Effects of Flipped Classroom Learning in Acquisition and Retention of Cardiopulmonary Resuscitation Skills among Entry-Level Health Professional Students: A Single-Blinded Randomized Controlled Trial
Keywords :
Basic cardiac life support, cardiopulmonary resuscitation, flipped classroom learning, online learning, traditional learning
Citation Information :
Reddy M, Unnikrishnan R, Ramachandran S. Effects of Flipped Classroom Learning in Acquisition and Retention of Cardiopulmonary Resuscitation Skills among Entry-Level Health Professional Students: A Single-Blinded Randomized Controlled Trial. Indian J Respir Care 2022; 11 (2):128-134.
Context: Inhospital cardiac arrests are provided with immediate life support care, but outhospital cardiac arrest does not receive bystander resuscitation immediately. These delays are due to several reasons; education and type of training received are among them.
Objective: The objective of this study was to evaluate the effects of flipped classroom learning (FCL) in the acquisition and retention of knowledge and skills of cardiopulmonary resuscitation (CPR) among health professional students.
Methods: A randomized control trial was performed among entry-level health professional students with no background knowledge and skills on basic life support (BLS) and CPR who were equally divided into the flipped classroom (intervention group) and lecture-based classroom (LC) (control group). The BLS and CPR were taught through didactic lectures and hands-on practice to both the groups. The intervention group received the self-study material in a video module before the lecture and hands-on practice. The study was implemented in three phases - intervention phase, follow-up at 1 month, and 2 months. Knowledge was assessed using multiple-choice questions and skills through direct observation and a checklist throughout all the phases.
Results: Sixty-one participants completed the study. Mean difference in scores for knowledge and skills between the LC and flipped classroom groups increased immediately after intervention but was not retained on follow-up at 1 and 2 months, and is not statistically significant. However, a significant difference was observed in knowledge and skill scores within the group across different phases (P < 0.001).
Conclusion: We did not find an additional benefit of FCL over LC learning.
Ristagno G, Tang W, Weil MH. Cardiopulmonary resuscitation: From the beginning to the present day. Crit Care Clin 2009;25:133-51.
AHA Statistical Update | Place Unknown |. Available from: https://cpr.heart.org/AHAECC/CPRAndECC/UCM_477263_Cardiac-Arrest-Statistics.jsp. [Last accessed on 2020 Sep 01].
Carragher R, Johnson J, Harder M. Factors that influence bystander CPR: A narrative review. Int J Curr Res 2017;9:52100-3.
Abolfotouh MA, Alnasser MA, Berhanu AN, Al-Turaif DA, Alfayez AI. Impact of basic life-support training on the attitudes of health-care workers toward cardiopulmonary resuscitation and defibrillation. BMC Health Serv Res 2017;17:1.
Bhanji F, Donoghue AJ, Wolff MS, Flores GE, Halamek LP, Berman JM, et al. Part 14: Education: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2015;132 18 Suppl 2:S561-73.
Nakanishi T, Goto T, Kobuchi T, Kimura T, Hayashi H, Tokuda Y. The effects of flipped learning for bystander cardiopulmonary resuscitation on undergraduate medical students. Int J Med Educ 2017;8:430.
Pierce R, Fox J, Dunn BJ. Instructional design and assessment: Vodcasts and active learning exercises in a “flipped classroom” model of a renal pharmacotherapy module. Am J Pharm Educ 2012;76:1-5.
Pangandaman HK. Effects of flipped classroom videos in the return demonstration performance of nursing students. Sch J Appl Sci Res 2018;1:55-8.
Beom JH, Kim JH, Chung HS, Kim SM, Ko DR, Cho J. Flipped-classroom training in advanced cardiopulmonary life support. PLoS One 2018;13:e0203114.
Proceedings of The International University Carnival On E-Learning (IUECL). Training resuscitation skills among medical students. In: Nor J. editors. Flipped Classroom Model. Ch. 106. Canselori, Malayasia. 2017. p. 243-4.
Osman SZ, Jamaludin R, Mokhtar NE. Flipped classroom and traditional classroom: Lecturer and student perceptions between two learning cultures, a case study at Malaysian Polytechnic. Int Educ Res J 2014;2:16-25.
Chen F, Lui AM, Martinelli SM. A systematic review of the effectiveness of flipped classrooms in medical education. Med Educ 2017;51:585-97.
Tang F, Chen C, Zhu Y, Zuo C, Zhong Y, Wang N, et al. Comparison between flipped classroom and lecture-based classroom in ophthalmology clerkship. Med Educ 2017;22:1395679.