在住院心脏骤停期间,复苏团队成员的自我效能和团队能力之间的关系
Gabriel A Hooper1, Allison M Butler2, David Guidry3,4
1University of Utah School of Medicine, Salt Lake City, UT.
Critical care explorations
|January 23, 2024
概括
复苏团队成员的自我效能与模拟心脏骤停期间大多数团队能力指标没有相关性. 这些发现表明,在评估复苏训练和个人能力方面,自我效能的作用应该受到限制.
科学领域:
- 医疗模拟 医疗模拟
- 心肺复苏是心肺复苏的方法之一.
- 团队表现 团队表现
背景情况:
- 个人自我效能对复苏团队的表现至关重要,但高自我效能并不能保证能力.
- 评估个人自我效能和整体团队能力之间的联系对于有效的复苏培训至关重要.
研究的目的:
- 在模拟心脏骤停期间评估个人自我效能和复苏团队能力之间的关系.
- 为了确定自我效能是否预测了复苏团队的关键绩效指标.
主要方法:
- 一个随机对照试验的二次分析,涉及高准确度的 in situ 心脏骤停模拟.
- 多学科复苏小组成员完成了模拟后的自我有效性调查.
- 主要结局:胸部压缩手动分数>75%;次要结局:复苏质量,协议遵守和非技术团队表现.
主要成果:
- 在团队成员的自我效能 (信心,清晰度,错误问题) 和实现胸部压缩手动分数>75%之间没有发现显著的关联.
- 自我有效性与大多数次要结果无关,除了与非技术团队绩效指标的积极关联.
- 43%的复苏团队实现了>75%的胸部压缩手动分数的主要结果.
结论:
- 在模拟心脏骤停复苏过程中,个人自我有效性与大多数团队级能力指标无关.
- 自我有效性在评估复苏培训计划和认证个体团队成员方面应该发挥有限的作用.
- 进一步的研究可能会探索其他影响复苏团队能力的因素,而不仅仅是个人的自我效能.
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