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

Area of Science:

• Medical simulation
• Cardiopulmonary resuscitation
• Team performance

Background:

• Individual self-efficacy is crucial for resuscitation team performance, but high self-efficacy does not guarantee competence.
• Evaluating the link between individual self-efficacy and overall team competence is essential for effective resuscitation training.

Purpose of the Study:

• To assess the relationship between individual self-efficacy and resuscitation team competence during simulated cardiac arrest.
• To determine if self-efficacy predicts key performance metrics in resuscitation teams.

Main Methods:

• Secondary analysis of a randomized controlled trial involving high-fidelity in situ cardiac arrest simulations.
• Multidisciplinary resuscitation team members completed self-efficacy surveys post-simulation.
• Primary outcome: chest compression hands-on fraction >75%; secondary outcomes: resuscitation quality, protocol adherence, and nontechnical team performance.

Main Results:

• No significant association was found between team members' self-efficacy (confidence, clarity, error concerns) and achieving a chest compression hands-on fraction >75%.
• Self-efficacy was not linked to most secondary outcomes, except for a positive association with nontechnical team performance metrics.
• 43% of resuscitation teams achieved the primary outcome of >75% chest compression hands-on fraction.

Conclusions:

• Individual self-efficacy was not associated with most team-level competence metrics during simulated cardiac arrest resuscitation.
• Self-efficacy should play a limited role in evaluating resuscitation training programs and certifying individual team members.
• Further research may explore other factors influencing resuscitation team competence beyond individual self-efficacy.