Currently submitted to: JMIR Nursing
Date Submitted: Mar 5, 2025
Open Peer Review Period: Mar 19, 2025 - May 14, 2025
(currently open for review)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The Effectiveness of Feedback-Integrated and Traditional Adult Basic Life Support Training Methods on Knowledge and Skills Retention Among Healthcare Providers in Clinical Settings: A Systematic Review
ABSTRACT
Background:
Cardiovascular diseases are the leading global cause of death, with sudden cardiac arrest contributing significantly. Traditional training methods often deteriorate, and feedback-based approaches can improve long-term skill retention.
Objective:
This review assesses the effectiveness of feedback-integrated training compared to traditional Basic Life Support methods in promoting sustained retention of knowledge and skills among healthcare providers in clinical settings.
Methods:
This systematic review followed PRISMA guidelines, analyzing twelve quasi-experimental and randomized controlled trials published between 2014 and 2024. A comprehensive search was conducted in PubMed, Cochrane Library, Scopus, and Web of Science using keywords related to BLS training and skill retention. Studies were included if they involved healthcare providers, compared feedback-integrated and traditional BLS training, and assessed knowledge or skill retention over time. Excluded studies lacked retention assessments, did not involve healthcare professionals, or were not published in English. Study characteristics, interventions, and outcomes were systematically extracted and synthesized for analysis.
Results:
Database searches in PubMed, Cochrane Library, Scopus, and Web of Science identified 211 articles, with 98 remaining after removing 113 duplicates. After screening, 55 full-text articles were assessed, and 12 met the inclusion criteria. These studies showed that feedback-integrated training- automated, video-based, and simulation feedback—led to better long-term retention of CPR skills and knowledge among healthcare providers. While traditional methods improved performance initially, skills declined significantly after six months, whereas feedback-integrated training maintained competency for up to twelve months, enhancing compression depth, ventilation quality, and overall resuscitation outcomes.
Conclusions:
Feedback-integrated Basic Life Support training enhances skill retention and adaptability to diverse clinical settings, requiring future research to evaluate long-term impacts, cost-effectiveness, and comparison with other resuscitation techniques.
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