Temple Street, Children's University Hospital, Dublin, Ireland.
Discipline of General Practice, Distillery Road, National University of Ireland, Galway, Co. Galway, Ireland.
Eur J Pediatr. 2017 Dec;176(12):1653-1662. doi: 10.1007/s00431-017-3017-6. Epub 2017 Sep 21.
Paediatric cardiopulmonary arrest (CPA) survival rates are strongly linked to the training of the doctors responding to the event. This study sought to characterise the level of experience in managing CPAs among paediatric trainees and to investigate the nontechnical (NTS) required to effectively lead a paediatric CPA team. A mixed-methods research design was used. For the quantitative phase, a questionnaire was developed to assess training, confidence, and experiences related to CPA management. During the qualitative phase, 17 paediatric trainees participated in a series of critical incident technique (CIT) interviews to explore the NTS used during the management of paediatric CPAs. A total of 56 of 131 (37.1% response rate) trainees responded to the preparedness questionnaire. A total of 48.2% of respondents expressed low confidence in their skill as a team leader during the management of a CPA. The CIT interviews highlighted deficiencies in specific NTS (identifying options, prioritising, and identifying and utilising resources).
Our results indicate that there is a desire for more training in CPA management among paediatric trainees, in particular as a team leader, which includes a focus on key NTS. What is Known • Levels of preparedness to be a paediatric cardiopulmonary arrests team member/leader are generally lower than desirable. • The importance of nontechnical skills to the effective performance of adult cardiopulmonary arrests teams has been identified. What is New • Levels of preparedness to be a cardiopulmonary arrests team member were higher than reported in US studies. • There is a need for greater training in cardiopulmonary arrest management which includes a focus on key nontechnical skills to include identifying options, prioritising, identifying and utilising resources.
儿科心肺骤停（CPA）的存活率与应对该事件的医生的培训密切相关。本研究旨在描述儿科受训者管理 CPA 的经验水平，并探讨有效领导儿科 CPA 团队所需的非技术技能（NTS）。采用混合方法研究设计。在定量阶段，开发了一份问卷，以评估与 CPA 管理相关的培训、信心和经验。在定性阶段，17 名儿科受训者参加了一系列关键事件技术（CIT）访谈，以探讨在管理儿科 CPA 时使用的 NTS。共有 131 名（37.1%的回复率）受训者中的 56 名回复了准备情况问卷。共有 48.2%的受访者表示在管理 CPA 时对自己作为团队领导者的技能缺乏信心。CIT 访谈突出了特定 NTS（识别选项、确定优先级以及识别和利用资源）的缺陷。
我们的研究结果表明，儿科受训者对 CPA 管理培训的需求较高，特别是作为团队领导者，这包括对关键 NTS 的关注。
作为儿科心肺骤停团队成员/领导者的准备程度普遍低于理想水平。
非技术技能对成人心肺骤停团队有效表现的重要性已得到确认。
作为心肺骤停团队成员的准备程度高于美国研究报告的水平。
需要更多的心肺骤停管理培训，包括重点关注关键非技术技能，包括识别选项、确定优先级、识别和利用资源。
