Factors relating to the perceived management of emergency situations: A survey of former Advanced Life Support course participants’ clinical experiences |
| |
| Authors: | Maria B. Rasmussen,Martin G. Tolsgaard,Peter Dieckmann,S. Barry Issenberg,Doris Ø stergaard,Eldar Sø reide,Jens Rosenberg,Charlotte V. Ringsted |
| |
| Affiliation: | 1. Centre for Clinical Education (CEKU), Centre for Human Resources and Rigshospitalet, Capital Region of Denmark and University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark;2. Juliane Marie Centre, Rigshospitalet, Capital Region of Denmark, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark;3. Danish Institute for Medical Simulation (DIMS) and Herlev Hospital, Capital Region of Denmark, and University of Copenhagen, Herlev Ringvej 75, 2730 Herlev, Denmark;4. Gordon Centre for Research in Medical Education, University of Miami Miller School of Medicine, 1120 N.W. 14th Street, Miami, FL 33136, USA;5. Stavanger Acute Medicine Foundation for Education and Research (Safer), Stavanger University Hospital, 4068 Stavanger, Norway;6. Department of Internal Medicine, Capital Region of Denmark, Glostrup University Hospital, Nordre Ringvej 57, 2600 Glostrup, Denmark;g Department of Anesthesia and The Wilson Centre, University of Toronto and University Health Network, Toronto, ON, Canada |
| |
| Abstract: | BackgroundThis study explored individual, team, and setting factors associated with the quality of management of in-hospital emergency situations experienced by former Advanced Life Support (ALS) course participants.MethodsThis study was a survey of former ALS course participants’ long-term experience of management of in-hospital, emergency situations. The survey was carried out in 2012 in Denmark and Norway.ResultsA questionnaire was send to 526 potential responders and (281/479 × 100) 58.7% responded. The results demonstrated that 75% of the emergency situations were perceived as “managed well”. In general, the responders’ confidence in being ALS providers was high, mean 4.3 (SD 0.8), scale 1–5. Significant differences between the perceived “well” and “not well” managed situations were found for all questions, p < 0.001. The largest differences related to perception of co-workers’ ability to apply ALS principles, the team atmosphere and communication. Responders’ ratings of quality of management of emergency situations increased with intensity of setting. However, the ‘clinical setting’ was rated significantly lower as attributor to ability to apply ALS principles compared to ‘co-workers familiarity with ALS principles’, ‘own confidence as ALS-provider’ and ‘own social/inter-personal skills’.ConclusionThe results of this survey emphasise that ALS providers’ perceived ability to apply ALS skills were substantially affected by teamwork skills and co-workers’ skills. Team related factors associated with successful outcome were related to clear role distribution, clear inter-personal communication and attentive listening, as well as respectful behaviour and positive team atmosphere. Although intensity of setting was attributed to ability to apply ALS principles, this did not affect management of emergency situations to the same extent as individual and team factors. |
| |
| Keywords: | Simulation based training Clinical emergency situations Cardiac arrest ALS Team factors Transfer |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
