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The Effect of Teaching Nontechnical Skills in Advanced Life Support: A Systematic Review
Philippe Dewolf1,2, Geraldine Clarebout3, Lina Wauters1
1Department of Emergency Medicine University Hospitals Leuven Leuven Flanders Belgium.
AEM Education and Training
|May 27, 2021
Summary
Nontechnical skills (NTS) training significantly improves performance in advanced life support (ALS) simulations, particularly in critical steps and team dynamics. Regular practice and feedback are key for lasting improvements in team effectiveness.
Area of Science:
- Medical Education
- Simulation-Based Training
- Emergency Medicine
Background:
- Nontechnical skills (NTS) are crucial for effective performance in high-stakes medical scenarios.
- Advanced Life Support (ALS) requires proficient teamwork and decision-making beyond technical proficiency.
- The impact of structured NTS training on ALS performance and skill retention requires comprehensive evaluation.
Purpose of the Study:
- To assess the effectiveness of NTS training on performance within ALS simulations.
- To determine optimal training frequencies for sustained NTS retention.
- To evaluate the value of debriefing in enhancing NTS and team performance.
Main Methods:
- Systematic literature search across major databases (PubMed, EMBASE, WoS, ERIC, CINAHL, Cochrane Library) up to August 1, 2018.
- Inclusion of primary studies focusing on NTS in ALS education.
- Data extraction by three independent reviewers and quality assessment using the MERSQI approach.
Main Results:
- Forty studies involving 3,041 participants demonstrated that NTS training significantly improved critical step timing in ALS simulations.
- Effective leadership and teamwork during simulation enhanced overall technical performance and team dynamics.
- Debriefing positively impacted team performance, with no single debriefing method proving superior.
Conclusions:
- Team simulation training enhances NTS and reduces time to complete simulated cardiac arrest scenarios.
- Formal NTS programs integrated into ALS courses are recommended, emphasizing feedback and repetitive practice.
- NTS training benefits can persist for 3-6 months, highlighting the potential for improved team effectiveness, though patient outcome impact needs further study.
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