• Sami M Aloush, Ashraf Al Sabah, Yasmeen Abu Sumaqa, Marwa Halabi, Mohammed Al Bashtawy, Mohammad Suliman, and Fadia A Abdelkader.
• Adult Health Nursing Department, Faculty of Nursing, Al al Bayt University, Mafraq, Jordan.
• Nurs Forum. 2018 Oct 1; 53 (4): 585-591.

BackgroundIntegrating cardiopulmonary resuscitation (CPR) in undergraduate education would help to increase the rate of bystander CPR. However, few qualified trainers are available for this purpose. Training student nurses to become CPR trainers on campus could reduce this shortage.PurposeThe purposes of this study were to assess CPR skills of students from nonmedical majors and to examine the effectiveness of the three tiers model for CPR training.SettingsOne public university in Jordan.ParticipantsStudent nurses and undergraduates from nonmedical majors.MethodFive student nurses attended CPR training courses based on the American Heart Association CPR guidelines. The trainees provided the same CPR training to a sample of 197 undergraduates from nonmedical majors. The participants were asked to imagine a real-life scenario of out-of-hospital cardiopulmonary arrest and to perform CPR on a manikin. Assessment of skills was made before and after training, using a structured observational checklist.ResultsIn the pretest, participants showed poor CPR skills with a pass rate of only 4%. In the posttest, participants demonstrated significant improvement: t(196) = 26.78, P = 0.00.ConclusionThe three tiers model for CPR training would be an effective strategy to compensate for the shortage in the number of certified CPR trainers.© 2018 Wiley Periodicals, Inc.

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