Efficacy of using Simulation-Based Training to Improve the Knowledge and Confidence of Nursing Students in Cardiopulmonary Resuscitation Practice:

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Background: Simulation-based learning has played a role in nursing education. However, studies are unclear on whether simulation- based education (SBE) can enhance knowledge and confidence of nursing students in the performance of cardiopulmonary resuscitation. Objective: To determine whether SBE can improve the knowledge and confidence of nursing students concerning the performance of cardiopulmonary resuscitation. Design: An adapted Systematic Review Methods: A systematic search was conducted in CINAHL, EMCARE and MEDLINE. Hand searches and grey literature provided further studies. Predetermined eligibility criteria were used to select articles, which were then appraised for quality using JBI Critical appraisal tools. Cochrane collaboration data extraction form was used to collate and present findings from ten studies. Findings: SBE in CPR education enhanced the knowledge, self-efficacy, and confidence of nursing students. Simulation-based learning was more effective than traditional forms in promoting self-efficacy, knowledge acquisition, and retention. High-fidelity simulation improves the learning process better than traditional classroom or low-fidelity teaching modalities. Conclusions: SBE enhances knowledge, self-efficacy, and confidence better than traditional learning methods. Future studies should explore HFS in active care settings and minimise methodological limitations to inform routine clinical practice effectively.  

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