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Basic life support training using shared mental models improves team performance of first responders on normal wards:

Stefanie Beck1, Christoph Doehn1, Hayo Funk1

  • 1Department of Anaesthesiology, University Medical Center Hamburg-Eppendorf, Martini-Str. 52, 20246 Hamburg, Germany.

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|September 11, 2019
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Summary

Training focused on shared mental models significantly reduced hands-off time during simulated cardiac arrest events. This approach enhances teamwork and efficiency in emergency response without increasing training duration.

Keywords:
BLSBasic life supportSelf-directed learningShared mental modelsSimulationTeamworkTraining

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Teamwork and Communication

Background:

  • Effective response to in-hospital cardiac arrest (IHCA) requires skilled teams and strong professional teamwork.
  • Shared mental models among team members are theorized to improve teamwork and patient outcomes.
  • Current training methods may not adequately foster these crucial shared mental models.

Purpose of the Study:

  • To investigate if training focused on developing shared mental models improves team performance in simulated IHCA scenarios.
  • To compare the effectiveness of a shared mental model-based training intervention against conventional training.

Main Methods:

  • A randomized controlled trial compared a conventional instructor-led Basic Life Support (BLS) training with an interventional training focused on self-directed learning for shared mental models.
  • Participants were clinical staff from various departments.
  • Primary outcomes included the Team Assessment Scale (TAS) and hands-off time; secondary outcomes included BLS quality scores.

Main Results:

  • The interventional group demonstrated a significantly lower hands-off time (5.42%) compared to the control group (8.85%).
  • While TAS and overall BLS scores were high in both groups, no significant differences were observed.
  • Hands-off time showed a significant negative correlation with all TAS items, indicating better teamwork correlated with less interruption.

Conclusions:

  • Basic Life Support training that cultivates shared mental models effectively reduces hands-off time during simulated cardiac arrest.
  • Training strategies promoting shared mental models are valuable for enhancing team performance in critical care settings.
  • These methods offer an efficient approach to team training without extending overall training time.