Abstract Body (Do not enter title and authors here): 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.