Relationship Between Resuscitation Team Members’ Self-Efficacy and Team Competence During In-Hospital Cardiac Arrest
OBJECTIVES:. Inadequate self-efficacy of resuscitation team members may impair team performance, but high self-efficacy does not guarantee competence. We evaluated the relationship between individual self-efficacy and resuscitation team competence. DESIGN:. Secondary analysis of a randomized control...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2024-01-01
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| Series: | Critical Care Explorations |
| Online Access: | http://journals.lww.com/10.1097/CCE.0000000000001029 |
| _version_ | 1797341113608044544 |
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| author | Gabriel A. Hooper, BS Allison M. Butler, MStat David Guidry, MD Naresh Kumar, MPH Katie Brown, RN, BSN William Beninati, MD Samuel M. Brown, MD, MS Ithan D. Peltan, MD, MSc |
| author_facet | Gabriel A. Hooper, BS Allison M. Butler, MStat David Guidry, MD Naresh Kumar, MPH Katie Brown, RN, BSN William Beninati, MD Samuel M. Brown, MD, MS Ithan D. Peltan, MD, MSc |
| author_sort | Gabriel A. Hooper, BS |
| collection | DOAJ |
| description | OBJECTIVES:. Inadequate self-efficacy of resuscitation team members may impair team performance, but high self-efficacy does not guarantee competence. We evaluated the relationship between individual self-efficacy and resuscitation team competence.
DESIGN:. Secondary analysis of a randomized controlled trial.
SETTING:. High-fidelity in situ in-hospital cardiac arrest simulations at seven hospitals in Utah.
SUBJECTS:. Multidisciplinary cardiac arrest resuscitation team members.
INTERVENTIONS:. None.
MEASUREMENTS AND MAIN RESULTS:. Resuscitation team members completed surveys evaluating resuscitation self-efficacy (confidence in resuscitation role, difficulty thinking clearly, and concerns about committing errors) after each simulation. The primary outcome was event-level chest compression hands-on fraction greater than 75%. Secondary outcomes included other measures of resuscitation quality, advanced cardiac life support protocol adherence, and nontechnical team performance. Analyses employed the Datta-Satten rank-sum method to account for response clustering within simulation events. Of 923 participants in 76 analyzable simulations, 612 (66%) submitted complete surveys and 33 (43%) resuscitation teams achieved hands-on fraction greater than 75%. Event-level chest compression hands-on fraction greater than 75% versus less than or equal to 75% was not associated with the percentage of resuscitation team members reporting confidence in their team role (n = 213 [74%] vs. n = 251 [77%], respectively, p = 0.18), lack of difficulty thinking clearly (n = 186 [65%] vs. n = 214 [66%], p = 0.92), or lack of worry about making errors (n = 155 [54%] vs. n = 180 [55%], p = 0.41). Team members’ confidence was also not associated with secondary outcomes, except that teams with confident members had better values for composite (3.55 [interquartile range, IQR 3.00–3.82] vs. 3.18 [IQR 2.57–3.64], p = 0.024) and global (8 [7–9] vs. 8 [6–8], p = 0.029) scales measuring nontechnical team performance.
CONCLUSIONS:. Team members’ self-efficacy was not associated with most team-level competence metrics during simulated cardiac arrest resuscitation. These data suggest that self-efficacy should have a limited role for evaluation of resuscitation training programs and for initial certification and monitoring of individual resuscitation team members’ competence. |
| first_indexed | 2024-03-08T10:13:11Z |
| format | Article |
| id | doaj.art-f122b1d6f9164091ace63fe9f9771407 |
| institution | Directory Open Access Journal |
| issn | 2639-8028 |
| language | English |
| last_indexed | 2024-03-08T10:13:11Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Critical Care Explorations |
| spelling | doaj.art-f122b1d6f9164091ace63fe9f97714072024-01-29T07:00:20ZengWolters KluwerCritical Care Explorations2639-80282024-01-0161e102910.1097/CCE.0000000000001029202401000-00015Relationship Between Resuscitation Team Members’ Self-Efficacy and Team Competence During In-Hospital Cardiac ArrestGabriel A. Hooper, BS0Allison M. Butler, MStat1David Guidry, MD2Naresh Kumar, MPH3Katie Brown, RN, BSN4William Beninati, MD5Samuel M. Brown, MD, MS6Ithan D. Peltan, MD, MSc71 University of Utah School of Medicine, Salt Lake City, UT.2 Office of Research, Intermountain Health, Murray, UT.3 Department of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray, UT.3 Department of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray, UT.3 Department of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray, UT.5 Telehealth Program, Intermountain Health, Salt Lake City, UT.3 Department of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray, UT.3 Department of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray, UT.OBJECTIVES:. Inadequate self-efficacy of resuscitation team members may impair team performance, but high self-efficacy does not guarantee competence. We evaluated the relationship between individual self-efficacy and resuscitation team competence. DESIGN:. Secondary analysis of a randomized controlled trial. SETTING:. High-fidelity in situ in-hospital cardiac arrest simulations at seven hospitals in Utah. SUBJECTS:. Multidisciplinary cardiac arrest resuscitation team members. INTERVENTIONS:. None. MEASUREMENTS AND MAIN RESULTS:. Resuscitation team members completed surveys evaluating resuscitation self-efficacy (confidence in resuscitation role, difficulty thinking clearly, and concerns about committing errors) after each simulation. The primary outcome was event-level chest compression hands-on fraction greater than 75%. Secondary outcomes included other measures of resuscitation quality, advanced cardiac life support protocol adherence, and nontechnical team performance. Analyses employed the Datta-Satten rank-sum method to account for response clustering within simulation events. Of 923 participants in 76 analyzable simulations, 612 (66%) submitted complete surveys and 33 (43%) resuscitation teams achieved hands-on fraction greater than 75%. Event-level chest compression hands-on fraction greater than 75% versus less than or equal to 75% was not associated with the percentage of resuscitation team members reporting confidence in their team role (n = 213 [74%] vs. n = 251 [77%], respectively, p = 0.18), lack of difficulty thinking clearly (n = 186 [65%] vs. n = 214 [66%], p = 0.92), or lack of worry about making errors (n = 155 [54%] vs. n = 180 [55%], p = 0.41). Team members’ confidence was also not associated with secondary outcomes, except that teams with confident members had better values for composite (3.55 [interquartile range, IQR 3.00–3.82] vs. 3.18 [IQR 2.57–3.64], p = 0.024) and global (8 [7–9] vs. 8 [6–8], p = 0.029) scales measuring nontechnical team performance. CONCLUSIONS:. Team members’ self-efficacy was not associated with most team-level competence metrics during simulated cardiac arrest resuscitation. These data suggest that self-efficacy should have a limited role for evaluation of resuscitation training programs and for initial certification and monitoring of individual resuscitation team members’ competence.http://journals.lww.com/10.1097/CCE.0000000000001029 |
| spellingShingle | Gabriel A. Hooper, BS Allison M. Butler, MStat David Guidry, MD Naresh Kumar, MPH Katie Brown, RN, BSN William Beninati, MD Samuel M. Brown, MD, MS Ithan D. Peltan, MD, MSc Relationship Between Resuscitation Team Members’ Self-Efficacy and Team Competence During In-Hospital Cardiac Arrest Critical Care Explorations |
| title | Relationship Between Resuscitation Team Members’ Self-Efficacy and Team Competence During In-Hospital Cardiac Arrest |
| title_full | Relationship Between Resuscitation Team Members’ Self-Efficacy and Team Competence During In-Hospital Cardiac Arrest |
| title_fullStr | Relationship Between Resuscitation Team Members’ Self-Efficacy and Team Competence During In-Hospital Cardiac Arrest |
| title_full_unstemmed | Relationship Between Resuscitation Team Members’ Self-Efficacy and Team Competence During In-Hospital Cardiac Arrest |
| title_short | Relationship Between Resuscitation Team Members’ Self-Efficacy and Team Competence During In-Hospital Cardiac Arrest |
| title_sort | relationship between resuscitation team members self efficacy and team competence during in hospital cardiac arrest |
| url | http://journals.lww.com/10.1097/CCE.0000000000001029 |
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