Bilingual resuscitation training does not affect adherence to resuscitation guidelines but reduces leadership skills and overall team performance. An observational study with cross-border German-Polish training

Aim of study: This study aims to investigate feasibility and quality of a bilingual cardiopulmonary resuscitation training with interprofessional emergency teams from Germany and Poland. Methods: As part of a cross-border European Territorial Cooperation (Interreg-VA) funded project a combined commu...

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Main Authors: Marie-Luise Ruebsam, Bibiana Metelmann, Christian Hofmann, Dorota Orsson, Klaus Hahnenkamp, Camilla Metelmann
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Resuscitation Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666520423000796
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author Marie-Luise Ruebsam
Bibiana Metelmann
Christian Hofmann
Dorota Orsson
Klaus Hahnenkamp
Camilla Metelmann
author_facet Marie-Luise Ruebsam
Bibiana Metelmann
Christian Hofmann
Dorota Orsson
Klaus Hahnenkamp
Camilla Metelmann
author_sort Marie-Luise Ruebsam
collection DOAJ
description Aim of study: This study aims to investigate feasibility and quality of a bilingual cardiopulmonary resuscitation training with interprofessional emergency teams from Germany and Poland. Methods: As part of a cross-border European Territorial Cooperation (Interreg-VA) funded project a combined communication and simulation training was organised. Teams of German and Polish emergency medicine personnel jointly practised resuscitation. The course was held in both languages with consecutive translation.Quality of chest compression was assessed using a simulator with feedback application. Learning objectives (quality of cardiopulmonary resuscitation, adherence to guidelines, closed loop communication), and team performance were assessed by an external observer. Coopeŕs Team Emergency Assessment Measure questionnaire was used. Results: Twenty-one scenarios with 17 participants were analysed. In all scenarios, defibrillation and medication were delivered with correct dosage and at the right time. Mean fraction of correct hand position was 85.7% ± 25.7 [95%-CI 74.0; 97.4], mean fraction of compression depth 75.1% ± 21.0 [95%-CI 65.6; 84.7], compression rate 117.7 min−1 ± 7.1 [95%-CI 114.4; 120.9], and chest compression fraction 83.3% ± 3.8 [95%-CI 81.6; 85.0].Quality of cardiopulmonary resuscitation was rated as “fair” to “good”, adherence to guidelines as “good”, and closed loop communication as “fair”. Bilingual teams demonstrated good situational awareness, but lack of leadership and suboptimal overall team performance. Conclusion: Bilingual and interprofessional cross-border resuscitation training in German and Polish tandem teams is feasible. It does not affect quality of technical skills such as high-quality chest compression but does affect performance of non-technical skills (e.g. closed loop communication and leadership).
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spelling doaj.art-6a529f41b4fe4e97b4b4b587a218fef12023-09-07T04:44:55ZengElsevierResuscitation Plus2666-52042023-09-0115100436Bilingual resuscitation training does not affect adherence to resuscitation guidelines but reduces leadership skills and overall team performance. An observational study with cross-border German-Polish trainingMarie-Luise Ruebsam0Bibiana Metelmann1Christian Hofmann2Dorota Orsson3Klaus Hahnenkamp4Camilla Metelmann5Corresponding author.; University Medicine of Greifswald, Department of Anaesthesia, Intensive Care, Emergency and Pain Medicine, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, GermanyUniversity Medicine of Greifswald, Department of Anaesthesia, Intensive Care, Emergency and Pain Medicine, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, GermanyUniversity Medicine of Greifswald, Department of Anaesthesia, Intensive Care, Emergency and Pain Medicine, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, GermanyUniversity Medicine of Greifswald, Department of Anaesthesia, Intensive Care, Emergency and Pain Medicine, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, GermanyUniversity Medicine of Greifswald, Department of Anaesthesia, Intensive Care, Emergency and Pain Medicine, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, GermanyUniversity Medicine of Greifswald, Department of Anaesthesia, Intensive Care, Emergency and Pain Medicine, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, GermanyAim of study: This study aims to investigate feasibility and quality of a bilingual cardiopulmonary resuscitation training with interprofessional emergency teams from Germany and Poland. Methods: As part of a cross-border European Territorial Cooperation (Interreg-VA) funded project a combined communication and simulation training was organised. Teams of German and Polish emergency medicine personnel jointly practised resuscitation. The course was held in both languages with consecutive translation.Quality of chest compression was assessed using a simulator with feedback application. Learning objectives (quality of cardiopulmonary resuscitation, adherence to guidelines, closed loop communication), and team performance were assessed by an external observer. Coopeŕs Team Emergency Assessment Measure questionnaire was used. Results: Twenty-one scenarios with 17 participants were analysed. In all scenarios, defibrillation and medication were delivered with correct dosage and at the right time. Mean fraction of correct hand position was 85.7% ± 25.7 [95%-CI 74.0; 97.4], mean fraction of compression depth 75.1% ± 21.0 [95%-CI 65.6; 84.7], compression rate 117.7 min−1 ± 7.1 [95%-CI 114.4; 120.9], and chest compression fraction 83.3% ± 3.8 [95%-CI 81.6; 85.0].Quality of cardiopulmonary resuscitation was rated as “fair” to “good”, adherence to guidelines as “good”, and closed loop communication as “fair”. Bilingual teams demonstrated good situational awareness, but lack of leadership and suboptimal overall team performance. Conclusion: Bilingual and interprofessional cross-border resuscitation training in German and Polish tandem teams is feasible. It does not affect quality of technical skills such as high-quality chest compression but does affect performance of non-technical skills (e.g. closed loop communication and leadership).http://www.sciencedirect.com/science/article/pii/S2666520423000796Cross-borderSimulation trainingInterprofessionalResuscitation trainingAdvanced life supportBilingual
spellingShingle Marie-Luise Ruebsam
Bibiana Metelmann
Christian Hofmann
Dorota Orsson
Klaus Hahnenkamp
Camilla Metelmann
Bilingual resuscitation training does not affect adherence to resuscitation guidelines but reduces leadership skills and overall team performance. An observational study with cross-border German-Polish training
Resuscitation Plus
Cross-border
Simulation training
Interprofessional
Resuscitation training
Advanced life support
Bilingual
title Bilingual resuscitation training does not affect adherence to resuscitation guidelines but reduces leadership skills and overall team performance. An observational study with cross-border German-Polish training
title_full Bilingual resuscitation training does not affect adherence to resuscitation guidelines but reduces leadership skills and overall team performance. An observational study with cross-border German-Polish training
title_fullStr Bilingual resuscitation training does not affect adherence to resuscitation guidelines but reduces leadership skills and overall team performance. An observational study with cross-border German-Polish training
title_full_unstemmed Bilingual resuscitation training does not affect adherence to resuscitation guidelines but reduces leadership skills and overall team performance. An observational study with cross-border German-Polish training
title_short Bilingual resuscitation training does not affect adherence to resuscitation guidelines but reduces leadership skills and overall team performance. An observational study with cross-border German-Polish training
title_sort bilingual resuscitation training does not affect adherence to resuscitation guidelines but reduces leadership skills and overall team performance an observational study with cross border german polish training
topic Cross-border
Simulation training
Interprofessional
Resuscitation training
Advanced life support
Bilingual
url http://www.sciencedirect.com/science/article/pii/S2666520423000796
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