Effectiveness of Cardiopulmonary Resuscitation Training on the Performance of the Resuscitation Team Based on the Kirkpatrick Model

Cardiopulmonary resuscitation (CPR) is the main treatment for cardiopulmonary arrest, one of the most common causes of death. Training courses must be evaluated to increase CPR quality. This research aims to determine the effectiveness of CPR training on the performance of nurses based on the Kirkpatrick model.

A randomized controlled trial recruited 94 nurses of the CPR team selected with sequential non-probability sampling at Shahid Rahimi teaching hospital in Khorramabad October 2021-2022. They were divided into interventions  n=47 and control groups  n=47. Both groups had a 2-hour theory class, but only the intervention group had a 4-hour basic and advanced defibrillation and CPR practical class. Level 3 of the Kirkpatrick training evaluation model was used. Data was collected in a researcher-made knowledge and reaction questionnaire using Madden's performance observation checklist. The validity and reliability of  these questions were confirmed. Data were analyzed with Fisher's exact test, chi-square test of independence, paired t-test, and ANCOVA (P ˂ 0.05) in SPSS  software version 22.

No statistically significant differences were observed in the demographic variables of the two groups. After the intervention, the average scores of the knowledge and skill level increased in the intervention group and decreased in the control group, but the scores of the reaction level did not change significantly, and no statistically significant difference was observed between the two groups in terms of the average change of the reaction level scores of the nursing staff (P=0.455). However, statistically significant differences were observed in the mean change in scores for defibrillation knowledge (P=0.038), CPR knowledge (P=0.007), defibrillation skills (P˂0.001) and CPR skills (P˂0.001).

Theoretical and practical training increases satisfaction, knowledge, and performance based on kirkpatricks model. The evaluations of effectiveness resuscitation training based on Kirkpatrick's model are recommended.