Twelve-month retention of technical skills in basic life support following simulation- based training among paramedical staff

Authors

  • Héla Ben Turkia Regional hospital of Ben Arous, faculty of Medicine of Tunis, university of Tunis El Manar , Tunis, Tunisia https://orcid.org/0000-0002-3364-3067
  • Hanene Ghazali Regional hospital of Ben Arous, faculty of Medicine of Tunis, university of Tunis El Manar , Tunis, Tunisia
  • Youssef Ebn Ebrahim Regional hospital of Ben Arous, faculty of Medicine of Tunis, university of Tunis El Manar , Tunis, Tunisia
  • Syrine Keskes Regional hospital of Ben Arous, faculty of Medicine of Tunis, university of Tunis El Manar , Tunis, Tunisia
  • Raja Fadhel Regional hospital of Ben Arous, faculty of Medicine of Tunis, university of Tunis El Manar , Tunis, Tunisia
  • Sami Souissi Regional hospital of Ben Arous, faculty of Medicine of Tunis, university of Tunis El Manar , Tunis, Tunisia

DOI:

https://doi.org/10.62438/tunismed.v104i04.6465

Keywords:

Simulation, Pedagogy, Skills, Nurses

Abstract

Introduction: Simulation-based training is recognized as an effective educational strategy for acquiring clinical competencies, particularly among paramedical personnel. However, long-term retention of these skills remains insufficiently studied.
The aim was to assess the 12-month retention of technical skills in basic life support (BLS) following initial simulation-based training among paramedical staff.
Methods: We conducted a 12-month, single-center prospective study including 17 paramedicals working in an emergency department. Participants underwent a theoretical pre-test and an initial practical assessment of BLS skills (chest compressions and bag-valve-mask ventilation), followed by procedural simulation training. Knowledge and technical skills were evaluated immediately post-training (T1) and at 12 months (T2), using a standardized checklist scored out of 15.
Results: inclusion of 36 participants, 17 achieved all steps. Mean theoretical scores improved from 7.24±2.15 at baseline to 11.75±5.55 immediately after training (p=0.013), reaching 12.28±3.77 at 12 months. Practical skill scores significantly increased from 4.17±1.34 at baseline to 12.52±1.34 at T1 (p<0.001), with a mean score of 11.14±1.95 at T2, indicating substantial skill retention.
Conclusion: Our findings demonstrate sustained retention of both theoretical knowledge and technical skills in BLS at 12 months following simulation-based training among paramedical personnel. These results support the long-term educational value of simulation in enhancing emergency response capabilities within this population. However, a slight decline in performance at 12 months highlights the need for refresher training sessions.

Downloads

Download data is not yet available.

References

Okuda Y, Bryson EO, DeMaria S, Jacobson L, Quinones J, Shen B, et al. The utility of simulation in medical education: what is the

evidence? Mt Sinai J Med. août 2009;76(4):330-43.

Ghazali H, Ouaness I, Zaouch K, Hamed R, Ines C, Manai H. Skill retention following simulation learning in acute coronary syndrome

versus cardiac arrest. Tunis Med. 1 july 2022;100(7). Disponible sur: https://latunisiemedicale.com/index.php/tunismed/article

view/4151

Bahri B, Ghazali H, Sedghieni I, Zoubli A, kilani M,Kharraz T et al. Simulation learning in the emergency department: Impact on

VideoLaryngoscope Intubation Skills. Tunis Med. 1 Aug 2025;103(8) :956-60. Disponible sur: https://latunisiemedicale.com/index.php/

tunismed/article/view/5167

Junli A, Isa SNI, Ibrahim FS. Factors of cardiopulmonary resuscitation skills retention among healthcare providers: A scoping review.

Nurse Educ Pract. mai 2023;69:103617.

Alshehri FD, Jones S, Harrison D. The effectiveness of high-fidelity simulation on undergraduate nursing students’ clinical reasoning-

related skills: A systematic review. Nurse Educ Today. févr 2023;121:105679.

Dessieux T, Estebe JP, Bloc S, Mercadal L, Ecoffey C. [Evaluation of the learning curve of residents in localizing a phantom target with

ultrasonography]. Ann Fr Anesth Reanim. oct 2008;27(10):797-801.

Biau DJ, Porcher R. A method for monitoring a process from an out of control to an in control state: Application to the learning curve.

Stat Med. 15 août 2010;29(18):1900-9.

Yeung J, Djarv T, Hsieh MJ, Sawyer T, Lockey A, Finn J, et al. Spaced learning versus massed learning in resuscitation - A systematic

review. Resuscitation. nov 2020;156:61-71.

Anderson R, Sebaldt A, Lin Y, Cheng A. Optimal training frequency for acquisition and retention of high-quality CPR skills: A randomized

trial. Resuscitation. févr 2019;135:153-61.

Sutton RM, Niles D, Meaney PA, Aplenc R, French B, Abella BS, et al. Low-dose, high-frequency CPR training improves skill retention of

in-hospital pediatric providers. Pediatrics. juill 2011;128(1):e145-151.

Wik L, Myklebust H, Auestad BH, Steen PA. Retention of basic life support skills 6 months after training with an automated

voice advisory manikin system without instructor involvement. Resuscitation. mars 2002;52(3):273-9.

Nicolau A, Jorge I, Vieira-Marques P, Sa-Couto C. Influence of Training With Corrective Feedback Devices on Cardiopulmonary

Resuscitation Skills Acquisition and Retention: Systematic Review and Meta-Analysis. JMIR Med Educ. 19 déc 2024;10:e59720.

Ghatasheh A, Saleh MN, Jebbeh RA, AL-Quraan S, Elshaer AA, Almzayen M. The Effectiveness of Feedback-Integrated and

Traditional Adult Basic Life Support Training Methods on Knowledge and Skills Retention Among Healthcare Providers in Clinical Settings:

A Systematic Review. Palestinian Medical and Pharmaceutical Journal (Pal Med Pharm J). 5 avr 2025;11(3):None-None.

Yeung J, Djarv T, Hsieh MJ, Sawyer T, Lockey A, Finn J, et al. Spaced learning versus massed learning in resuscitation – A systematic

review. Resuscitation. 2020;156:61–71.

Anderson R, Sebaldt A, Lin Y, Cheng A. Optimal training frequency for acquisition and retention of high-quality CPR skills: A randomized

trial. Resuscitation. 2019;135:153–61

Sutton RM, Niles D, Meaney PA, Aplenc R, French B, Abella BS, et al. Low-dose, high-frequency CPR training improves skill retention of in-hospital pediatric providers. Pediatrics. 2011;128(1):e145–151

Additional Files

Published

2026-04-30

Issue

Section

Pedagogy

Categories