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Use of a Cardiopulmonary Resuscitation Video to Assist Intensive Care Unit Resident Physicians during Code Status
Trinh T Pham1, Israel Acosta Sanchez1, Salil Kalra1
1Department of Medicine, Division of Pulmonary, Critical Care, Sleep and Allergy, University of Illinois at Chicago, Chicago, Illinois, USA.
Palliative Medicine Reports
|October 7, 2022
Summary
A CPR video did not increase ICU residents' comfort in conducting code status discussions. Low engagement with the video may explain why it did not impact physician comfort levels during these critical conversations.
Area of Science:
- Medical Education
- Critical Care Medicine
- Patient Communication
Background:
- Code status discussions (CSDs) in the intensive care unit (ICU) are primarily handled by resident physicians.
- Cardiopulmonary resuscitation (CPR) videos have demonstrated positive impacts in aiding patient and family decision-making for CSDs.
- Resident physicians' comfort levels during CSDs are crucial for effective patient care.
Purpose of the Study:
- To evaluate the impact of a CPR video on ICU residents' comfort when conducting CSDs.
- To determine if supplementary CPR video resources enhance trainee confidence in code status decision-making discussions.
Main Methods:
- A pre- and postintervention pilot study design was employed.
- Residents completed a presurvey on comfort levels, received access to a CPR video, and then completed a postsurvey.
- Surveys assessed comfort levels before and after the intervention, with analysis of video usage and perceived utility.
Main Results:
- Comfort levels remained largely unchanged between presurvey (78% extremely/somewhat comfortable) and postsurvey (89% extremely/somewhat comfortable) respondents.
- The majority of residents (79%) reported almost never using the CPR video.
- A significant portion (67%) neither agreed nor disagreed that the video was useful, indicating low engagement.
Conclusions:
- The CPR video intervention did not significantly impact resident physicians' comfort levels in conducting CSDs within this study cohort.
- Low resident engagement with the provided CPR video is a potential factor contributing to the lack of observed impact.
- Further research may explore alternative strategies to enhance resident preparedness and confidence in CSDs.
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