ArticleFrontiers in medicine2026
Effects of deliberate practice at different training frequencies on long-term retention of high-quality chest compression proficiency among novice nurses: a quasi-experimental study.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Improving operational preparedness for armored vehicle casualty rescue: effectiveness of simulation-based training with a novel extrication device.Frontiers in public health · 2026Article
- Simulation-Based CPR Education for Student Nurses: A Narrative Review of Effects on Knowledge, Skills, and Confidence.Advances in medical education and practice · 2026Review
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Authors and funding
10 authors.
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Abstract
Background: Nurses are pivotal first responders in in-hospital cardiac arrest (IHCA), and timely, guideline-concordant BLS substantially improves survival. While deliberate practice (DP) enhances skill acquisition, the optimal retraining interval for maintaining long-term proficiency among novice nurses remains unclear. This study aimed to compare the effects of single versus repeated DP sessions on the 6-month retention of Cardiopulmonary Resuscitation (CPR) quality and knowledge. Methods: A quasi-experimental study enrolled 148 novice nurses allocated to Single-DP group (baseline training only) a Repeated-DP group (baseline plus a 3-month booster session). CPR quality (compression depth, rate, chest recoil, compression fraction), theoretical knowledge, and overall skill scores were assessed at baseline, immediately after training, and 6-month follow-up. Generalized estimating equations (GEE) assessed group, time, and their interaction. Results: A total of 148 novice nurses completed the study, with no significant differences in baseline characteristics. Immediately after training, the Single-DP group achieved higher scores in theoretical knowledge ( Conclusion: DP significantly improves CPR skill proficiency in novice nurses. However, a 3-month refresher did not enhance 6-month retention compared to single training. The finding that prior real-world experience significantly predicts retention underscores the gap between simulation and clinical practice. Therefore, to ensure high-quality patient care, CPR training programs should replace single-session instruction with high-frequency, high-fidelity simulation-based education for novice nurses.
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