Evaluation of a Quality CPR Coach Simulation-Based Competency Training: From Learning Outcomes to Patient Outcomes

Document Type

Article

Publication Date

1-2025

Publisher

Elsevier

Source Publication

Clinical Simulation in Nursing

Source ISSN

1876-1399

Original Item ID

DOI: 10.1016/j.ecns.2024.101572

Abstract

Background

Variability in cardiopulmonary resuscitation (CPR) quality and skill decay result in suboptimal application of CPR, which impacts patient outcomes following an arrest. Quality CPR Coach is a supplementary code team role that provides real time, verbal feedback directly to chest compressors to cognitively offload the team leader and ensure high-quality, goal-directed CPR delivery.

Methods

Design, implementation, and evaluation of a simulation-based Quality CPR Coach competency curriculum. Multi-modal assessment and evaluation methods were used.

Results

Statistically significant increase in confidence, perceived ability to verbalize Coach responsibilities, and knowledge. Participants demonstrated accurate Coach role performance across progressively scaffolded simulated compression event scenarios. Statistically significant increase in CPR Coaches on resuscitation teams during in-unit compression events, reflecting translation of education to the bedside.

Conclusion

Integrating resuscitation science, evidence-based education principles, and application at the local level are key features in the chain of survival following an arrest. This curriculum design, implementation, and evaluation serves as an exemplar process for other hospitals.

Comments

Clinical Simulation in Nursing, Vol. 98 (January 2025). DOI.

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