• Koenraad G Monsieurs, Melissa De Regge, Paul A Calle, Nicolas Mpotos, Martin Valcke, Sam Schelfout, and Frank D'Hondt.
• Emergency Department bCritical Care Department, Ghent University Hospital, De Pintelaan, Ghent, Belgium. koen.monsieurs@ugent.be
• Eur J Emerg Med. 2012 Aug 1;19(4):214-9.

BackgroundAdult basic life support refresher training using voice feedback manikins has been shown to be feasible, but the superiority of this strategy over instructor-led (IL) refresher training for nurses in a hospital has not been studied in randomized trials.ObjectivesTo study if adult basic life support refresher training for nurses in a self-learning (SL) station using a voice feedback manikin is more effective than IL training.MethodsA Resusci Anne Skills Station (Laerdal, Norway) was installed in a small room. A total of 235 nurses were randomized to SL or IL training. After 1 month and after 7 months, the proportions of nurses achieving a mean compression depth of 38-51 mm, a mean compression rate of 80-120/min, incomplete release of at least 5 mm and a mean ventilation volume of 400-1000 ml were compared between the SL and IL groups.ResultsAfter 1 month, the proportion of nurses with any incomplete release of at least 5 mm was significantly lower in the SL group (23 of 54 nurses, 43%) compared with the IL group (33 of 47 nurses, 70%) (P=0.005). After 7 months, a lower proportion of nurses achieved a depth of 38-51 mm in the SL group (13 of 45 nurses, 29%) compared with the IL group (25 of 45 nurses, 56%) (P=0.01). For the other outcome parameters, no differences between SL and IL training could be demonstrated.ConclusionsThis randomized trial in a real-life setting showed that more nurses achieved adequate compression depth, 7 months after IL refresher training compared with training in a SL station. Further research is needed to improve the efficacy of this SL training strategy.

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