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. 2025 Jan 17;24(1):57.
doi: 10.1186/s12912-025-02684-y.

Effectiveness of a blended (distance and in-person) simulation education program on advanced cardiac life support for nursing students using the PARTNER model

Miyoung Kang  1   2 , Eunju Lee  3
Affiliations

Effectiveness of a blended (distance and in-person) simulation education program on advanced cardiac life support for nursing students using the PARTNER model

Miyoung Kang et al. BMC Nurs. .

Abstract

Background: The incidence of acute cardiac arrest is increasing and is directly linked to patient survival, highlighting the critical role of nurses. Advanced nursing skills for cardiac arrest patients, such as self-directed pre-learning applied to various clinical situations, require a systematic blended learning approach to integrate knowledge and enhance clinical performance through face-to-face practice. The purpose of this study is to evaluate the effectiveness of a blended simulation education program for Advanced Cardiac Life Support (ACLS) using the PARTNER model.

Methods: A nonequivalent control group pretest-posttest design with a time-lagged approach was used to collect data from 34 third-year nursing students. The experimental group(n = 17) received a 480-minute blended simulation education program based on the PARTNER model and flipped learning, while the control group(n = 17) participated in a 480-minute traditional simulation education program.

Results: The study found that knowledge, confidence, performance in advanced cardiac life support, and clinical performance ability were effectively enhanced, although no significant effect was observed in learning satisfaction.

Conclusions: The program provides a new direction in applying blended simulation using the PARTNER model for advanced cardiac life support nursing education, ultimately contributing to the training of nurses competent in advanced cardiac life support.

Keywords: Advanced cardiac life support; Blended learning; Distance simulation; Flipped learning; Nursing education.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: The study was conducted in accordance with the Declaration of Helsinki, and approved by the In-situational Review Board (or Ethics Committee) of KEIMYUNG UNIVERSITY (No. 40525-202204-HR-018-13 and 2022.10.04). for studies involving humans. It is noteworthy that after introducing themselves to students, the researchers explained the study objectives and ensured voluntary participation, the right to withdraw from the study. Informed consent was obtained. All methods were carried out in accordance with relevant guidelines and regulations in the declaration. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Procedure for the blended simulation training program in advanced cardiac life support using the PARTNER model
See this image and copyright information in PMC

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