Peer-led pediatric resuscitation training: effects on self-efficacy and skill performance
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RESEARCH ARTICLE
Open Access
Peer-led pediatric resuscitation training: effects on self-efficacy and skill performance M. Binkhorst1* , J M Th Draaisma2, Y. Benthem2, E. M. R. van de Pol2, M. Hogeveen1 and E. C. T. H. Tan3
Abstract Background: Peer-led basic life support training in medical school may be an effective and valued way of teaching medical students, yet no research has been conducted to evaluate the effect on the self-efficacy of medical students. High self-efficacy stimulates healthcare professionals to initiate and continue basic life support despite challenges. Methods: A randomized controlled trial, in which medical students received pediatric basic life support (PBLS) training, provided by either near-peer instructors or expert instructors. The students were randomly assigned to the near-peer instructor group (n = 105) or expert instructor group (n = 108). All students received two hours of PBLS training in groups of approximately 15 students. Directly after this training, self-efficacy was assessed with a newly developed questionnaire, based on a validated scoring tool. A week after each training session, students performed a practical PBLS exam and completed another questionnaire to evaluate skill performance and self-efficacy, respectively. Results: Students trained by near-peers scored significantly higher on self-efficacy regarding all aspects of PBLS. Theoretical education and instructor feedback were equally valued in both groups. The scores for the practical PBLS exam and the percentage of students passing the exam were similar in both groups. Conclusions: Our findings point towards the fact that near-peer-trained medical students can develop a higher level of PBLS-related self-efficacy than expert-trained students, with comparable PBLS skills in both training groups. The exact relationship between peer teaching and self-efficacy and between self-efficacy and the quality of real-life pediatric resuscitation should be further explored. Trial registration: ISRCTN, ISRCTN69038759. Registered December 12th, 2019 – Retrospectively registered. Keywords: Peer-led learning, Cardiopulmonary resuscitation, Pediatrics, Self-efficacy, Skill performance
Background Pediatric out-of-hospital cardiac arrest is a rare but serious event, with an estimated incidence of 1–20 per 100,000 person-years and a survival rate of 10% or less [1–3]. It has been reported that bystander cardiopulmonary * Correspondence: [email protected]; [email protected] 1 Radboud Institute for Health Sciences (RIHS), Department of Neonatology, Radboud University Medical Center Amalia Children’s Hospital, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands Full list of author information is available at the end of the article
resuscitation (CPR) is provided in only one-third to twothirds of cases, and that the use of an automated external defibrillator is rare [1, 3]. Proper pediatric basic life support (PBLS) training may reduce the number of casualties. Healthcare professionals are first and foremost exp
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