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Cited by 4Cardiac Arrest and ResuscitationSimulation-Based Education in HealthcareInnovations in Medical Education

Identifying clinical error patterns in nursing students’ CPR performance: a mixed-methods OSCE study.

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Miri, Kheizaran, Sardashti, Alireza, Moradi, Sajedeh, Naseri, Arefeh, Mirzaei, Amirhossein·2025·Resuscitation Plus
DOI 10.1016/j.resplu.2025.101089PMC PMC12466282
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Abstract

Background: Basic Life Support (BLS) competency is critical for healthcare professionals, yet persistent performance gaps exist in training settings. This study aimed to identify error patterns in nursing students' cardiopulmonary resuscitation (CPR) performance during Objective Structured Clinical Examinations (OSCEs) and, through stakeholder insights, identify perceived challenges and suggest remediation strategies to improve learning outcomes. Methods: A sequential explanatory mixed-methods study was conducted (2021-2024) with 250 eighth-semester nursing students. The quantitative phase analyzed OSCE performance using: 1) a validated 20-item BLS knowledge test, 2) a 17-item skills checklist, and 3) Laerdal QCPR® mannequin metrics. The qualitative phase included interviews with 25 stakeholders (students, instructors, examiners). Data were analyzed using descriptive/inferential statistics (SPSS v25) and thematic analysis (MAXQDA 2022). Results: < 0.05). Conclusion: not applicable.

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Cited by

Sorted by citations

Authors
Miri, K., Sardashti, A., Moradi, S., Naseri, A., & Mirzaei, A.
Affiliations
Torbat Heydarieh University of Medical Sciences (IR)
Corresponding author
Miri, Kheizaran
ORCID
Venue
Resuscitation Plus
Publisher
Elsevier BV
Published
2025-11
Volume
26
Pages
101089
ISSN
2666-5204 (ISSN-L)
DOI
10.1016/j.resplu.2025.101089
PMC
PMC12466282
OpenAlex
W4414007995
Cited by
4
References
0
Citations by year
2026: 4
FWCI
4.23
Type
journal article
Language
en
Open access
Licence
Locations
  • Resuscitation Plus (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (publishedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Torbat Heydarieh University of Medical Sciences
Topics
  • Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
  • Health Sciences › Medicine › Physiology › Simulation-Based Education in Healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
Keywords
cardiopulmonary resuscitation, basic life support, nursing students, OSCE, CPR skills assessment, remediation strategies, resuscitation training, student perceptions

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