Effectiveness of Simulation-Based Training in Enhancing Knowledge and Performance of Paramedical Personnel in Basic Life Support in a Developing Country

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Published Jan 22, 2026
https://doi.org/10.62438/tunismed.v103i11.5779
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Vol. 103 No. 11 (2025): Tunis Med Nov 2025

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Ferdaous Yangui
Department of pneumology. Internal security forces hospital. La Marsa. Faculty of medicine of Tunis. University Tunis El Manar.Tunis. Tunisia
https://orcid.org/0000-0003-2465-0019
Saoussen Antit
Department of cardiology. Internal security forces hospital, La Marsa. Faculty of medicine of Tunis. University Tunis El Manar.Tunis. Tunisia
Foued Daly
Department of cardiology. La Rabta hospital. Faculty of medicine of Tunis. University Tunis El Manar.Tunis. Tunisia
Imed Mrabet
Emergency department. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia
Mouna Titey
Occupational Medicine department. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia
Mohamed Assadi
Emergency department. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia
Chihebeddine Romdhani
Department of anesthesiology and intensive care. Military hospital of Tunis. 1008. Faculty of medicine of Tunis. University Tunis El Manar. Tunis. Tunisia
Lilia Zakhama
Department of cardiology. Internal security forces hospital, La Marsa. Faculty of medicine of Tunis. University Tunis El Manar.Tunis. Tunisia
Mohamed Ridha Charfi
Department of pneumology. Internal security forces hospital. La Marsa. Faculty of medicine of Tunis. University Tunis El Manar.Tunis. Tunisia

Abstract

Introduction: Basic life support is important for increasing patient survival after a cardiac arrest. However, it was demonstrated that healthcare professionals lacked certain knowledge and skills in basic life support.  This study aimed to evaluate the effectiveness of a low-fidelity simulation training session in improving paramedical personnelknowledge and performance inBasic life support.


Methods: A cross-sectional quasi-experimental single-group pre-post intervention study was conducted at the Internal Security Forces Hospital in Tunisia in January 2024. All paramedical personnel providing direct patient care were included. The training program involved a theoretical course and a simulation training session. Participants filled out pre-tests and post-tests before and after the theoretical course. A practical simulation test with a skill assessment sheet occurred after the basic life support simulation training session.


Results: Fifty-five paramedical personnel participated in the study. Participants’ mean age was 39.7±10.3 years and 72.7% of the participants were women. Most participants were nurses (50.9%). Comparing the pre-test (M=1.73, SD= 0.7) with the post-test scores (M=2.77, SD=1.02,) showed a significant improvement in basic life support knowledge after the theoretical course (p< 10-6). After the basic life support simulation training session, a significant improvement in the practical test score (M=4.04, SD= 0.7) compared to the post-test score was observed (p< 10-6).


Conclusions: Simulation training has a positive effect on improving paramedical personnel's knowledge and performance. To enhance their knowledge and practice in cardiopulmonary resuscitation, a basic life support training program is recommended for all paramedical personnel.

Keywords:

Basic cardiac life support, Cardiopulmonary resuscitation, Simulation Training, Paramedical

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Author Biographies

Ferdaous Yangui, Department of pneumology. Internal security forces hospital. La Marsa. Faculty of medicine of Tunis. University Tunis El Manar.Tunis. Tunisia

University Tunis El Manar. Faculty of medicine of Tunis. Street Djebel Lakhdhar. La Rabta. 1007. Tunis. Department of pneumology. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia

Saoussen Antit, Department of cardiology. Internal security forces hospital, La Marsa. Faculty of medicine of Tunis. University Tunis El Manar.Tunis. Tunisia

University Tunis El Manar. Faculty of Medicine of Tunis. Street Djebel Lakhdhar. La Rabta. 1007. Tunis. Department of Cardiology. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia

Foued Daly, Department of cardiology. La Rabta hospital. Faculty of medicine of Tunis. University Tunis El Manar.Tunis. Tunisia

University Tunis El Manar. Faculty of medicine of Tunis. Street Djebel Lakhdhar. La Rabta. 1007. Tunis. Department of cardiology. La Rabta Hospital. Street Jabbari. 1007. Tunis. Tunisia

Imed Mrabet, Emergency department. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia

Emergency department. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia

Mouna Titey, Occupational Medicine department. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia

Occupational Medicine department. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia

Mohamed Assadi, Emergency department. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia

Emergency department. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia

Chihebeddine Romdhani, Department of anesthesiology and intensive care. Military hospital of Tunis. 1008. Faculty of medicine of Tunis. University Tunis El Manar. Tunis. Tunisia

University Tunis El Manar. Faculty of medicine of Tunis. Street Djebel Lakhdhar. La Rabta. 1007. Tunis. Department of anesthesiology and intensive care. Military hospital of Tunis. 1008. Tunis. Tunisia

Lilia Zakhama, Department of cardiology. Internal security forces hospital, La Marsa. Faculty of medicine of Tunis. University Tunis El Manar.Tunis. Tunisia

University Tunis El Manar. Faculty of medicine of Tunis. Street Djebel Lakhdhar. La Rabta. 1007. Tunis. Department of cardiology. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia

Mohamed Ridha Charfi, Department of pneumology. Internal security forces hospital. La Marsa. Faculty of medicine of Tunis. University Tunis El Manar.Tunis. Tunisia

University Tunis El Manar. Faculty of medicine of Tunis. Street Djebel Lakhdhar. La Rabta. 1007. Tunis. Department of pneumology. Internal security forces hospital. Street Taher Ben Achour. La Marsa. 2070. Tunis. Tunisia

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