Abstract
Purpose
Task interruptions (TI) are frequent disturbances for emergency professionals performing
advanced life support (ALS). The aim of our study was to evaluate a specific training
intervention with TI on the quality of simulated ALS.
Methods
During this multi centered randomized controlled trial, each team included one resident,
one nurse and one emergency physician. The teams were randomized for the nature of
their training session: control (without interruption) or intervention (with TI).
The primary outcome was non-technical skills assessed with the TEAM score. We also
measured the no flow time, the Cardiff score and chest compression depth and rate.
Results
On a total of 21 included teams, 11 were randomized to a control training session
and 10 to the specific TI training. During training, teams’ characteristics and skills
were similar between the two groups. During the evaluation session, the TEAM score
was not different between groups: median score for control group 33,5 vs 31,5 for
intervention group. We also report similar no flow time and Cardiff score.
Conclusion
In this simulated ALS study, a specific training intervention with TI did not improve
technical and non-technical skills. Further research is required to limit the impact
of TI in emergency settings.
Keywords
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References
- Technology-enhanced simulation for health professions education: a systematic review and meta-analysis.JAMA. 2011; 306
- How much evidence does it take? A cumulative meta-analysis of outcomes of simulation-based education.Med Educ. 2014; 48: 750-760
- Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control study.Chest. 2008; 133: 56-61
- European resuscitation council guidelines for resuscitation 2015: section 10. Education and implementation of resuscitation.Resuscitation. 2015; 95: 288-301
- Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest.New Engl J Med. 2015; 372: 2307-2315
- Perceived stress and team performance during a simulated resuscitation.Intensive Care Med. 2011; 37: 1473-1479
- Impact of a stress coping strategy on perceived stress levels and performance during a simulated cardiopulmonary resuscitation: a randomized controlled trial.BMC Emerg Med. 2013; 13
- Identifying non-technical skills and barriers for improvement of teamwork in cardiac arrest teams.Resuscitation. 2010; 81: 695-702
- Stress and cardiopulmonary resuscitation performance.Crit Care Med. 2011; 39: 404-405
- Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents.Crit Care Med. 2007; 35: 1668-1672
- Cardiopulmonary resuscitation: attitudes and perceptions of junior doctors.Hosp Med. 2003; 64: 425-428
- Time matters – Realism in resuscitation training.Resuscitation. 2014; 85: 1093-1098
Truchot, J. et al. Évaluation des éléments perturbateurs lors de réanimation cardiopulmonaire aux urgences. Ann. Fr. Médecine D′urgence 11, 87–92 (2021).
- Effect of socioemotional stress on the quality of cardiopulmonary resuscitation during advanced life support in a randomized manikin study.Crit Care Med. 2011; 39: 300-304
- Physician you can heal yourself! Cognitive behavioural training reduces stress in GPs.Fam Pract. 2004; 21: 545-551
- The effect of stress inoculation training on anxiety and performance.J Occup Health Psychol. 1996; 1: 170-186
- Team Emergency Assessment Measure (TEAM) for the assessment of non-technical skills during resuscitation: validation of the French version.Resuscitation. 2016; 101: 115-120
Bajaj, K. The PEARLS Healthcare Debriefing Tool. 1.
- Reliability of the Cardiff Test of basic life support and automated external defibrillation version 3.1.Resuscitation. 2003; 59: 291-314
Notice bibliographique Inventaire d′anxiété, état-trait: forme Y (STAI-Y) / C. D. Spielberger,. [avec la collab. de] R. L. Gorsuch, R. Lushene, P. R. Vagg et G. A. Jacobs; [adapt. française de M. Bruchon-Schweitzer et de I. Paulhan] | BnF Catalogue général - Bibliothèque nationale de France. https://catalogue.bnf.fr/ark:/12148/cb355889031.
- Comparison of traditional versus high-fidelity simulation in the retention of ACLS knowledge.Resuscitation. 2011; 82: 1440-1443
- The effects of acute stress on performance: implications for health professions education.Acad Med J Assoc Am Med Coll. 2009; 84
- The impact of stress on paramedic performance during simulated critical events.Prehosp Disaster Med. 2012; 27: 369-374
- Modulation of attentional inhibition by norepinephrine and cortisol after psychological stress.Int J Psychophysiol J Int Organ Psychophysiol. 2000; 36: 59-68
- Impact of stress on resident performance in simulated trauma scenarios.J Trauma Acute Care Surg. 2012; 72: 497-503
- Activities during interruptions in cardiopulmonary resuscitation: a simulator study.Resuscitation. 2011; 82: 1419-1423
- First, do no harm: using simulated patient death to enhance learning? Letters to the editor.Med Educ. 2011; 45: 317-318
- Grant V.J. Cheng A. Cognitive Load and Stress in Simulation. in Comprehensive Healthcare Simulation: Pediatrics. (Springer International Publishing, 2016: 3-17https://doi.org/10.1007/978-3-319-24187-6_1
- The emotional and cognitive impact of unexpected simulated patient death.Chest. 2014; 145: 958-963
- Development of NASA-TLX (Task Load Index): results of empirical and theoretical research.Advances in Psychology. Elsevier, 1988: 39-183
- Stress and memory: behavioral effects and neurobiological mechanisms.Neural Plast. 2007; 2007
- Enhanced human memory consolidation with post-learning stress: interaction with the degree of arousal at encoding.Learn Mem. 2003; 10: 270-274
M. Csikszentmihalyi, FLOW: Psychol Optim Exp, 6, 2000.
- The presence of a family witness impacts physician performance during simulated medical codes.Crit Care Med. 2009; 37: 1956-1960
- The use of high-fidelity manikins for advanced life support training—a systematic review and meta-analysis.Resuscitation. 2015; 93: 142-149
S.J. Hamstra, R. Brydges, R. Hatala, B. Zendejas, D.A. Cook, Reconsidering Fidel Simul-Based Train: Acad Med 89, 2014, pp. 387–392.
- The use of simulation for training teamwork skills in health care: how low can you go?.Qual Saf Health Care. 2004; 13: i51-i56
- Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review.Med Teach. 2005; 27: 10-28
Article info
Publication history
Published online: October 11, 2022
Accepted:
October 1,
2022
Received in revised form:
September 28,
2022
Received:
September 21,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.
