Background: Cardiovascular diseases are the leading global cause of death, with sudden cardiac arrest as a significant contributor. Although Basic Life Support training might increase survival rates, healthcare personnel's skills and knowledge often deteriorate three to six months after training. Traditional approaches may be beneficial in the near term but usually do not maintain competence. Training approaches that include feedback can improve long-term retention of these critical skills. Aim: This review assesses the effectiveness of feedback-integrated training compared to traditional Basic Life Support methods in promoting sustained retention of knowledge and skills among healthcare providers in clinical settings. Methods: This systematic review followed PRISMA guidelines. The database searches retrieved 211 articles from 2014 to 2024 using relevant keywords. Inclusion and exclusion criteria: We included quantitative studies assessing BLS knowledge or skill retention among healthcare providers. We excluded studies that did not evaluate retention, involved non-healthcare populations, lacked a feedback-based component, were not in English, or did not follow RCT, quasi-experimental, or longitudinal designs. Data on study characteristics, interventions, and outcomes were systematically extracted and synthesized. Results: Database searches in PubMed, Cochrane Library, Scopus, and Web of Science identified 211 articles, with 98 remaining after removing 113 duplicates. After screening, 55 full-text articles were assessed, and 12 met the inclusion criteria. These studies showed that feedback-integrated training—using automated, video-based, and simulation feedback—led to better long-term retention of CPR skills and knowledge among healthcare providers. While traditional methods improved performance initially, skills declined significantly after six months. In contrast, feedback-integrated training-maintained competency for up to twelve months, enhancing compression depth, ventilation quality, and overall resuscitation outcomes. Conclusion: Feedback-integrated Basic Life Support training significantly improves long-term skill retention and is adaptable to diverse clinical settings, including low-resource environments. Future research should explore the long-term impacts, cost-effectiveness, and comparison with other resuscitation techniques to provide global recommendations for healthcare training.

Background: Cardiovascular diseases are the leading global cause of death, with sudden cardiac arrest as a significant contributor. Although Basic Life Support training might increase survival rates, healthcare personnel's skills and knowledge often deteriorate three to six months after training. Traditional approaches may be beneficial in the near term but usually do not maintain competence. Training approaches that include feedback can improve long-term retention of these critical skills. Aim: This review assesses the effectiveness of feedback-integrated training compared to traditional Basic Life Support methods in promoting sustained retention of knowledge and skills among healthcare providers in clinical settings. Methods: This systematic review followed PRISMA guidelines. The database searches retrieved 211 articles from 2014 to 2024 using relevant keywords. Inclusion and exclusion criteria: We included quantitative studies assessing BLS knowledge or skill retention among healthcare providers. We excluded studies that did not evaluate retention, involved non-healthcare populations, lacked a feedback-based component, were not in English, or did not follow RCT, quasi-experimental, or longitudinal designs. Data on study characteristics, interventions, and outcomes were systematically extracted and synthesized. Results: Database searches in PubMed, Cochrane Library, Scopus, and Web of Science identified 211 articles, with 98 remaining after removing 113 duplicates. After screening, 55 full-text articles were assessed, and 12 met the inclusion criteria. These studies showed that feedback-integrated training—using automated, video-based, and simulation feedback—led to better long-term retention of CPR skills and knowledge among healthcare providers. While traditional methods improved performance initially, skills declined significantly after six months. In contrast, feedback-integrated training-maintained competency for up to twelve months, enhancing compression depth, ventilation quality, and overall resuscitation outcomes. Conclusion: Feedback-integrated Basic Life Support training significantly improves long-term skill retention and is adaptable to diverse clinical settings, including low-resource environments. Future research should explore the long-term impacts, cost-effectiveness, and comparison with other resuscitation techniques to provide global recommendations for healthcare training.