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Journal of Health Innovation and Environmental Education

an Open Access Journal


Nursing Students’ Experiences of Basic Life Support Training and Its Role in Emergency Care Competence

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  • Purpose of the study: This study explored how BLS training shapes emergency care competence development and early professional identity among vocational nursing students.

    Methodology: A qualitative descriptive design with thematic analysis was employed. Data were collected through semi-structured interviews with vocational nursing students following structured BLS simulation training. Data were analysed using NVivo to generate hierarchical coding structures and thematic integration.

    Main Findings: Four interrelated themes emerged: (1) transformative experiential learning through embodied simulation, repetition, and instructor feedback; (2) multidimensional construction of emergency competence characterised by confidence, situational awareness, and readiness to act; (3) emotional and contextual barriers including performance anxiety and fear of clinical error; and (4) emerging professional identity grounded in ethical responsibility and teamwork. Competence development was constructed not merely as technical mastery but as embodied readiness moderated by emotional regulation and supported by structured experiential exposure..

    Novelty/Originality of this study: BLS training functions not only as a technical instructional strategy but as a formative process shaping cognitive preparedness, emotional regulation, and early professional identity. Integrating structured simulation, reflective debriefing, and role clarification into vocational nursing curricula may enhance emergency care competence development.

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    Nursing Students’ Experiences of Basic Life Support Training and Its Role in Emergency Care Competence. (2025). Journal of Health Innovation and Environmental Education, 2(2), 205-218. https://doi.org/10.37251/jhiee.v2i2.2835
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    1. K. A. Imtiyaaza, S. Aila, K. A. Cahyani, and F. S. Nurbayana, “Analyzing ohm’ s law : Comparison of current and resistance in series and parallel circuits,” vol. 5, no. 4, pp. 142–149, 2024, doi: 10.37251/sjpe.v5i4.1281. DOI: https://doi.org/10.37251/sjpe.v5i4.1281
    2. V. Mohan et al., “Slowing the diabetes epidemic in the world health organization south-east asia region: The role of diet and physical activity,” WHO South-East Asia J. Public Heal., vol. 5, no. 1, pp. 5–15, 2016, doi: 10.4103/2224-3151.206554. DOI: https://doi.org/10.4103/2224-3151.206554
    3. B. O’Rourke, W. Oortwijn, and T. Schuller, “The new definition of health technology assessment: A milestone in international collaboration,” Int. J. Technol. Assess. Health Care, vol. 36, no. 3, pp. 187–190, 2020, doi: 10.1017/S0266462320000215. DOI: https://doi.org/10.1017/S0266462320000215
    4. Hamza Khalifa Ibrahim, “Global trends in cardiovascular mortality and risk factors: insights from WHO and global burden of disease data,” Libyan Open Univ. J. Med. Sci. Sustain., vol. 1, no. 1, pp. 28–36, 2025, doi: 10.65422/loujmss.v1i1.40. DOI: https://doi.org/10.65422/loujmss.v1i1.40
    5. G. A. Awuni, J. Gore, M. Tomaso-Peterson, T. W. Allen, D. R. Cook, and F. R. Musser, “Duration of rice stink bug, oebalus pugnax (F.) infestation impacts the milk stage of panicle development,” Cogent Food Agric., vol. 10, no. 1, pp. 1-7, 2024, doi: 10.1080/23311932.2024.2368254. DOI: https://doi.org/10.1080/23311932.2024.2368254
    6. K. N. Sawyer, “Sudden cardiac arrest survivorship: A scientific statement from the american heart association,” Circulation, vol. 141, no. 12, pp. 654–685, Mar. 2020, doi: 10.1161/CIR.0000000000000747. DOI: https://doi.org/10.1161/CIR.0000000000000747
    7. J. A. Russell, L. G. Epstein, D. M. Greer, M. Kirschen, M. A. Rubin, and A. Lewis, “Brain death, the determination of brain death, and member guidance for brain death accommodation requests,” Neurology, vol. 92, no. 5, pp. 228–232, Jan. 2019, doi: 10.1212/WNL.0000000000006750. DOI: https://doi.org/10.1212/WNL.0000000000006750
    8. I. Hasselqvist-Ax et al., “Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest,” N. Engl. J. Med., vol. 372, no. 24, pp. 2307–2315, Jun. 2015, doi: 10.1056/NEJMoa1405796. DOI: https://doi.org/10.1056/NEJMoa1405796
    9. P. da S. Finamore et al., “Nigerian politicians, discipline, integrity, character and the rule of law: Application versus financial spending in 2019 federal elections,” J. Chem. Inf. Model., vol. 53, no. 1, pp. 1-10, 2021, doi: 10.13140/RG.2.2.19482.59846.
    10. L. J. Morrison, R. M. Henry, V. Ku, J. P. Nolan, P. Morley, and C. D. Deakin, “Single-shock defibrillation success in adult cardiac arrest: A systematic review,” Resuscitation, vol. 84, no. 11, pp. 1480–1486, 2013, doi: 10.1016/j.resuscitation.2013.07.008. DOI: https://doi.org/10.1016/j.resuscitation.2013.07.008
    11. N. J. Alsaleh, “Teaching critical thinking skills: An introduction for children aged 9–12,” TOJET Turkish Online J. Educ. Technol., vol. 19, no. 1, pp. 1–13, 2020, doi: 10.4324/9780429342042. DOI: https://doi.org/10.4324/9780429342042
    12. F. Dick-Smith, T. Power, R. Martinez-Maldonado, and D. Elliott, “Basic life support training for undergraduate nursing students: An integrative review,” Nurse Educ. Pract., vol. 50, no. 1, pp. 102-109, 957, 2021, doi: 10.1016/j.nepr.2020.102957. DOI: https://doi.org/10.1016/j.nepr.2020.102957
    13. E. J. Kim and Y. S. Roh, “Competence‐based training needs assessment for basic life support instructors,” Nurs. Health Sci., vol. 21, no. 2, pp. 198–205, 2019, doi: 10.1111/nhs.12581. DOI: https://doi.org/10.1111/nhs.12581
    14. R. M. Merchant et al., “The american heart association emergency cardiovascular care 2030 impact goals and call to action to improve cardiac arrest outcomes: A scientific statement from the american heart association,” Circulation, vol. 149, no. 8, pp. 914–933, 2024, doi: 10.1161/CIR.0000000000001196. DOI: https://doi.org/10.1161/CIR.0000000000001196
    15. J. J. McCarthy et al., “Out-of-hospital cardiac arrest resuscitation systems of care: A scientific statement from the american heart association,” Circulation, vol. 137, no. 21, pp. 645–660, 2018, doi: 10.1161/CIR.0000000000000557. DOI: https://doi.org/10.1161/CIR.0000000000000557
    16. E. K. Odjer and E. K. G. Mensah, “Maternal mortality and legal accountability: Examining government responsibility for preventable deaths,” J. Law Crim. Justice, vol. 13, no. 5, pp. 49–73, 2025, doi: 10.15640/jlcj.v13p4. DOI: https://doi.org/10.15640/jlcj.v13p4
    17. J. A. Cernuda Martínez, R. Castro Delgado, E. Ferrero Fernández, and P. Arcos González, “Self-perception of theoretical knowledge and practical skills by primary health care physicians in life-threatening emergencies,” Prehosp. Disaster Med., vol. 33, no. 5, pp. 508–518, 2018, doi: 10.1017/S1049023X18000808. DOI: https://doi.org/10.1017/S1049023X18000808
    18. W. S. P. Harmadha, “Explaining the increase of incidence and mortality from cardiovascular disease in Indonesia: A global burden of disease study analysis (2000–2019),” PLoS One, vol. 18, no. 12, pp. 294–312, 2023, doi: 10.1371/journal.pone.0294128. DOI: https://doi.org/10.1371/journal.pone.0294128
    19. F. R. Muharram, “Correction: The 30 years of shifting in the Indonesian cardiovascular burden—analysis of the global burden of disease study,” J. Epidemiol. Glob. Health, vol. 14, no. 3, pp. 1369–1369, 2024, doi: 10.1007/s44197-024-00280-y. DOI: https://doi.org/10.1007/s44197-024-00280-y
    20. M. A. Hussain, A. Al Mamun, S. A. Peters, M. Woodward, and R. R. Huxley, “The burden of cardiovascular disease attributable to major modifiable risk factors in Indonesia,” J. Epidemiol., vol. 26, no. 10, pp. 515–521, 2016, doi: 10.2188/jea.JE20150178. DOI: https://doi.org/10.2188/jea.JE20150178
    21. E. S. Ford and S. Capewell, “Coronary heart disease mortality among young adults in the U.S. from 1980 through 2002,” J. Am. Coll. Cardiol., vol. 50, no. 22, pp. 2128–2132, 2007, doi: 10.1016/j.jacc.2007.05.056. DOI: https://doi.org/10.1016/j.jacc.2007.05.056
    22. C. Andersson and R. S. Vasan, “Epidemiology of cardiovascular disease in young individuals,” Nat. Rev. Cardiol., vol. 15, no. 4, pp. 230–240, 2018, doi: 10.1038/nrcardio.2017.154. DOI: https://doi.org/10.1038/nrcardio.2017.154
    23. G. C. Patton et al., “Global patterns of mortality in young people: a systematic analysis of population health data,” Lancet, vol. 374, no. 9693, pp. 881–892, 2009, doi: 10.1016/S0140-6736(09)60741-8. DOI: https://doi.org/10.1016/S0140-6736(09)60741-8
    24. Y.-C. Ko, M.-J. Hsieh, S. Schnaubelt, T. Matsuyama, A. Cheng, and R. Greif, “Disparities in layperson resuscitation education: A scoping review,” Am. J. Emerg. Med., vol. 72, no. 5, pp. 137–146, 2023, doi: 10.1016/j.ajem.2023.07.033. DOI: https://doi.org/10.1016/j.ajem.2023.07.033
    25. D. Priftanji et al., “Performance and retention of basic life support skills improve with a peer-led training program,” Curr. Pharm. Teach. Learn., vol. 10, no. 6, pp. 744–749, 2018, doi: 10.1016/j.cptl.2018.03.006. DOI: https://doi.org/10.1016/j.cptl.2018.03.006
    26. K. Vogel, A. Bernloehr, T. Willmeroth, J. Blattgerste, C. Hellmers, and N. H. Bauer, “Augmented reality simulation-based training for midwifery students and its impact on perceived knowledge, confidence and skills for managing critical incidents,” Midwifery, vol. 136, no. 4, pp. 104–116, 2024, doi: 10.1016/j.midw.2024.104064. DOI: https://doi.org/10.1016/j.midw.2024.104064
    27. A. Ollerenshaw, J. Corbett, and H. Thompson, “Increasing the digital literacy skills of regional SMEs through high-speed broadband access,” Small Enterp. Res., vol. 28, no. 2, pp. 115–133, 2021, doi: 10.1080/13215906.2021.1919913. DOI: https://doi.org/10.1080/13215906.2021.1919913
    28. S. Kunhunny and D. Salmon, “The evolving professional identity of the clinical research nurse: A qualitative exploration,” J. Clin. Nurs., vol. 26, no. 23–24, pp. 5121–5132, 2017, doi: 10.1111/jocn.14055. DOI: https://doi.org/10.1111/jocn.14055
    29. J. Sun, A. Wang, and Q. Xu, “Exploring midwifery students’ experiences of professional identity development during clinical placement: A qualitative study,” Nurse Educ. Pract., vol. 63, no. 3, pp. 377–383, 2022, doi: 10.1016/j.nepr.2022.103377. DOI: https://doi.org/10.1016/j.nepr.2022.103377
    30. P. Aryuwat, J. Holmgren, M. Asp, M. Radabutr, and A. Lövenmark, “Experiences of nursing students regarding challenges and support for resilience during clinical education: A qualitative study,” Nurs. Reports, vol. 14, no. 3, pp. 1604–1620, 2024, doi: 10.3390/nursrep14030120. DOI: https://doi.org/10.3390/nursrep14030120
    31. L. Carvalho, L. Scott, and R. Jeffery, “An exploratory study into the use of qualitative research methods in descriptive process modelling,” Inf. Softw. Technol., vol. 47, no. 2, pp. 113–127, 2005, doi: 10.1016/j.infsof.2004.06.005. DOI: https://doi.org/10.1016/j.infsof.2004.06.005
    32. S. Kaae, B. Søndergaard, L. S. Haugbølle, and J. M. Traulsen, “Development of a qualitative exploratory case study research method to explore sustained delivery of cognitive services,” Pharm. World Sci., vol. 32, no. 1, pp. 36–42, 2010, doi: 10.1007/s11096-009-9337-5. DOI: https://doi.org/10.1007/s11096-009-9337-5
    33. M. Bahrami, “Meanings and aspects of quality of life for cancer patients: A descriptive exploratory qualitative study,” Contemp. Nurse, vol. 39, no. 1, pp. 75–84, 2011, doi: 10.5172/conu.2011.39.1.75. DOI: https://doi.org/10.5172/conu.2011.39.1.75
    34. Y. Luo et al., “Design of a virtual reality interactive training system for public health emergency preparedness for major emerging infectious diseases: Theory and framework,” JMIR Serious Games, vol. 9, no. 4, pp. 299–315, 2021, doi: 10.2196/29956. DOI: https://doi.org/10.2196/29956
    35. S. Lösch, C. A. Rambo, and J. L. Ferreira, “A pesquisa exploratória na abordagem qualitativa em educação,” Rev. Ibero-Americana Estud. em Educ., vol. 18, no. 1, pp. 231–241, 2023, doi: 10.21723/riaee.v18i00.17958. DOI: https://doi.org/10.21723/riaee.v18i00.17958
    36. J. Dermer, S. James, C. Palmer, J. Craft, and M. Christensen, “Exploring nurses’ experiences of performing basic life support in hospital wards: An inductive thematic analysis,” Nurse Educ. Pract., vol. 76, no. 3, pp. 1-11, 2024, doi: 10.1016/j.nepr.2024.103929. DOI: https://doi.org/10.1016/j.nepr.2024.103929
    37. C. F. Correia and C. Harrison, “Teachers’ beliefs about inquiry-based learning and its impact on formative assessment practice,” Res. Sci. Technol. Educ., vol. 38, no. 3, pp. 355–376, 2020, doi: 10.1080/02635143.2019.1634040. DOI: https://doi.org/10.1080/02635143.2019.1634040
    38. V. Batdı, Y. Doğan, and T. Talan, “Effectiveness of online learning: A multi-complementary approach research with responses from the COVID-19 pandemic period,” Interact. Learn. Environ., vol. 31, no. 7, pp. 4113–4146, 2023, doi: 10.1080/10494820.2021.1954035. DOI: https://doi.org/10.1080/10494820.2021.1954035
    39. J. Hinojosa, F. L. Martínez-Viviente, V. Garcerán-Hernández, and R. Ruiz-Merino, “Teaching-learning model for the science of electronics,” J. Technol. Sci. Educ., vol. 10, no. 1, pp. 87–100, 2020, doi: 10.3926/jotse.604. DOI: https://doi.org/10.3926/jotse.604
    40. Z. Bazarbayeva, N. Ospangaziyeva, A. Zhalalova, K. Koptleuova, and A. Karshigayeva, “Syllable theory and diachronic phonology: Vocalism and consonantism in turkic languages,” Eurasian J. Appl. Linguist., vol. 10, no. 1, pp. 50–59, 2024, doi: 10.32601/ejal.10105.
    41. A. Cheng et al., “Resuscitation education science: Educational strategies to improve outcomes from cardiac arrest: A scientific statement from the american heart association,” Circulation, vol. 138, no. 6, pp. 82–122, 2018, doi: 10.1161/CIR.0000000000000583. DOI: https://doi.org/10.1161/CIR.0000000000000583
    42. N. Jeffery et al., “A comparative analysis of teaching and evaluation methods in nurse practitioner education programs in Australia, Canada, Finland, Norway, the Netherlands and USA,” Int. J. Nurs. Educ. Scholarsh., vol. 17, no. 1, 2020, doi: 10.1515/ijnes-2019-0047. DOI: https://doi.org/10.1515/ijnes-2019-0047
    43. M. Råholm, B. L. Hedegaard, A. Löfmark, and Å. Slettebø, “Nursing education in Denmark, Finland, Norway and Sweden,” J. Adv. Nurs., vol. 66, no. 9, pp. 2126–2137, 2010, doi: 10.1111/j.1365-2648.2010.05331.x. DOI: https://doi.org/10.1111/j.1365-2648.2010.05331.x
    44. J. Lagones and M. Alonso Ishihara, “Special noncognitive skill activities (Tokkatsu) during the COVID-19 pandemic in Latin America: The osoji Japan project as SDG-4 in Peru,” Cogent Educ., vol. 11, no. 1, pp. 1–21, 2024, doi: 10.1080/2331186X.2024.2398858. DOI: https://doi.org/10.1080/2331186X.2024.2398858
    45. D. Akgunduz, “A research about the placement of the top thousand students in STEM fields in Turkey between 2000 and 2014,” Eurasia J. Math. Sci. Technol. Educ., vol. 12, no. 5, pp. 1365–1377, 2016, doi: 10.12973/eurasia.2016.1518a. DOI: https://doi.org/10.12973/eurasia.2016.1518a
    46. M. S. Zain, A. Astalini, and D. A. Kurniawan, “The influence of reading fondness characters on students’ attitudes in science subjects in junior high schools,” Indones. J. Educ. Res. Rev., vol. 4, no. 1, pp. 122-130, 2021, doi: 10.23887/ijerr.v4i1.32483. DOI: https://doi.org/10.23887/ijerr.v4i1.32483
    47. T. P. Ng et al., “Global prevalence of basic life support training: A systematic review and meta-analysis,” Resuscitation, vol. 186, no. 6, pp. 109–117, 2023, doi: 10.1016/j.resuscitation.2023.109771. DOI: https://doi.org/10.1016/j.resuscitation.2023.109771
    48. M. A. H. Alsabri, B. F. Alqeeq, A. A. Elshanbary, Y. Soliman, M. S. Zaazouee, and R. Yu, “Knowledge and skill level among non-healthcare providers regarding cardiopulmonary resuscitation (CPR) training in the middle east (Arab countries): A systematic review and meta-analysis,” BMC Public Health, vol. 24, no. 1, pp. 2081–2093, Aug. 2024, doi: 10.1186/s12889-024-19575-7. DOI: https://doi.org/10.1186/s12889-024-19575-7
    49. P. Nabela, S. Alarsan, and P. T. K. Hue, “A study of knowledge and attitudes of health students towards acute respiratory infections (ARI) in Lubuklinggau city,” J. Eval. Educ., vol. 5, no. 2, pp. 68–73, 2024, doi: 10.37251/jee.v5i2.935. DOI: https://doi.org/10.37251/jee.v5i2.935
    50. M. Shin and S. Bolkan, “Intellectually stimulating students’ intrinsic motivation: the mediating influence of student engagement, self-efficacy, and student academic support,” Commun. Educ., vol. 70, no. 2, pp. 146–164, 2021, doi: 10.1080/03634523.2020.1828959. DOI: https://doi.org/10.1080/03634523.2020.1828959
    51. V. B. Lemes et al., “Associations among psychological satisfaction in physical education, sports practice, and health indicators with physical activity: Direct and indirect ways in a structural equation model proposal,” Int. J. Pediatr. Adolesc. Med., vol. 8, no. 4, pp. 246–252, 2021, doi: 10.1016/j.ijpam.2020.11.004. DOI: https://doi.org/10.1016/j.ijpam.2020.11.004
    52. D. C. Karaferis, D. A. Niakas, D. Balaska, and A. Flokou, “Valuing outpatients’ perspective on primary health care services in greece: A cross-sectional survey on satisfaction and personal-centered care,” Healthcare, vol. 12, no. 14, pp. 1–20, 2024, doi: 10.3390/healthcare12141427. DOI: https://doi.org/10.3390/healthcare12141427
    53. J. Hall and S. McLaren, “Introduction to special issue: Teaching and researching japan through the pandemic and beyond,” Japanese Stud., vol. 43, no. 3, pp. 215–219, 2023, doi: 10.1080/10371397.2023.2281137. DOI: https://doi.org/10.1080/10371397.2023.2281137
    54. Y. S. Roh, K. I. Jang, and S. B. Issenberg, “Gender differences in psychological safety, academic safety, cognitive load, and debriefing satisfaction in simulation-based learning,” Nurse Educ., vol. 47, no. 5, pp. 109–113, 2022, doi: 10.1097/NNE.0000000000001179. DOI: https://doi.org/10.1097/NNE.0000000000001179
    55. G. Li and Y. Dong, “Dynamic modelling of the impact of public health education on the control of emerging infectious disease,” J. Biol. Dyn., vol. 13, no. 1, pp. 502–517, 2019, doi: 10.1080/17513758.2019.1639835. DOI: https://doi.org/10.1080/17513758.2019.1639835
    56. Ö. Yetkinel and M. Çolak, “The effects of transformation of public sphere with the new media in academy,” Eurasia J. Math. Sci. Technol. Educ., vol. 13, no. 8, pp. 5009–5018, 2017, doi: 10.12973/eurasia.2017.00979a. DOI: https://doi.org/10.12973/eurasia.2017.00979a
    57. P. Kumar, “The role of ethics and moral values in teaching: A comprehensive examination,” Shodh Sari-An Int. Multidiscip. J., vol. 03, no. 01, pp. 99–112, 2024, doi: 10.59231/sari7659. DOI: https://doi.org/10.59231/SARI7659
    58. A. Abulibdeh, E. Zaidan, and R. Abulibdeh, “Navigating the confluence of artificial intelligence and education for sustainable development in the era of industry 4.0: Challenges, opportunities, and ethical dimensions,” J. Clean. Prod., vol. 437, no. 1, pp. 1405-1427, 2024, doi: 10.1016/j.jclepro.2023.140527. DOI: https://doi.org/10.1016/j.jclepro.2023.140527
    59. P. C. Dykes et al., “Scales for assessing self-efficacy of nurses and assistants for preventing falls,” J. Adv. Nurs., vol. 67, no. 2, pp. 438–449, 2011, doi: 10.1111/j.1365-2648.2010.05501.x. DOI: https://doi.org/10.1111/j.1365-2648.2010.05501.x
    60. I. D. M. A. B. Joni, B. A. Talip, S. A. Mokhtar, and I. P. H. Permana, “The Smart Concept to Prosper the Community with the Development of Local Wisdom in the Banjar Institution BT - Tech Horizons: Unveiling Future Technologies,” SpringerBriefs in Applied Sciences and Technology: Cham, pp. 93–101, 2024, doi: 10.1007/978-3-031-63326-3_12. DOI: https://doi.org/10.1007/978-3-031-63326-3_12
    61. S. Sukri, Y. Palinggi, and L. Petrus Taliabo, “The influence of health education on the level of knowledge about hypertension,” J. Promot. Reventif, vol. 7, no. 1, pp. 52–57, 2024, doi: 10.37251/jhiee.v1i2.1204. DOI: https://doi.org/10.47650/jpp.v7i1.1089
    62. R. E. Sulistyaningtyas and P. Y. Fauziah, “The implementation of traditional games for early childhood education,” Adv. Soc. Sci. Educ. Humanit. Res., vol. 326, no. Iccie 2018, pp. 431–435, 2019, doi: 10.2991/iccie-18.2019.75. DOI: https://doi.org/10.2991/iccie-18.2019.75
    63. N. A. Quarderer et al., “Fostering the development of earth data science skills in a diverse community of online learners: A case study of the earth data science corps,” J. Stat. Data Sci. Educ., vol. 16, no. 1, pp. 1–22, 2024, doi: 10.1080/26939169.2024.2362886. DOI: https://doi.org/10.31219/osf.io/w6crb
    64. K. Singh et al., “Barriers and solutions to the gap between theory and practice in nursing services: A systematic review of qualitative evidence,” Nurs. Forum, vol. 2024, no. 1, 2024, doi: 10.1155/2024/7522900. DOI: https://doi.org/10.1155/2024/7522900
    65. C. A. Ameh, M. Mdegela, S. White, and N. van den Broek, “The effectiveness of training in emergency obstetric care: A systematic literature review,” Health Policy Plan., vol. 34, no. 4, pp. 257–270, 2019, doi: 10.1093/heapol/czz028. DOI: https://doi.org/10.1093/heapol/czz028