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Impact on retention: comparison of two CPR training programs

W R Gombeski, D M Effron, A G Ramirez

    American Journal of Public Health
    |August 1, 1982
    PubMed
    Summary

    Longer cardiopulmonary resuscitation (CPR) courses improve knowledge and skill retention one year after training. However, both short and long course participants performed below certification standards, indicating a need for course improvement.

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    Area of Science:

    • Medical Education
    • Emergency Medicine
    • Cardiopulmonary Resuscitation Training

    Background:

    • Effective cardiopulmonary resuscitation (CPR) skills are crucial for patient survival.
    • Assessing long-term retention of CPR knowledge and skills is vital for healthcare professionals.
    • Current CPR training durations vary, potentially impacting learning outcomes.

    Purpose of the Study:

    • To compare the one-year skill and cognitive retention of CPR trainees after completing different course durations.
    • To evaluate if longer CPR courses lead to better long-term knowledge and performance.
    • To identify potential areas for improving CPR course effectiveness.

    Main Methods:

    • A comparative study design was employed.
    • CPR trainees were divided into two groups based on course length: 8-hour, 3-session course versus a 4-hour single-session course.

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  • Knowledge and performance assessments were conducted one year post-certification, compared against American Heart Association standards.

    • Main Results:

    • Trainees from the longer (8-hour, 3-session) CPR course demonstrated significantly higher knowledge and cognitive scores one year after certification compared to the shorter course group.
    • Despite differences in knowledge retention, performance skills for both training groups fell below the established American Heart Association certification level.
    • This suggests that while course length impacts knowledge recall, overall skill proficiency may require further intervention.

    Conclusions:

    • The duration of CPR training significantly influences long-term knowledge retention.
    • Current CPR training methodologies, regardless of duration, may not be sufficient to maintain performance skills at certification levels after one year.
    • Further research into specific course components and refresher strategies is recommended to enhance CPR skill and cognitive retention for all trainees.