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![AHA pediatric cardiac arrest algorithm – 2018 update [5]](publication/350854173/figure/fig5/AS:1012363742425097@1618377733824/AHA-pediatric-cardiac-arrest-algorithm-2018-update-5.png)
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![AHA pediatric cardiac arrest algorithm – 2018 update [5]](publication/350854173/figure/fig5/AS:1012363742425097@1618377733824/AHA-pediatric-cardiac-arrest-algorithm-2018-update-5_Q320.jpg)
Background
Effective team communication, coordination, and situational awareness (SA) by team members are critical components to deliver optimal cardiopulmonary resuscitation (CPR). Complexity of care during CPR, involvement of numerous providers, miscommunication, and other exogenous factors can all contribute to negatively influencing patient car...
Citations
... To our knowledge, no app that can be used as an interoperable mobile laboratory results viewer in the ED has been described to date [21]. Evidence demonstrating the impact of mobile apps tailored to caregivers and specifically dedicated to streamlining shared patient management in the EDs remains scarce [22][23][24][25]. In a previous study [26], we described the user-centered development and high early technology acceptance of a mobile app-the ''Patients In My Pocket in my Hospital" (PIMPmyHospital) app. ...
For maintaining collaboration and coordination among emergency department (ED) caregivers, it is essential to effectively share patient-centered information. Indirect activities on patients, such as searching for laboratory results and sharing information with scattered colleagues, waste resources to the detriment of patients and staff. Therefore, we conducted a pilot study to evaluate the initial efficacy of a mobile app to facilitate rapid mobile access to central laboratory results and remote interprofessional communication. A total of 10 ED residents and registered nurses were randomized regarding the use of the app versus conventional methods during semi-simulated scenarios in a pediatric ED (PED). The primary outcome was the elapsed time in minutes in each group from the availability of laboratory results to their consideration by participants. The secondary outcome was the elapsed time to find a colleague upon request. Time to consider laboratory results was significantly reduced from 23 min (IQR 10.5–49.0) to 1 min (IQR 0–5.0) with the use of the app compared to conventional methods (92.2% reduction in mean times, p = 0.0079). Time to find a colleague was reduced from 24 min to 1 min (i.e., 93.0% reduction). Dedicated mobile apps have the potential to improve information sharing and remote communication in emergency care.
Aim
To identify leadership factors for clinicians during in‐hospital cardiopulmonary resuscitation.
Design
Systematic review with synthesis without meta‐analysis.
Methods
The review was guided by SWiM, assessed for quality using CASP and reported with PRISMA.
Data Sources
Cochrane, EMBASE, PubMed, Medline, Scopus and CINAHL (years of 2013–2023) and a manual reference list search of all included studies.
Results
A total of 60 papers were identified with three major themes of useful resuscitation leadership; ‘social skills’, ‘cognitive skills and behaviour’ and ‘leadership development skills’ were identified. Main factors included delegating effectively, while being situationally aware of team members' ability and progress during resuscitation, and being empathetic and supportive, yet ‘controlling the room’ using a hands‐off style. Shared decision‐making to reduce cognitive load for one leader was shown to improve effective teamwork. Findings were limited by heterogeneity of studies and inconsistently applied tools to measure leadership.
Conclusion
Traditional authoritarian leadership styles are not wanted by team members with preference for shared leadership and collaboration. Balancing this with the need for team members to see leaders in ‘control of the room’ brings new challenges for leaders and trainers of resuscitation.
Implications for Nursing Profession
All clinicians need effective leadership skills for cardiopulmonary resuscitation in‐hospital. Nurses provide first response and ongoing leadership for cardiopulmonary resuscitation. Nurses typically display suitable skills that align with useful resuscitation leader factors.
Impact
What were the main findings?
Collaboration rather than an authoritarian approach to leadership is preferred by team members. Nurses are suitable to ‘control the room’. Restricting resuscitation team size will manage disruptive behaviour of team members.
Trial Registration
PROSPERO Registration: CRD42022385630.
Patient of Public Contribution
No patient of public contribution.
We conducted a randomized controlled trial to study the effects of interprofessional communication team training on clinical competence in the Korean Advanced Life Support provider course using a team communication framework. Our study involved 73 residents and 42 nurses from a tertiary hospital in Seoul. The participants were randomly assigned to the intervention or control group, forming 10 teams per group. The intervention group underwent interprofessional communication team training with a cardiac arrest simulation and standardized communication tools. The control group completed the Korean Advanced Life Support provider course. All participants completed a communication clarity self‐reporting questionnaire. Clinical competence was assessed using a clinical competency scale comprising technical and nontechnical tools. Blinding was not possible due to the educational intervention. Data were analyzed using a Mann–Whitney U test and a multivariate Kruskal–Wallis H test. While no significant differences were observed in communication clarity between the two groups, there were significant differences in clinical competence. Therefore, the study confirmed that the intervention can enhance the clinical competence of patient care teams in cardiopulmonary resuscitation.
Introducción: la capacitación en resucitación cardiopulmonar pediátrica de personal no sanitario debe considerarse como una estrategia costo-efectiva y uno de los eslabones principales en la prevención del paro cardiorrespiratorio (PCR). Objetivo: evaluar la efectividad de una intervención educativa en resucitación cardiopulmonar (RCP) pediátrica básica en el personal docente de un instituto de primera infancia en Bogotá, Colombia. Materiales y métodos: estudio de intervención del tipo antes y después, en el que participaron 32 docentes de una institución educativa de primera infancia. La intervención educativa fue implementada entre octubre y noviembre de 2022 en tres fases: recopilación de fundamentos teóricos, intervención mediante el desarrollo de cursos teórico-prácticos y medición del nivel de conocimiento y habilidades. Resultados: se comprueba la significancia en tres de las siete variables estudiadas, con un valor p < 0,05 en la prueba de McNemar. Estas variables fueron la definición de la obstrucción de la vía aérea por cuerpo extraño (OVACE), los signos de paro cardiorrespiratorio y la relación compresión-ventilación. Catorce participantes alcanzaronel puntaje para aprobar el curso. Conclusiones: la intervención educativa demuestra ser efectiva para educar a personal no sanitario, aunque es necesario reforzar el desarrollo de la metodología de aplicación de las estrategias de evaluación. Es necesario llegar a consensos sobre las condiciones mínimas de capacitación en RCP pediátrica.
