Low-Dose, High-Frequency CPR Training in Pediatric Emergency Nurses (LDHF CPR Peds)

March 27, 2026 updated by: AYLİN ARIKAN, Ankara University

Effect of Low-Dose, High-Frequency Cardiopulmonary Resuscitation Training on Knowledge and Skill Levels in Pediatric Emergency Nurses: A Randomized Controlled Trial

Life-threatening conditions such as respiratory failure, shock, and cardiac arrest require rapid recognition and timely intervention in pediatric emergency settings. Pediatric emergency nurses play a critical role in initiating and supporting cardiopulmonary resuscitation (CPR). However, the low frequency of CPR events may limit skill practice and lead to a decline in knowledge and performance over time.

Low-dose, high-frequency (LDHF) training, which involves brief and repeated practice sessions, has been proposed as an effective approach to improve skill retention.

This study aims to evaluate the effect of LDHF CPR training on the knowledge and skill levels of pediatric emergency nurses and to compare its effectiveness with the massed training (MT) model.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

60

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

Nurses actively working in the pediatric emergency department of Ankara Etlik City Hospital Nurses who are scheduled to be on duty during the data collection period Nurses who agree to participate in the study Nurses who provide written informed consent

Exclusion Criteria:

Nurses who have received structured low-dose, high-frequency CPR training within the last 6 months Nurses who are unable to attend training or assessment sessions due to planned leave, illness, or other unforeseen circumstances Nurses who do not participate in any stage of the training program or fail to complete the data collection process

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Low-Dose High-Frequency CPR Training
Participants will receive a structured CPR training program consisting of 1 hour of theoretical and 30 minutes of practical training, followed by low-dose, high-frequency reinforcement sessions (approximately 20 minutes) conducted monthly for three months. Knowledge and skills will be assessed using standardized tests and OSPE-based performance evaluations.
Behavioral: Low-Dose High-Frequency CPR Training
This intervention consists of a low-dose, high-frequency CPR training approach, including 1 hour of theoretical and 30 minutes of practical training, followed by monthly brief (approximately 20-minute) reinforcement sessions over a three-month period to enhance knowledge retention and skill performance.
Active Comparator: Massed CPR Training
Participants will receive a structured CPR training program consisting of 1 hour of theoretical and 90 minutes of practical training delivered in a single session. No additional reinforcement sessions will be provided during the three-month follow-up period. Knowledge and skills will be assessed using standardized tests and OSPE-based performance evaluations.
Behavioral: Massed CPR Training
This intervention consists of a massed CPR training approach, including 1 hour of theoretical and 90 minutes of practical training delivered in a single session, without additional reinforcement during the three-month follow-up period.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
CPR Knowledge Score
Time Frame: Baseline, immediately post-training, and 3 months post-training
CPR knowledge will be assessed using a standardized 25-item knowledge test. Scores will be compared between the low-dose, high-frequency and massed training groups and evaluated over time.
Baseline, immediately post-training, and 3 months post-training

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
CPR Skill Performance Score
Time Frame: Baseline and 3 months post-training
CPR skills will be evaluated using an Objective Structured Practical Examination (OSPE) based on a standardized clinical scenario. Performance scores will be compared between groups and over time.
Baseline and 3 months post-training

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Ankara University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

April 1, 2026

Primary Completion (Estimated)

August 1, 2026

Study Completion (Estimated)

September 1, 2026

Study Registration Dates

First Submitted

March 27, 2026

First Submitted That Met QC Criteria

March 27, 2026

First Posted (Actual)

April 2, 2026

Study Record Updates

Last Update Posted (Actual)

April 2, 2026

Last Update Submitted That Met QC Criteria

March 27, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • AEŞH-BADEK1-2026-262

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

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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