Abstract 4369573: Improving CPR Quality Through Feedback Devices: A Randomized Simulation Trial Among Critical and Non-Critical Care Nurses

Abstract

Background: Effective in-hospital cardiopulmonary resuscitation (CPR) is critical for patient survival, yet disparities in performance exist between care settings. Real-time feedback devices may improve CPR quality, but evidence comparing their impact across unit types remains limited. Objective: To evaluate the effect of CPR feedback devices on resuscitation performance among nurses from critical and non-critical care units using a simulated scenario. Methods: This non-blinded randomized clinical trial, conducted in a simulation setting, included 68 nurses (34 from intensive care units and 34 from non-intensive care units). In the first phase, all participants underwent an initial assessment of Basic Life Support (BLS) skills, followed by a debriefing. In the second phase, participants were randomized into four groups according to unit type and the use or non-use of the feedback device, and then performed a new assessment. CPR quality metrics included compression rate, depth, chest recoil, chest compression fraction, and ventilation score. Results: At baseline, there were no significant differences in CPR metrics between groups. In the post-training phase, the groups using the feedback device showed significantly higher adherence to recommended compression rates (90% and 74% in critical and non-critical care nurses, respectively) compared to those trained without feedback (33.5% and 51.0%). Conclusion: Training with CPR feedback devices significantly improved the quality of resuscitation in simulated scenarios, independent of care unit. These findings support the integration of real-time feedback technology into routine CPR education to enhance clinical preparedness and performance.