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

Chih Wei Yang, Zui Shen Yen, Jane E. McGowan, Huiju Carrie Chen, Wen Chu Chiang, Mary E. Mancini, Jasmeet Soar, Mei Shu Lai, Matthew Huei Ming Ma

Research output: Contribution to journalArticle

Abstract

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

Original languageEnglish (US)
Pages (from-to)1055-1060
Number of pages6
JournalResuscitation
Volume83
Issue number9
DOIs
StatePublished - Sep 2012
Externally publishedYes

Fingerprint

Health Personnel
Heart Arrest
PubMed
Libraries
Maintenance
Guidelines

Keywords

  • Advanced life support
  • Education
  • Retention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency
  • Emergency Medicine

Cite this

Yang, C. W., Yen, Z. S., McGowan, J. E., Chen, H. C., Chiang, W. C., Mancini, M. E., ... Ma, M. H. M. (2012). A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. Resuscitation, 83(9), 1055-1060. https://doi.org/10.1016/j.resuscitation.2012.02.027

A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. / Yang, Chih Wei; Yen, Zui Shen; McGowan, Jane E.; Chen, Huiju Carrie; Chiang, Wen Chu; Mancini, Mary E.; Soar, Jasmeet; Lai, Mei Shu; Ma, Matthew Huei Ming.

In: Resuscitation, Vol. 83, No. 9, 09.2012, p. 1055-1060.

Research output: Contribution to journalArticle

Yang, CW, Yen, ZS, McGowan, JE, Chen, HC, Chiang, WC, Mancini, ME, Soar, J, Lai, MS & Ma, MHM 2012, 'A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers', Resuscitation, vol. 83, no. 9, pp. 1055-1060. https://doi.org/10.1016/j.resuscitation.2012.02.027
Yang, Chih Wei ; Yen, Zui Shen ; McGowan, Jane E. ; Chen, Huiju Carrie ; Chiang, Wen Chu ; Mancini, Mary E. ; Soar, Jasmeet ; Lai, Mei Shu ; Ma, Matthew Huei Ming. / A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. In: Resuscitation. 2012 ; Vol. 83, No. 9. pp. 1055-1060.
@article{7d74419ed7504a8eafee3f9ca9027792,
title = "A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers",
abstract = "Objective: Advanced life support (ALS) guidelines are widely adopted for healthcare provider training with recommendations for retraining every two years or longer. This systematic review studies the retention of adult ALS knowledge and skills following completion of an ALS course in healthcare providers. Methods: We retrieved original articles using Medline, CINAHL, Cochrane Library, and PubMed, and reviewed reference citations to identify additional studies. We extracted data from included articles using a structured approach and organized outcomes by evaluation method, and knowledge and skills retention. Results: Among 336 articles retrieved, 11 papers were included. Most studies used multiple-choice questionnaires to evaluate knowledge retention and cardiac arrest simulation or other skills tests to evaluate skills retention. All studies reported variable rates of knowledge or skills deterioration over time, from 6 weeks to 2 years after training. Two studies noted retention of knowledge at 18 months and up to 2 years, and one reported skills retention at 3 months. Clinical experience, either prior to or after the courses, has a positive impact on retention of knowledge and skills. Conclusion: There is a lack of large well-designed studies examining the retention of adult ALS knowledge and skills in healthcare providers. The available evidence suggests that ALS knowledge and skills decay by 6 months to 1 year after training and that skills decay faster than knowledge. Additional studies are needed to help provide evidence-based recommendations for assessment of current knowledge and skills and need for refresher training to maximize maintenance of ALS competency.",
keywords = "Advanced life support, Education, Retention",
author = "Yang, {Chih Wei} and Yen, {Zui Shen} and McGowan, {Jane E.} and Chen, {Huiju Carrie} and Chiang, {Wen Chu} and Mancini, {Mary E.} and Jasmeet Soar and Lai, {Mei Shu} and Ma, {Matthew Huei Ming}",
year = "2012",
month = "9",
doi = "10.1016/j.resuscitation.2012.02.027",
language = "English (US)",
volume = "83",
pages = "1055--1060",
journal = "Resuscitation",
issn = "0300-9572",
publisher = "Elsevier Ireland Ltd",
number = "9",

}

TY - JOUR

T1 - A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers

AU - Yang, Chih Wei

AU - Yen, Zui Shen

AU - McGowan, Jane E.

AU - Chen, Huiju Carrie

AU - Chiang, Wen Chu

AU - Mancini, Mary E.

AU - Soar, Jasmeet

AU - Lai, Mei Shu

AU - Ma, Matthew Huei Ming

PY - 2012/9

Y1 - 2012/9

N2 - Objective: Advanced life support (ALS) guidelines are widely adopted for healthcare provider training with recommendations for retraining every two years or longer. This systematic review studies the retention of adult ALS knowledge and skills following completion of an ALS course in healthcare providers. Methods: We retrieved original articles using Medline, CINAHL, Cochrane Library, and PubMed, and reviewed reference citations to identify additional studies. We extracted data from included articles using a structured approach and organized outcomes by evaluation method, and knowledge and skills retention. Results: Among 336 articles retrieved, 11 papers were included. Most studies used multiple-choice questionnaires to evaluate knowledge retention and cardiac arrest simulation or other skills tests to evaluate skills retention. All studies reported variable rates of knowledge or skills deterioration over time, from 6 weeks to 2 years after training. Two studies noted retention of knowledge at 18 months and up to 2 years, and one reported skills retention at 3 months. Clinical experience, either prior to or after the courses, has a positive impact on retention of knowledge and skills. Conclusion: There is a lack of large well-designed studies examining the retention of adult ALS knowledge and skills in healthcare providers. The available evidence suggests that ALS knowledge and skills decay by 6 months to 1 year after training and that skills decay faster than knowledge. Additional studies are needed to help provide evidence-based recommendations for assessment of current knowledge and skills and need for refresher training to maximize maintenance of ALS competency.

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

KW - Advanced life support

KW - Education

KW - Retention

UR - http://www.scopus.com/inward/record.url?scp=84865288797&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84865288797&partnerID=8YFLogxK

U2 - 10.1016/j.resuscitation.2012.02.027

DO - 10.1016/j.resuscitation.2012.02.027

M3 - Article

C2 - 22391016

AN - SCOPUS:84865288797

VL - 83

SP - 1055

EP - 1060

JO - Resuscitation

JF - Resuscitation

SN - 0300-9572

IS - 9

ER -