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Advanced Cardiac Life Support Courses: live actors do not improve training results compared with conventional manikins.
Miotto, Heberth C; Couto, Braulio R G M; Goulart, Eugenio M A; Amaral, Carlos Faria Santos; Moreira, Maria da Consolacao V.
Afiliação
  • Miotto HC; School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil. hcmiotto@terra.com.br
Resuscitation ; 76(2): 244-8, 2008 Feb.
Article em En | MEDLINE | ID: mdl-17822830
PRIMARY OBJECTIVE: To determine whether using live actors to increase the reality of the scenario improves knowledge retention in Advanced Cardiac Life Support (ACLS) Courses. MAIN SECONDARY OBJECTIVES: To determine the effects of age, time since graduation from nursing or medicine, sex, medical specialty, and workplace in knowledge retention. METHODS: From December 2004 to October 2005, 19 selected ACLS courses were divided at random in two groups: group A (ACLS courses with conventional manikins plus live actors) and group B (ACLS courses with conventional manikins). The live actors vocalized appropriately to create more realistic scenarios. The participants' relevant theoretical knowledge was assessed before the course (pre-test), immediately after the course (post-test), and 6 months after the course (final-test). RESULTS: Four hundred and thirty-five participants were recruited and allocated at random allocated to either group A or B. Overall, the data of 225 participants (51.7%; 111 in group A and 114 in group B) who completed the entire sequence of pre-, post-, and final-tests were analysed. On univariate analysis, the use of live actors, workplace, gender, and healthcare provider profession did not affect pre-, post-, and final-test results (p>0.1). The results in all three tests correlated negatively with time since medical or nursing graduation (95% C.I. -0.53 to -0.17, -0.43 to -0.2, and -0.42 to -0.11, respectively, p<0.05) and age (and 95% C.I. -0.56 to -0.21, -0.42 to -0.2, and -0.38 to -0.07, respectively, p<0.05). CONCLUSION: The use of live actors did not affect knowledge retention in this group. Older age and a longer period since graduation were associated with the worst scores and the lowest levels of knowledge retention.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Competência Profissional / Pessoal de Saúde / Suporte Vital Cardíaco Avançado / Parada Cardíaca / Capacitação em Serviço / Manequins Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male Idioma: En Revista: Resuscitation Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Brasil País de publicação: Irlanda
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Competência Profissional / Pessoal de Saúde / Suporte Vital Cardíaco Avançado / Parada Cardíaca / Capacitação em Serviço / Manequins Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male Idioma: En Revista: Resuscitation Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Brasil País de publicação: Irlanda