The Effect of Blended E-Learning Method on Students' Knowledge and Psychomotor Skills on Basic Life Support

Investigation of the Effect of Blended E-Learning Method Given to Nursing Students on Students' Knowledge and Psychomotor Skills on Basic Life Support: A Pilot Study

The fact that Basic Life Support (BLS) training is factor determining survival necessitates the dissemination of BLS training. However, the fact that BLS training increases the workload of trainers and requires cost is one of the most important obstacles to the dissemination of this training. The search for new training methods with high efficiency and low cost continues in BLS training. Global guidelines recommend increasing quality of BLS and autonomous learning on BLS, and also encourage studies to develop methods related to this.

The use of e-training methods in BLS training is reported to be cost-effective as well as reducing the burden of trainers. In studies investigating the effectiveness of e-learning methods in BLS training, simulation models with feedback were used to evaluate psychomotor skills of the training. In this study, it was evaluated that it would be beneficial to apply a blended e-learning method, which includes video demonstrations of theoretical and BLS psychomotor skills, to nursing students in a virtual classroom environment. In evaluation of the psychomotor skills of BLS training, it was thought that a simple simulation model (Tshirt Dressed Simulation Pillow (TDSP)) could be created in home environment by wearing the tshirt with the sternum and heart print on a standard pillow (40 X 60 cm) in the student's home. It is thought that psychomotor skills will be improved with repetitive BLS applications that students will make on this model in the home environment. Two weeks after blended training, the BLS application will be made and evaluated on the real model. This training and assessment method is a new method that will allow the evaluation of BLS knowledge and the development of psychomotor skills with autonomous learning, and the fact that there is no study on this subject in the literature constitutes the original value of this study.

In this study, it is aimed to evaluate effects of the blended e-training method and TDSP model given to nursing students on the cognitive and psychomotor learning outcomes of the students on BLS.

The research is a randomized, controlled pilot study in a quasi-experimental design to be conducted at Hasan Kalyoncu University, Faculty of Health Sciences, Department of Nursing. The study was approved by Hasan Kalyoncu University Health Sciences Non-Interventional Research Ethics Committee. Written permission will be obtained. Before starting the study, the aims and objectives of the research will be explained to the students, information will be given about the blended e-learning method to be applied in the research, what the students should do within the scope of the research and data collection methods. Written and verbal consent will be obtained from the students who volunteered to participate in the study. The population of the research will be students (N=387) studying at Hasan Kalyoncu University, Faculty of Health Sciences, Department of Nursing in the 2021-2022 academic year. Students who have received BLS training for the first time, who have not practiced BLS before, and who voluntarily agree to participate in the study will be included in the study. The number of samples was determined as n=62 by power analysis. Students who accept to participate will be randomly divided into two groups through the computer program. The data collection tool consists of two forms, the form consisting of the introductory information of the students and the evaluation form of BLS knowledge and skills. The answers given to the cognitive questions and psychomotor skills of the nursing students in the study and control groups in the pre-test and post-test will be compared with appropriate statistical methods. A value of P<0.05 will be accepted for statistical significance.

Study Overview

• Status: Recruiting
• Conditions: Qualified CPR Education
• Intervention / Treatment: Procedure: TCSP

• Study Type: Interventional
• Enrollment (Anticipated): 62
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Kadiriye Pehlivan, RN, MSc; Phone Number: 1547 03422118080; Email: kadriye.pehlivan@hku.edu.tr

Study Locations

• Turkey
  • Gaziantep, Turkey, 27027
    • Recruiting
    • Hasan Kalyoncu University
    • Contact: Kadiriye Pehlivan; Phone Number: 03422118080; Email: kadriye.pehlivan@hku.edu.tr

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

First time receiving BLS training, Those who have not applied BLS before, Students who accept to participate in the research voluntarily

Exclusion Criteria:

Students who have received BLS training or applied BLS before and who work as health professionals, The students who want to leave at any stage after participating in the research voluntarily

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention Group; In the pre-test, all students will be given a BLS information form, followed by blended e-learning with theory and video in a virtual environment. he BLS knowledge post-test will be administered immediately after class.T-shirts and standard pillows (550 g silicon fiber pillow 50x70 cm size) with a simulation of an adult human size (approximately) sternum, rib and heart drawing (printed as picture) will be given to the intervention group only after the pretest. In the study, the BLS will be simulated for adult patients only. To simulate a half-body human CPR mock-up, a pre-made simulation t-shirt will be fitted on a standard pillow to create a CPR mock-up in a home environment, and after blended e-learning, they will be able to perform CPR iteratively on a T-shirt-clad simulation pillow (TCSP) model. In this way, autonomous learning will be supported. All students will practice CPR in a real simulation model two weeks after the blended e-learning.	Procedure: TCSP; In the pre-test, all students will be given a BLS information form, followed by blended e-learning with theory and video in a virtual environment. The BLS knowledge post-test will be administered immediately after class.T-shirts and standard pillows (550 g silicon fiber pillow 50x70 cm size) with a simulation of an adult human size (approximately) sternum, rib and heart drawing (printed as picture) will be given to the intervention group only after the pretest. In the study, the BLS will be simulated for adult patients only. To simulate a half-body human BLS mock-up, a pre-made simulation t-shirt will be fitted on a standard pillow to create a BLS mock-up in a home environment, and after blended e-learning, they will be able to perform BLS iteratively on a T-shirt-clad simulation pillow (TCSP) model. In this way, autonomous learning will be supported. All students will practice BLS in a real simulation model two weeks after the blended e-learning.
No Intervention: Control Group; In the pretest, all students will be given a BLS knowledge test, followed by e-learning blended with theory and video in a virtual environment. The BLS knowledge post-test will be administered immediately after class. Two weeks after the blended e-learning, all students will practice CPR in a real simulation model. Psychomotor skills will be recorded in the evaluation form.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The effect of repeated applications with t-shirt dressed simulation pillow on psychomotor skills	The students in the study group will repeat the BLS application with the TDSP model given to them after the theoretical and video lessons, and the effect of frequent repetitions on psychomotor skills will be evaluated. The psychomotor skill evaluation form created by the researchers by using literature review will be used. For the content validity of this form, the opinions of five expert professionals who are experienced in their field were taken in accordance with the Davis technique.	Two weeks after the blended e-learning

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The effect of blended e-education on BLS knowledge level	It will be evaluated how theoretical and video BLS education affects the level of knowledge compared to classical education. For the evaluation of the information, the BLS Information Evaluation Form, which was created according to the literature review, will be used. For the content validity of this form, the opinions of five expert professionals who are experienced in their field were taken in accordance with the Davis technique.	Before the blended e-learning and immediately after the blended e-learning

Collaborators and Investigators

• Sponsor: Hasan Kalyoncu University

Publications and helpful links

General Publications

• Aziz K, Lee HC, Escobedo MB, Hoover AV, Kamath-Rayne BD, Kapadia VS, Magid DJ, Niermeyer S, Schmolzer GM, Szyld E, Weiner GM, Wyckoff MH, Yamada NK, Zaichkin J. Part 5: Neonatal Resuscitation: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S524-S550. doi: 10.1161/CIR.0000000000000902. Epub 2020 Oct 21. No abstract available.
• Castillo J, Gallart A, Rodriguez E, Castillo J, Gomar C. Basic life support and external defibrillation competences after instruction and at 6 months comparing face-to-face and blended training. Randomised trial. Nurse Educ Today. 2018 Jun;65:232-238. doi: 10.1016/j.nedt.2018.03.008. Epub 2018 Mar 24.
• Chen YS, Lin JW, Yu HY, Ko WJ, Jerng JS, Chang WT, Chen WJ, Huang SC, Chi NH, Wang CH, Chen LC, Tsai PR, Wang SS, Hwang JJ, Lin FY. Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: an observational study and propensity analysis. Lancet. 2008 Aug 16;372(9638):554-61. doi: 10.1016/S0140-6736(08)60958-7. Epub 2008 Jul 4.

Study record dates

Study Major Dates

• Study Start (Actual): May 28, 2022
• Primary Completion (Anticipated): August 28, 2022
• Study Completion (Anticipated): September 28, 2022

Study Registration Dates

• First Submitted: April 4, 2022
• First Submitted That Met QC Criteria: April 20, 2022
• First Posted (Actual): April 26, 2022

Study Record Updates

• Last Update Posted (Actual): August 3, 2022
• Last Update Submitted That Met QC Criteria: August 2, 2022
• Last Verified: August 1, 2022

More Information

Terms related to this study

• Keywords: simulation; nursing; cardiopulmonary resuscitation; blended e-learning; CPR mockup
• Other Study ID Numbers: TDSP

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No