Impact of Realistic Simulation Training on Nurses' Cardiopulmonary Resuscitation Performance

NCT07623447 | Active Not Recruiting

• 1 other identifier: 6121/24
• Study Type: interventional
• Target: 134
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Cardiopulmonary arrest is one of the most prevalent cardiovascular emergencies worldwide, associated with high morbidity and mortality. In Brazil, approximately 14 million people have some form of cardiovascular disease, accounting for around 400,000 deaths per year, which corresponds to 30% of all deaths recorded in the country. Cardiovascular diseases were responsible for more than 198,000 deaths among Brazilians in 2020 and represent the main underlying causes of cardiac arrest. Therefore, early recognition of cardiac arrest can lead to improved outcomes and better patient prognosis. Given this scenario, the need to train healthcare professionals in the appropriate management of cardiac arrest-as well as to educate the general population-is evident. In this context, Resolution No. 704/2022 of the Federal Council of Nursing (COFEN) regulates and authorizes nurses to manage cardiac arrest and perform electrical therapy, including defibrillation, in the absence of a physician, provided they are properly trained. This study proposes a randomized clinical trial to evaluate the impact of training nurses through realistic simulation for the management of cardiac arrest with a shockable rhythm. Objective: To evaluate the impact of training nurses using realistic simulation to perform cardiopulmonary resuscitation (CPR), with an emphasis on electrical therapy. Methods: This is a randomized clinical trial. Expected Results: This study is expected to expand and enhance nurses' knowledge and skills, enabling them to perform defibrillation in cases of cardiac arrest due to shockable rhythms in their work environments, thereby promoting higher quality care and improving patient outcomes.

Conditions

Cardiorespiratory Arrest

Keywords

cardiorespiratory arrest; Nursing training; Simulation; defibrillation

Outcome Measures

Primary Outcomes (1)

• Primary outcome

  Description: Measure the impact of realistic simulation-mediated training for nurses facing a CPA situation with a shockable rhythm.

  Four hours

Study Arms (2)

Theoretical-Practical Training

EXPERIMENTAL

Theoretical-Practical Training: The intervention group will participate in a one-hour theoretical-practical session based on realistic simulation. The training will cover the following topics: electrocardiography; recognition of cardiac arrest rhythms, including pulseless ventricular tachycardia (pVT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA); identification of shockable and non-shockable rhythms; operation and key functionalities of the defibrillator; and advanced life support, with an emphasis on cardiac arrest management.

Behavioral: CPR training for nurses with the use of electrical therapy

Control group: the group will receive an explanatory leaflet with the algorithm for cardiorespirator

PLACEBO COMPARATOR

This group of nurses will receive an explanatory leaflet outlining the role of nurses in cardiopulmonary arrest (CPA), including the use of electrical therapy, specifically defibrillation. The leaflet will also include the algorithm describing the sequence of actions for cardiopulmonary resuscitation (CPR).

Behavioral: CPR training for nurses with the use of electrical therapy

Interventions

CPR training for nurses with the use of electrical therapy BEHAVIORAL

Theoretical-Practical Training: the Intervention group will receive a theoretical-practical class using realistic simulation addressing the following topics: electrocardiography; knowledge of cardiorespiratory arrest rhythms: pulseless ventricular tachycardia, ventricular fibrillation, asystole, pulseless electrical activity; identification of shockable and non-shockable rhythms; use of the defibrillator and its functionalities; and advanced life support with an emphasis on cardiorespiratory arrest management. The activity will last one hour.

Control group: the group will receive an explanatory leaflet with the algorithm for cardiorespirator; Theoretical-Practical Training

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Nurses with more than one year of professional experience,

You may not qualify if:

• Nurses who are instructors of ACLS, PALS, or BLS, Nurses who have already participated in any of these trainings.

Sponsors & Collaborators

• Instituto de Cardiologia do Rio Grande do Sul: lead

Study Sites (1)

Instituto de Cardiologia do RS

Porto Alegre, Rio Grande do Sul, 90040371, Brazil

Location

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MeSH Terms

Conditions

Heart Arrest

Interventions

Nurses

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Health Personnel; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The Randomized Clinical Trial will include nurses with more than one year of experience who agree to participate in the study by signing the Informed Consent Form (Appendix 2). Professionals will be invited by email or WhatsApp message, sent directly to the professional and to the healthcare institutions, and also by invitation sent by the Regional Nursing Council (COREN/RS). To preserve the anonymity of participants in the evaluation test, each will be assigned a number, preceded by the letter "E," as a codename. Participants will be randomized using an electronic randomization system (random.org) and divided into two groups: Control Group (n=30) and Intervention Group (n=30). Professionals who agree to participate in the study will be blinded to the intended intervention.

Study Record Dates

• First Submitted: July 17, 2025
• First Posted: June 3, 2026
• Study Start: March 18, 2026
• Primary Completion (Estimated): December 20, 2026
• Study Completion (Estimated): March 20, 2027
• Last Updated: June 3, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)