Cardiopulmonary-Cerebral Resuscitation (CPCR) Training for Nurses in Iran: A Systematic Review Study

Context: Cardiac arrest remains one of the leading causes of death worldwide, with survival rates remaining low despite advances in treatment protocols. Nurses play a critical role as first responders in cardiopulmonary-cerebral resuscitation (CPCR). Therefore, ensuring adequate CPCR training for nursing staff is essential to improve patient outcomes.Objective: This systematic review aimed to provide an overview of CPCR training methods for nurses in Iran and to evaluate their effectiveness in improving nurses'' knowledge, skills, and performance.Methods: A systematic search conducted in international databases including PubMed, Scopus, CINAHL, Google Scholar, and Persian databases including SID, IranMedex, and Magiran for articles published between ۲۰۱۰ and ۲۰۲۰. English and Persian keywords including "education," "training," "cardiopulmonary-cerebral resuscitation," "nurses," "knowledge," "skill," and "performance" were used. ۲۱ articles were identified; after removing duplicates and screening for relevance, ۱۰ studies were included in the final review. Quality assessment performed using appropriate critical appraisal tools.Results: The review identified three main categories of CPCR training methods: conventional (lectures, pamphlets, and mannequin practice), modern (simulation, workshops, video-based, and flipped classroom), and integrated approaches. Conventional methods primarily improved knowledge but showed limited effects on skills retention. Modern and integrated methods demonstrated superior outcomes in enhancing both knowledge and practical skills. Simulation-based and workshop approaches yielded the highest skill acquisition and satisfaction levels among nurses.Conclusions: Integrated training methods combining conventional and modern approaches are the most effective for improving nurses'' CPCR competence. Healthcare policymakers and educational managers should implement standardized, multifaceted training programs with regular refresher courses to maintain CPCR skills.

کلیدواژه ها:

Education ، Cardiopulmonary-Cerebral Resuscitation ، Nurses ، Knowledge ، Skills ، performance