A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers

作者: Chih-Wei Yang , Zui-Shen Yen , Jane E. McGowan , Huiju Carrie Chen , Wen-Chu Chiang

DOI: 10.1016/J.RESUSCITATION.2012.02.027

关键词: MedicineAdvanced life supportMedical educationHealthcare providersCochrane LibraryMEDLINEEvaluation methodsCINAHLKnowledge retentionRetraining

摘要: Abstract Objective Advanced life support (ALS) guidelines are widely adopted for healthcare provider training with recommendations retraining every two years or longer. This systematic review studies the retention of adult ALS knowledge and skills following completion an course in providers. Methods We retrieved original articles using Medline, CINAHL, Cochrane Library, PubMed, reviewed reference citations to identify additional studies. extracted data from included a structured approach organized outcomes by evaluation method, retention. Results Among 336 retrieved, 11 papers were included. Most used multiple-choice questionnaires evaluate cardiac arrest simulation other tests All reported variable rates deterioration over time, 6 weeks 2 after training. Two noted at 18 months up years, one 3 months. Clinical experience, either prior courses, has positive impact on skills. Conclusion There is lack large well-designed examining The available evidence suggests that decay 1 year faster than knowledge. Additional needed help provide evidence-based assessment current need refresher maximize maintenance competency.

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