Effectiveness of Simulation-Based Training in Enhancing Knowledge and Performance of Paramedical Personnel in Basic Life Support in a Developing Country

Abstract

INTRODUCTION: Basic life support is important for increasing patient survival after a cardiac arrest. However, it was demonstrated that healthcare professionals lacked certain knowledge and skills in basic life support. This study aimed to evaluate the effectiveness of a low-fidelity simulation training session in improving paramedical personnel knowledge and performance in Basic life support. METHODS: A cross-sectional quasi-experimental single-group pre-post intervention study was conducted at the Internal Security Forces Hospital in Tunisia in January 2024. All paramedical personnel providing direct patient care were included. The training program involved a theoretical course and a simulation training session. Participants filled out pre-tests and post-tests before and after the theoretical course. A practical simulation test with a skill assessment sheet occurred after the basic life support simulation training session. RESULTS: Fifty-five paramedical personnel participated in the study. Participants' mean age was 39.7±10.3 years and 72.7% of the participants were women. Most participants were nurses (50.9%). Comparing the pre-test (M=1.73, SD= 0.7) with the post-test scores (M=2.77, SD=1.02,) showed a significant improvement in basic life support knowledge after the theoretical course (p< 10-6). After the basic life support simulation training session, a significant improvement in the practical test score (M=4.04, SD= 0.7) compared to the post-test score was observed (p< 10-6). CONCLUSIONS: Simulation training has a positive effect on improving paramedical personnel's knowledge and performance. To enhance their knowledge and practice in cardiopulmonary resuscitation, a basic life support training program is recommended for all paramedical personnel.