The Outcomes of Advanced Cardiovascular Life Support (ACLS) Training on Confidence and Knowledge Application in Registered Nurses at Sakon Nakhon Hospital
Keywords:
Advanced Cardiovascular Life Support, Registered nurses, Knowledge application, Confidence levelAbstract
Cardiac arrest is a life-threatening emergency with high mortality. Advanced Cardiovascular Life Support (ACLS) requires a multidisciplinary team with adequate knowledge, skills, and confidence. Sakon Nakhon Hospital has established a Cardiac Life Support Training Center and continuously conducted ACLS training for registered nurses; however, systematic long-term outcome evaluation has been lacking.
To evaluate the outcomes of ACLS training on confidence levels and knowledge application in clinical practice among registered nurses at Sakon Nakhon Hospital, at least one-year post-training.
This descriptive cross-sectional study was conducted at Sakon Nakhon hospital among 250 registered nurses who had completed ACLS training at the Cardiac Life Support Training Center at least one year prior. Participants were selected by purposive sampling. Data were collected using a researcher-developed questionnaire about confidence levels before and after ACLS training and knowledge application in clinical practice, which passed content validity and reliability testing. Data were analyzed using descriptive statistics, Fisher’s Exact Test, and Wilcoxon Signed-Rank Test.
Confidence levels in performing Advanced Cardiovascular Life Support in all 5 domains statistically significantly increased after the training (p < 0.001). Most registered nurses were able to completely apply the knowledge in practice, with the High-Quality CPR domain having the highest proportion of complete application (98.50%). Gender, age group, and the working ward were significantly associated with knowledge application (p < 0.05).
Advanced Cardiovascular Life Support training resulted in a statistically significant increase in the confidence levels of registered nurses, and the knowledge was effectively applied in actual clinical practice.
References
Cardiac Arrest Registry to Enhance Survival (CARES). About CARES [Internet]. [Cited 2026 Mar 28]. Available from: https://mycares.net/sitepages/aboutcares.jsp
Olasveengen TM, Eftestøl T, Eide H, Tjelmeland I, Kramer-Johansen J. Sudden cardiac arrest: causes, resuscitation, and post-resuscitation care. Dtsch Arztebl Int [Internet]. 2024 [cited 2026 Mar 28];121(7):229-35. Available from: https://di.aerzteblatt.de/int/archive/article/243416
Kleinman ME, Buick JE, Huber N, Idris AH, Levy M, Morgan SG, et al. Part 7: Adult Basic Life Support: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation [Internet]. 2025 [cited 2026 Mar 29];152(suppl 2):S448-S478. Available from: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001369
Di Fronzo P, Gaetti G, Marcassa D, Gervasi V, Dardour O, Pedretti A, et al. The impact of ACLS training in the management of cardiac arrest: a narrative review. Epidemiologia 2025;6(4):61.
Del Rios M, Bartos JA, Panchal AR, Atkins DL, Cabañas JG, Cao D, et al. Part 1: Executive Summary: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation [Internet]. 2025 [cited 2026 Mar 29];152(suppl 2):S1-S47. Available from: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001372
เอกชัย กันธะวงศ์, ชลธิชา อมาตยคง, ปวีณา ยศสุรินทร์, โรชินี อุปรา, ชยธิดา นนท์เมธาวัฒน์. ประสิทธิผลของการอบรมการช่วยฟื้นคืนชีพขั้นสูงโดยใช้ชุดสื่อการสอนแบบหลากหลาย ต่อความรู้ ทัศนคติ และทักษะปฏิบัติในการช่วยฟื้นคืนชีพขั้นสูงของนักศึกษาพยาบาล. ว. วิจัยการพยาบาลและการสาธารณสุข 2025;5(1):e271405.
Maxwell WD, Mohorn PL, Haney JS, Phillips CM, Lu ZK, Clark K, et al. Impact of an advanced cardiac life support simulation laboratory experience on pharmacy student confidence and knowledge. Am J Pharm Educ 2016;80(8):140.
Pitcher J, Sessler C, Grossman C. The effect of simulation-based ACLS training on confidence and attitudes towards teamwork in internal medicine residents. Chest 2012;142(4):540A.
Cheng A, Nadkarni VM, Mancini MB, Hunt EA, Sinz EH, Merchant RM, et al. Resuscitation education science: educational strategies to improve outcomes from cardiac arrest: a scientific statement from the American Heart Association. Circulation 2018;138(6):e82-e122.
Abass NI, Soliman MT. Effect of implementing advanced cardiovascular life support (ACLS) guidelines 2016 on nurse's knowledge and performance. Am J Nurs Res 2020;8(5):534-542.
Downloads
Published
How to Cite
Issue
Section
License
บทความที่ตีพิมพ์ถือว่าเป็นลิขสิทธิ์ของวารสารการแพทย์โรงพยาบาลสกลนคร การคัดลอกเพื่อพัฒนาเชิงวิชาการต้องได้รับการอ้างอิงอย่างถูกต้อง
