Comparison of two instructional modalities for nursing student CPR skill acquisition

Effects of different types of feedback on cardiopulmonary resuscitation skills among nursing students–a pilot study

“…These findings contradict Kardong-Edgren et al [4] study which showed that students who had trained CPR with a VAM performed more compressions with an adequate depth and correct hand placement, and also performed more ventilations with adequate volume compared to the students that had trained with an instructor using the same manikins without voice advisor. In Kardong-Edgren et al [4] , however, those who participated in instructor-led training had 4 hours of training while the VAM group trained on their own; no amount of time on training was presented. The skill assessment was done immediately after the training course.…”

“…Training with an instructor probably means receiving less feedback compared to VAM, which gives momentary feedback during the course of the whole training session. The amount of feedback from an instructor partly relies on how many students are supervised in each group; this was not presented in Kardong-Edgren et al [4] . Further, even if the students receive face-to-face training with an instructor it is difficult for the instructor to visual assess compressions depth and ventilation volume which make the feedback less exact.…”

“…Further, even if the students receive face-to-face training with an instructor it is difficult for the instructor to visual assess compressions depth and ventilation volume which make the feedback less exact. Maybe it is, as Kardong-Edgren et al [4] suggests, that selftraining gives the students the opportunity to adapt the practice to their individual needs. Maybe the difference between Kardong-Edgren et al [4] and our results depend on the possibility of self-training.…”

“…During the last 20 years there have been different approaches to teaching nurse students CPR, including video selfinstruction and self-instruction learning [2,3] . Different types of manikins have also been used to improve CPR among nursing students [4] . CPR training is a difficult task.…”

“…According to CPR training among nursing and paramedic students, it has been found that students training CPR using VAM performed more compressions with adequate depth and ventilations with adequate volume compared with students who received no feedback [10] or had instructor-led training [4] . However, Rappolo et al [11] found that medical students who trained with instructors did better with CPR then those who trained with VAM.…”