doi.org/10.1016/j.resuscitation.2004.01.033
Sutton RM, Niles D, Meaney PA, Aplenc R, French B, Abella BS, Lengetti EL, Berg RA, Helfaer MA, Nadkarni V. Low-dose, high-frequency CPR training improves skill retention of in-hospital pediatric providers. Pediatrics. 2011;128(1):e145-51. https://doi.org/10.1542/peds.2010-2105
Bertóglio VM, Azzolin K, Souza EN, Rabelo ER. Tempo decorrido do treinamento em parada cardiorrespiratória e o impacto no conhecimento teórico dos enfermeiros. R Gaucha Enferm. 2006;29(3):454-60.
De Regge M, Vogels C, Monsieurs K, Calle P. Retention of ventilation skills of emergency nurses after training with the SMART BAG® compared to a standard bag–valve–mask. Resuscitation. 2006;68(3):379-84. https://doi.org/10.1016/j.resuscitation.2005.07.013
Paige J, Garbee D, Kozmenko V, Yu Q, Kozmenko L, Yang T Bonanno L, Swartz W. Getting a head start: high-fidelity, simulation-based operating room team training of interprofessional students. J Am Coll Surg. 2014;218(1):140-9. https://doi.org/10.1016/j.jamcollsurg.2013.09.006
Ziv A, Wolpe P, Small S, Glick S. Simulation-based medical education. Acad Med. 2003;78(8):783-8. https://doi.org/10.1097/00001888-200308000-00006
López-Messa J, Martín-Hernández H, Pérez-Vela J, Molina-Latorre R, Herrero-Ansola P. Novedades en métodos formativos en resucitación. Med Intens. 2011;35(7):433-41. https://doi.org/10.1016/j.medin.2011.03.008
Shadish W, Cook T, Campbell D. Experimental and quasi-experimental designs for generalized causal inference. Belmont, CA: Wadsworth Cengage Learning; 2002.
Menard S. Handbook of longitudinal research. Amsterdam: Elsevier; 2008.
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