Advanced life support training and assessment: A literature review

SummaryAdvanced Life Support (ALS) certification has become a mandatory requirement for most critical care nurses in Australia. The purpose of this review is to critically evaluate current literature in relation to ALS training and certification for critical care nurses. There is some evidence in the literature that ALS training programs can improve patient outcome following cardiac arrest. Teaching methods vary including simulation training, e-learning and lecture based courses. Of continued concern is the consistent message that competence declines rapidly following ALS courses. Whilst many critical care units require evidence of annual ALS assessment there is little evidence that this translates into ongoing practical competence or confidence. Recommendations from regulatory bodies and ALS training literature reinforce that frequent, relevant and practical learning activities may be more effective, however it is unclear from the review if this occurs nor if critical care nurses remain confident in their skills as time passes.