Video Feedback vs. Film-Based Error Analysis and Production: A Comparative Study on ALS Skill Enhancement in Medical Students

Introduction: Mastery of neonatal advanced life support (ALS) is critical for healthcare students, yet traditional instruction often lacks the interactive and reflective elements required for developing robust clinical skills. This study compared the effectiveness of two active learning strategies video feedback and film-based error analysis combined with student-produced videos in improving clinical performance and cognitive engagement among nursing and midwifery students. Methods: In a quasi-experimental pre-test post-test design, ۷۱ final-year nursing and midwifery students were randomly assigned to either a video feedback group or a film-based error analysis and production group. Both groups participated in a ۶-hour blended workshop aligned with the ۲۰۲۵ AHA neonatal resuscitation guidelines. The video feedback group practiced CPR and received instructor commentary on recorded performances. The film-based group analyzed errors in instructional videos, engaged in peer discussion, and produced their own resuscitation videos. Knowledge and clinical skills were assessed at baseline and one week after training using validated tools. Results: Baseline characteristics confirmed group equivalence. Both groups demonstrated significant improvements in knowledge and clinical skills from pre- to post-intervention (P < ۰.۰۰۱). However, the film-based error analysis and production group achieved significantly higher post-test knowledge scores, clinical checklist scores, global rating scores, learner satisfaction, and error-detection accuracy compared with the video feedback group (P < ۰.۰۵). Conclusion: Although both video-based methods effectively enhanced ALS competencies, the film-based error analysis and production strategy yielded superior cognitive, technical, and affective outcomes. By promoting critical thinking, collaboration, and reflective learning, this approach represents a strong instructional model for ALS education, especially in resource-limited settings.

کلیدواژه ها:

Neonatal Resuscitation ، Medical Education ، Simulation Training ، Active Learning ، Video-Based Learning ، Error Analysis