Introduction: High-fidelity simulations are widely used for resuscitation training. However, whether they could improve nursing staff’s training in managing cardiac arrhythmias is still unknown. This study aimed to investigate the effects of high-fidelity simulations on nursing staff’s training in managing cardiac arrhythmias.
Hypothesis: Using high-fidelity simulations are beneficial for nursing staff’s training in managing cardiac arrhythmias.
Methods: We provided nursing staffs with a 3-hour training session on cardiac arrhythmia management in Taipei Veterans General Hospital. All the participants were trained by either a simulation training course using high-fidelity simulations (experimental group) or a traditional class education (controll group). They received writing tests for arrhythmia patient management, self-evaluation, and the questionnaire for learning satisfaction. All of them received pre-test and post-test. After 1 month, writing tests were repeated again.
Results: A total of 64 nursing staffs (age 32.42 ± 7.91 years) were enrolled, including 32 participants in the experimental group and the other 32 participants in the control group. The pre-test scores of writing tests were similar in the two groups. The post-test scores of writing tests in the experimental group were significantly higher than the control group (16.88 ± 2.47 vs. 14.09 ± 3.57, p= 0.003). The post-test scores of self-evaluation in the experimental group were significantly higher than the control group (45.81 ± 4.75 vs. 41.13 ± 4.98, p< 0.001). The overall learning satisfaction in the experimental group was also higher than the control group (4.81 ± 0.40 vs. 4.13 ± 0.55, p< 0.001). After 1 month, however, the scores of writing tests became similar in the two groups (experimental group vs. control group = 15.13 ± 2.41 vs. 14.19 ± 3.81, p= 0.629).
Conclusions: Using high-fidelity simulations are beneficial for nursing staff’s training in managing cardiac arrhythmias. However, the effects may be declined within 1 month. Further teaching strategies are still needed to improve long-term memory retention of the training.