Details

Autor(en) / Beteiligte

• Hooper, Gabriel A
• Butler, Allison M
• Guidry, David
• Kumar, Naresh
• Brown, Katie
• Beninati, William
• Brown, Samuel M
• Peltan, Ithan D

Titel

Relationship Between Resuscitation Team Members' Self-Efficacy and Team Competence During In-Hospital Cardiac Arrest

Ist Teil von

• Critical care explorations, 2024-01, Vol.6 (1), p.e1029-e1029

Ort / Verlag

United States: Lippincott Williams & Wilkins

Erscheinungsjahr

2024

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Inadequate self-efficacy of resuscitation team members may impair team performance, but high self-efficacy does not guarantee competence. We evaluated the relationship between individual self-efficacy and resuscitation team competence. Secondary analysis of a randomized controlled trial. High-fidelity in situ in-hospital cardiac arrest simulations at seven hospitals in Utah. Multidisciplinary cardiac arrest resuscitation team members. None. Resuscitation team members completed surveys evaluating resuscitation self-efficacy (confidence in resuscitation role, difficulty thinking clearly, and concerns about committing errors) after each simulation. The primary outcome was event-level chest compression hands-on fraction greater than 75%. Secondary outcomes included other measures of resuscitation quality, advanced cardiac life support protocol adherence, and nontechnical team performance. Analyses employed the Datta-Satten rank-sum method to account for response clustering within simulation events. Of 923 participants in 76 analyzable simulations, 612 (66%) submitted complete surveys and 33 (43%) resuscitation teams achieved hands-on fraction greater than 75%. Event-level chest compression hands-on fraction greater than 75% versus less than or equal to 75% was not associated with the percentage of resuscitation team members reporting confidence in their team role ( = 213 [74%] vs. = 251 [77%], respectively, = 0.18), lack of difficulty thinking clearly ( = 186 [65%] vs. = 214 [66%], = 0.92), or lack of worry about making errors ( = 155 [54%] vs. = 180 [55%], = 0.41). Team members' confidence was also not associated with secondary outcomes, except that teams with confident members had better values for composite (3.55 [interquartile range, IQR 3.00-3.82] vs. 3.18 [IQR 2.57-3.64], = 0.024) and global (8 [7-9] vs. 8 [6-8], = 0.029) scales measuring nontechnical team performance. Team members' self-efficacy was not associated with most team-level competence metrics during simulated cardiac arrest resuscitation. These data suggest that self-efficacy should have a limited role for evaluation of resuscitation training programs and for initial certification and monitoring of individual resuscitation team members' competence.