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  1. Walker, Mandi D. DNP, RN, CCRN-K, NPD-BC, NEA-BC
  2. Nuxoll, Bridget MSN, RN, PCCN-K, NPD-BC
  3. Niner, Sherle MSN, RN-BC
  4. Hagan, Thomas L. MSN, RN, CCRN-K, NPD-BC


This study evaluated the efficacy of online versus instructor-led advanced cardiac life support for first-time registered nurse participants. Participants were randomized into online or instructor-led courses, with learning outcomes measured in the cognitive, psychomotor, and affective domains. The instructor-led group showed statistically significant better performance during simulated megacode. Further analysis identified key areas where instructor-led participants out-performed the online group, enabling educators to articulate risk and benefit of the two learning modalities.