Effect of a hybrid team-based advanced cardiopulmonary life support simulation program for clinical nurses - Research Article

Q: What was the main goal of the hybrid team-based ACLS simulation (HTAS) program?

To verify the effects of HTAS on clinical nurses’ ACLS performance, specifically ACLS knowledge, CPR self-efficacy, and CPR-related stress.

Q: How was the HTAS intervention structured?

HTAS consisted of four lecture videos, one team-based skills training video, and a team-based ACLS simulation.

Q: What were the key outcomes after the training?

The intervention group showed significant improvements in ACLS performance, ACLS knowledge, and CPR self-efficacy after training.

Q: Did HTAS outperform basic ACLS training between groups?

No. Between-group comparisons showed no significant differences for ACLS knowledge, CPR self-efficacy, or CPR stress.

Sep 23, 2026

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Background: In-hospital cardiac arrest often relies on clinical nurses as first responders, making advanced cardiac life support (ACLS) competency essential. This study evaluated a hybrid team-based ACLS simulation (HTAS) program (developed for this research) against nurses’ ACLS performance, including ACLS knowledge, cardiopulmonary resuscitation (CPR) self-efficacy, and CPR-related stress. Methods: A quasi-experimental pretest-posttest design with a comparison group assessed 226 general ward nurses; 117 received HTAS and 109 basic ACLS training. Results: Post-training improvements were significant in the intervention group for ACLS performance, knowledge, and self-efficacy. Between-group comparisons showed no significant differences for knowledge, self-efficacy, or stress. Conclusions: HTAS effectively enhanced ward nurses’ ACLS performance, supporting further development and evaluation of sustained team-based training effects.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages14

Reading Time35 min

AccessFree to download

Abstract

Background

Methods

Results

Conclusion

Introduction

In-hospital cardiac arrest burden and nursing role

Simulation and team-based ACLS rationale

PLOS ONE OPEN ACCESS Citation: Jeong HW, Ju D, Lee AK, Lee JA, Kang NR, Choi EJ, et al. (2022) Effect of a hybrid teambased advanced cardiopulmonary life support simulation program for clinical nurses. PLoS ONE 17(12): e0278512 . [https://doi.org/10.1371/journal](https://doi.org/10.1371/journal). pone.0278512 Editor: Prabhat Mittal, Satyawati College (Eve.), University of Delhi, INDIA Received: February 10, 2022 Accepted: November 17, 2022 Published: December 16, 2022 Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. The editorial history of this article is available here: [https://doi.org/10.1371/journal.pone.0278512](https://doi.org/10.1371/journal.pone.0278512) [Copyright:](Copyright:) © [2022 Jeong](2022 Jeong) et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: We uploaded the raw data to ‘[protocols.io](protocols.io)’; [https://protocols.io/file/](https://protocols.io/file/)[ ](https://protocols.io/file/)[jtf77qze.sav](jtf77qze.sav.)[.](jtf77qze.sav.) RESEARCH ARTICLE Effect of a hybrid team-based advanced cardiopulmonary life support simulation program for clinical nurses Hye Won Jeong1,2, Deok Ju1, Ae Kyong Lee1, JungA Lee1, Na Ru Kang1, Eun Jeong Choi1, Shin Hye Ahn1,2, Sun-Hee Moon2,3 * 1 Department of Nursing, Chonnam National University Hospital, Gwangju, South Korea, 2 College of Nursing, Chonnam National University, Gwangju, South Korea, 3 Chonnam Advanced Reality-based Education Center, Gwangju, South Korea * [sunnymon@jnu.ac.kr](sunnymon@jnu.ac.kr) Abstract Background: During in-hospital cardiac arrest events, clinical nurses are often the first responders; therefore, nurses require sufficient advanced cardiac life support (ACLS) competency. This study aimed to verify the effects of a hybrid team-based ACLS simulation (HTAS) program (developed in this study) on nurses’ ACLS performance, specifically ACLS knowledge, cardiopulmonary resuscitation (CPR) self-efficacy, and CPR-related stress. Methods: The developed HTAS comprised four lecture videos, one team-based skills training video, and a team-based ACLS simulation. A quasi-experimental pretest-posttest design with a comparison group (CG) was used to evaluate the effectiveness of the HTAS. Of the 226 general ward nurses with more than 6 months of clinical experience, 117 were allocated to the intervention group (IG), which attended the HTAS, and 109 to the CG, which attended only basic ACLS training. Results: The IG’s ACLS performance significantly improved (t = 50.8, p < 0.001) after the training. Relative to the respective pretest conditions, posttest ACLS knowledge (t = 6.92, p < 0.001) and CPR self-efficacy (t = 6.97, p < 0.001) of the IG also significantly increased. However, when the mean difference values were compared, there was no significant difference between the two groups with respect to ACLS knowledge (t = 1.52, p = 0. 130), CPR self-efficacy (t = -0 .42, p = 0.673), and CPR stress (t = -0 .88, p = 0.378) . Conclusion: The HTAS for ward nurses was effective at enhancing the nurses’ACLS performance. It is necessary to develop effective training methods for team-based ACLS and verify the sustained effects of such training. Introduction The global incidence of in-hospital cardiac arrest (IHCA) has not been investigated; however, in the United States, an estimated 9–10 events of cardiac arrest per 1000 admissions occurred from 2008 to 2017 [ 1], while in Korea, 3.71 events per 1000 admissions were estimated to have occurred from 2003 to 2013 [2] . Although cardiac arrest is associated with high mortality PLOS ONE | [https:

FAQs

What was the main goal of the hybrid team-based ACLS simulation (HTAS) program?

To verify the effects of HTAS on clinical nurses’ ACLS performance, specifically ACLS knowledge, CPR self-efficacy, and CPR-related stress.

How was the HTAS intervention structured?

HTAS consisted of four lecture videos, one team-based skills training video, and a team-based ACLS simulation.

What were the key outcomes after the training?

The intervention group showed significant improvements in ACLS performance, ACLS knowledge, and CPR self-efficacy after training.

Did HTAS outperform basic ACLS training between groups?

No. Between-group comparisons showed no significant differences for ACLS knowledge, CPR self-efficacy, or CPR stress.

Sep 23, 2026

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