Evaluation of the efficiency of the different methods of teaching cardiopulmonary resuscitation to children and adolescents: integrative review

Main Article Content

Laura Franco de Oliveira Martins
https://orcid.org/0000-0001-6075-5112
Ana Júlia Bonine Melo
Daniel Brito Reis
https://orcid.org/0000-0003-1683-7801
Mateus Goulart Alves
https://orcid.org/0000-0003-0680-6817

Abstract

Objective: To evaluate the efficiency of different teaching methods of Basic Life Support for lay students from 12 years of age. Methods: A search was carried out for articles on the MEDLINE/PubMed and Lilacs/BVS platforms between December 2021 and January 2022 to answer the guiding question, "How effective are the different teaching methods of cardiopulmonary resuscitation for children and adolescents?". Articles published in English and Portuguese in the last five years were included. Results: Seven articles addressed teaching methods: self-regulated learning, training of teachers followed by students, peer education, online teaching associated with practical self-training, distance learning, digital training added to practice, and application use through a tablet with subsequent evaluation. In all studies, there was a comparison between intervention and conventional training. In general, all teaching methods contributed to developing the ability to act in trauma situations, but strategies that involved the presence of instructors in training showed better short- and long-term results. Conclusion: this study verified the findings in the literature regarding the effectiveness of different BLS teaching methods for children and adolescents. Among all approaches, better performance was observed in methods that had the presence of instructors, who offered feedback to students and reduced distractions. However, digital, self-regulated, and peer teaching also proved viable. Therefore, the choice of method should be based on the target audience's reality.



Article Details

How to Cite
1.
Franco de Oliveira Martins L, Bonine Melo AJ, Reis DB, Alves MG. Evaluation of the efficiency of the different methods of teaching cardiopulmonary resuscitation to children and adolescents: integrative review. HSJ [Internet]. 2023Mar.27 [cited 2024Jun.19];13(1):14-1. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1355
Section
ORIGINAL ARTICLE
Author Biographies

Laura Franco de Oliveira Martins, Federal University of Alfenas

3rd Year Medical Student at the Federal University of Alfenas.

Ana Júlia Bonine Melo, State University of Minas Gerais

3rd Year Medical Student at the State University of Minas Gerais.

Daniel Brito Reis, Universidade do Estado de Minas Gerais

3rd Year Medical Student at the State University of Minas Gerais.

Mateus Goulart Alves, State University of Minas Gerais

Professor. PhD student in Health Promotion at the University of Franca. Professor at the State University of Minas Gerais.

References

1. Sociedade Brasileira de Cardiologia. I Diretriz de ressuscitação cardiopulmonar e cuidados cardiovasculares de emergência da Sociedade Brasileira de Cardiologia. Arquivos brasileiros de cardiologia [Internet]. 2013 [cited 2022 Out 30];101:1-221. Avaiable from: https://bit.ly/3JZVjnj
2. Sociedade Brasileira de Cardiologia. Atualização da Diretriz de Ressuscitação Cardiopulmonar e Cuidados Cardiovasculares de Emergência da Sociedade Brasileira de Cardiologia. Arquivos brasileiros de cardiologia [Internet]. 2019 [cited 2022 Out 30]; 449-663. Avaiable from: https://bit.ly/42kM4F7
3. Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary. Resuscitation. 2015 Oct;95:1-80. https://doi.org/10.1016/j.resuscitation.2015.07.038
4. Neumar RW, Shuster M, Callaway CW, Gent LM, Atkins DL, Bhanji F, et al. Part 1: executive summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(18 Suppl 2):S315-367. https://doi.org/10.1161/CIR.0000000000000252
5. Dados sobre Morte Súbita - Coração na Batida Certa [Internet]. Sociedade Brasileira de Arritmias. [cited 2023 Mar 19]. Available from: http://bit.ly/3lnJmhs
6. ERC | Bringing resuscitation to the world [Internet]. www.erc.edu. [cited 2022 Oct 30]. Available from: https://www.erc.edu/projects/kids-save-lives
7. Böttiger BW, Van Aken H. Kids save lives. Resuscitation. 2015;94:A5-7. https://doi.org/10.1016/j.resuscitation.2015.07.005
8. Abelairas-Gómez C, Schroeder DC, Carballo-Fazanes A, Böttiger BW, López-García S, Martínez-Isasi S, et al. KIDS SAVE LIVES in schools: cross-sectional survey of schoolteachers. Eur J Ped. 2021;180(7):2213-21. https://doi.org/10.1007/s00431-021-03971-x
9. Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it? Einstein (São Paulo). 2010;8(1):102-6. https://doi.org/10.1590/s1679-45082010rw1134
10. Santos CMDC, Pimenta CADM, Nobre MRC. A estratégia PICO para a construção da pergunta de pesquisa e busca deevidências. Rev Lat Am Enfermagem. 2007;15(3):508-11. https://doi.org/10.1590/S0104-11692007000300023
11. PRISMA [Internet]. Prisma-statement.org. 2018. Available from: https://www.prisma-statement.org//Extensions/ScopingReviews
12. Süss-Havemann C, Kosan J, Seibold T, Dibbern NM, Daubmann A, Kubitz JC, et al. Implementation of Basic Life Support training in schools: a randomised controlled trial evaluating self-regulated learning as alternative training concept. BMC Public Health. 2020;20(1):50. https://doi.org/10.1186/s12889-020-8161-7
13. Iserbyt P, Madou T. The effect of content knowledge and repeated teaching on teaching and learning basic life support: a cluster randomised controlled trial. Acta Cardiol. 2022;77(7):616-25. https://doi.org/10.1080/00015385.2021.1969109
14. Kesici S, Bayrakci Z, Birbilen AZ, Hanalioglu D, Öztürk Z, Teksam Ö, et al. Peer Education Model for Basic Life Support Training among High School Children: A Randomized Trial. Prehosp Disaster Med. 2021;36(5):553-60. https://doi.org/10.1017/S1049023X21000674
15. Napp A, Kosan J, Hoffend C, Häge A, Breitfeld P, Doehn C, et al. Implementation of basic life support training for school children: Online education for potential instructors? Results of a cluster randomised, controlled, non-inferiority trial. Resuscitation. 2020;152:141-8. https://doi.org/10.1016/j.resuscitation.2020.04.041
16. Han S, Park HJ, Nah S, Lee EH, Lee HJ, Park JO, et al. Instructor-led distance learning for training students in cardiopulmonary resuscitation: A randomized controlled study. PLoS One. 2021;16(5):e0251277. https://doi.org/10.1371/journal.pone.0251277
17. Nord A, Hult H, Kreitz-Sandberg S, Herlitz J, Svensson L, Nilsson L. Effect of two additional interventions, test and reflection, added to standard cardiopulmonary resuscitation training on seventh grade students' practical skills and willingness to act: a cluster randomised trial. BMJ Open. 2017;7(6):e014230. https://doi.org/10.1136/bmjopen-2016-014230
18. Doucet L, Lammens R, Hendrickx S, Dewolf P. App-based learning as an alternative for instructors in teaching basic life support to school children: a randomized control trial. Acta Clin Belgica. 2018;74(5):317-25. https://doi.org/10.1080/17843286.2018.1500766
19. Blewer AL, Ibrahim SA, Leary M, Dutwin D, McNally B, Anderson ML, et al. Cardiopulmonary resuscitation training disparities in the United States. J Am Heart Ass. 2017;6(5):e066124. https://doi.org/10.1161/JAHA.117.006124
20. Wissenberg M, Lippert FK, Folke F, Weeke P, Hansen CM, Christensen EF, et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA. 2013;310(13):1377. https://doi.org/10.1001/jama.2013.278483
21. Li H, Shen X, Xu X, Wang Y, Chu L, Zhao J, et al. Bystander cardiopulmonary resuscitation training in primary and secondary school children in China and the impact of neighborhood socioeconomic status: A prospective controlled trial. Medicine. 2018;97(40):e12673. https://doi.org/10.1097/MD.0000000000012673
22. Wingen S, Schroeder DC, Ecker H, Steinhauser S, Altin S, Stock S, et al. Self-confidence and level of knowledge after cardiopulmonary resuscitation training in 14 to 18-year-old schoolchildren. Eur J Anaest. 2018;35(7):519-26. https://doi.org/10.1097/EJA.0000000000000766
23. Fijačko N, Masterson Creber R, Gosak L, Štiglic G, Egan D, Chaka B, et al. Evaluating quality, usability, evidence-based content, and gamification features in mobile learning apps designed to teach children basic life support: systematic search in app stores and content analysis. JMIR Mhealth Uhealth. 2021;9(7):e25437. https://doi.org/10.2196/25437
24. Schmid KM, García RQ, Fernandez MM, Mould-Millman N-K, Lowenstein SR. Teaching Hands-Only CPR in Schools: A Program Evaluation in San José, Costa Rica. An Glob Health. 2018;84(4):612-7. https://doi.org/10.29024/aogh.2367