Satisfaction evaluation for ACLS training

Satisfaction evaluation for ACLS training


  • Giuseppe Stirparo SIMED (Società Italiana di Medicina e Divulgazione Scientifica)
  • Luca Gambolò SIMED (Società Italiana di Medicina e Divulgazione Scientifica, Parma (Italy);
  • Lorenzo Bellini SIMED (Società Italiana di Medicina e Divulgazione Scientifica, Parma (Italy);
  • Filippo Medioli SIMED (Società Italiana di Medicina e Divulgazione Scientifica, Parma (Italy);
  • Maria Bertuol University of Parma, Department of Medicine and Surgery, Parma, (Italy)
  • Massimo Guasconi University of Parma, Department of Medicine and Surgery, Parma, (Italy) ; Azienda Unità Sanitaria Locale” (Local Health Service) di Piacenza, Piacenza, (Italy)
  • Francesco Sulla University of Foggia, Department of Humanities, Foggia (Italy).
  • Giovanna Artioli University of Parma, Department of Medicine and Surgery, Parma, (Italy)
  • Leopoldo Sarli University of Parma, Department of Medicine and Surgery, Parma, (Italy)


Advanced Cardiac Life Support, SSE, Personal Satisfaction, Critical Care, Simulation Training



Background and aim: simulation became gradually pivotal in training of health professionals: indeed, it showed an improvement in practical skill of the trainees compared to theoretical lectures. Among others, ACLS (advance cardiovascular life support) courses are now one of the standard learning practices most spread around the world.

The primary aim of this study is to evaluate both the level of satisfaction and the clinical thinking that the trainees perceived during an ACLS course. This was performed via the SSE validated scale (Satisfaction with simulation experience scale). The secondary aim was to evaluate if demographics affect the aforementioned perceived satisfaction.

Methods: a SSE questionnaire was distributed after the ACLS section of practical scenarios, just before the end of the course and of the practical test.

Results: 72 questionnaires have been collected. The sample was constituted by 68.1% of females, 44,4% by nurses without a master’s degree, and 52,8% personnel that works outside of a critical care setting. QTOT Median score was 89 (IQR=86-90), DTOT Median’s 45 (IQR= 44.25-45), RTOT Median’s 25 (IQR=22-25), LTOT Median was 20 (IQR=19-20).

 Conclusions: The ACLS course attains a high grade of satisfaction on all of the three aspects evaluated by the questionnaire. The perception was not influenced by the demographics.


Dale E. Audiovisual Methods in Teaching, Dryden Press. 1969

Guasconi M, Tansini B, Granata C, et al. First Italian validation of the "Satisfaction with simulation experience" scale (SSE) for the evaluation of the learning experience through simulation. Acta Biomed. 2021;92(S2).

Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004;13 Suppl 1(Suppl 1):2-10.

Cioffi J. Clinical simulations: development and validation. Nurse Educ Today. 2001;21(6):477-486.

Levett-Jones T, McCoy M, Lapkin S, et al. The development and psychometric testing of the Satisfaction with Simulation Experience Scale. Nurse Educ Today. 2011;31(7):705-710.

Edwards H, Franke M, McGuiness B Using simulated patients to teach clinical reasoning. In: J Higgs, M Jones (eds). Clinical reasoning in the health professions. Butterworth-Heinmann, Oxford

Thiele JE, Holloway J, Murphy D, Pendarvis J, Stucky M. Perceived and actual decision making by novice baccalaureate students. West J Nurs Res. 1991;13(5):616-626.

Friedrich MJ. Practice makes perfect: risk-free medical training with patient simulators. JAMA. 2002;288(22):2808-2812.

Weller JM. Simulation in undergraduate medical education: bridging the gap between theory and practice. Med Educ. 2004;38(1):32-38.

G. Pike, The effects of background, coursework, and involvement on students' grades and satisfaction, Research in Higher Education. 1991 , pp. 15-31

American Heart Association. ACLS Instructor Manual. Dallas (TX). 2006.

Camp BN, Parish DC, Andrews RH. Effect of advanced cardiac life support training on resuscitation efforts and survival in a rural hospital. Ann Emerg Med. 1997;29(4):529-533.

Lockey A, Lin Y, Cheng A. Impact of adult advanced cardiac life support course participation on patient outcomes-A systematic review and meta-analysis. Resuscitation. 2018 Aug;129:48-54.

Stirparo, G, Bellini, L, Fagoni N. Missed Training, Collateral Damage from COVID 19? Disaster Medicine and Public Health Preparedness. 2022;1-3.

Signorelli C, Odone A, Stirparo G et al. SARS-CoV-2 transmission in the Lombardy Region: the increase of household contagion and its implication for containment measures. Acta Biomed. 2020 Nov. 20

Stirparo G, Oradini-Alacreu A, Migliori M et al. Public health impact of the COVID-19 pandemic on the emergency healthcare system. Journal of Public Health. 2022;Volume 44;Issue 1; 149–152.

Dane FC, Russell-Lindgren KS, Parish DC, Durham MD, Brown TD. In-hospital resuscitation: association between ACLS training and survival to discharge. Resuscitation. 2000;47(1):83-87.

Sanders AB, Berg RA, Burress M, Genova RT, Kern KB, Ewy GA. The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community. Ann Emerg Med. 1994;23(1):56-59.

Smith KK, Gilcreast D, Pierce K. Evaluation of staff's retention of ACLS and BLS skills. Resuscitation. 2008;78(1):59-65.

Tarantinos K, Chalkias A, Giotakis E, Athanasopoulou P, Xanthos T. Retention of knowledge and skills after Advanced Cardiovascular Life Support courses. Am J Emerg Med. 2014;32(9):1143-1147.

Bingham AL, Kavelak HL, Hollands JM, Finn LA, Delic JJ, Schroeder N, Cawley MJ. Advanced cardiac life support certification for student pharmacists improves simulated patient survival. Curr Pharm Teach Learn. 2020 Aug;12(8):975-980.

Roth CK, Parfitt S, Brewer M. Effectiveness of an Obstetrics-Based Advanced Cardiac Life Support Education Program. J Obstet Gynecol Neonatal Nurs. 2015 Jul-Aug;44(4):518-526.

Sodhi K, Singla MK, Shrivastava A. Institutional resuscitation protocols: do they affect cardiopulmonary resuscitation outcomes? A 6-year study in a single tertiary-care centre. J Anesth. 2015;29(1):87-95.

Moretti MA, Cesar LA, Nusbacher A, Kern KB, Timerman S, Ramires JA. Advanced cardiac life support training improves long-term survival from in-hospital cardiac arrest. Resuscitation. 2007;72(3):458-465.







How to Cite

Stirparo G, Gambolò L, Bellini L, Medioli F, Bertuol M, Guasconi M, et al. Satisfaction evaluation for ACLS training . Acta Biomed [Internet]. 2022 Jul. 1 [cited 2024 Jul. 25];93(3):e2022260. Available from: