Biomedical

Development and effects of advanced cardiac resuscitation nursing education program using web-based serious game: application of the IPO model



Abstract

Key Questions


1. Why is advanced cardiopulmonary resuscitation (CPR) training critical for nursing students?

Given the rising number of in-hospital cardiac arrests and the pivotal role of nurses as first responders, advanced CPR training is essential for equipping nursing students with the knowledge and practical skills required for effective response.

2. How does this training program differ from traditional methods?

This program uses a web-based serious game and integrates video lectures, self-reported debriefing, and individual feedback, focusing on a learner-centered approach rather than basic knowledge transmission.

3. What outcomes were achieved through the program?

The program demonstrated significant improvements in knowledge, confidence in performance, problem-solving abilities, and learning transfer expectations among nursing students.

4. What are the implications for nursing education?

This program highlights the need for innovative, systematic, and learner-centered educational strategies in nursing to develop advanced clinical competencies.


Abstract


Background

Background The significant rise in cardiac arrest cases within hospitals, coupled with a low survival rate, poses a critical health issue. Nurses, as first responders, require advanced CPR training that promotes the integration of knowledge and practice through systematic, learner-centered, self-directed education.

Objectives

Objectives To develop an advanced CPR training program using a web-based serious game for nursing students and verify its efficacy.

Design

Design The program was developed based on analysis, design, development, implementation, and evaluation stages. The Input Process Outcome Model of Serious Game Design formed the theoretical basis.

Settings and Participants

Settings and Participants The research design employed a before-and-after non-equivalent control group approach. Data collection took place among 2nd and 3rd-year nursing students at K University in D City, Korea, from March 2, 2023, to March 24, 2023.

Methods

Methods The program consisted of a 120-minute video lecture, 30-minute web-based serious game, 30-minute written self-reported debriefing, and individual feedback via a video conferencing system. Effectiveness was measured with an 89-item structured questionnaire assessing knowledge, confidence in performance, problem-solving ability, and learning transfer expectations.

Results

Results The program effectively improved nursing students’ advanced cardiopulmonary knowledge, confidence in performance, problem-solving ability, and learning transfer expectations immediately after intervention.

Conclusions

Conclusions This program underscores the necessity of a new direction in nursing education. Emphasizing learner-centered approaches over traditional methods helps cultivate nurses with advanced cardiopulmonary resuscitation capabilities.