Evidence map›Paper›PMID 42487945›Full record

ArticleFrontiers in medicine2026

Application effect of Miller's pyramid teaching method based on HeartCode BLS in basic life support training for nursing students.

Wenxian Xu, Fanyi Cheng, Zhiping Li, Yajun Wang

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Wenxian XuDepartment of Nursing, People's Hospital of Quzhou, Quzhou, Zhejiang, China.
Fanyi ChengDepartment of Emergency Medicine, People's Hospital of Quzhou, Quzhou, Zhejiang, China.
Zhiping LiDepartment of Emergency Medicine, People's Hospital of Quzhou, Quzhou, Zhejiang, China.
Yajun WangDepartment of Emergency Medicine, People's Hospital of Quzhou, Quzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Basic life support (BLS) competence is a core professional skill for nursing students, yet conventional training often fails to achieve durable gains in knowledge, psychomotor performance, and clinical transfer. This study evaluated the effectiveness of a Miller's pyramid-based HeartCode BLS teaching model compared with traditional instruction in undergraduate nursing students. Methods: In this randomized controlled trial, 229 eligible nursing students were enrolled and assigned to a control group ( Findings: Baseline characteristics and pre-training scores were comparable between groups. After training, the observation group achieved significantly higher scores than the control group in theoretical knowledge (74.29 ± 9.94 vs. 68.81 ± 9.33), CPR skills (85.92 ± 8.67 vs. 79.80 ± 7.56), and defibrillation skills (85.48 ± 8.63 vs. 78.86 ± 5.77; all Interpretation: A Miller's Pyramid-based HeartCode BLS teaching model was associated with significantly improved immediate learning outcomes, CPR quality, learner satisfaction, and mid-term integrated clinical performance among nursing students. This theory-informed, feedback-enabled instructional strategy may offer a scalable and effective approach for optimizing BLS education in undergraduate nursing, although multicenter studies with longer follow-up are needed to confirm generalizability and long-term retention.

Indexed as

HeartCode BLSMiller’s pyramidnursing studentsrandomized controlled trialsimulation-based education

Identifiers

PMID42487945
PMCPMC13388170

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.