Alpert Medical School of Brown University, Department of Pediatrics and Emergency Medicine, Hasbro Children's Hospital, Providence, RI, 02903, United States.
KidSIM-ASPIRE Simulation Research Program, Alberta Children's Hospital, University of Calgary, Canada.
Resuscitation. 2018 Sep;130:111-117. doi: 10.1016/j.resuscitation.2018.06.035. Epub 2018 Jul 3.
We aimed to describe the differences in workload between team leaders and CPR providers during a simulated pediatric cardiac arrest, to evaluate the impact of a CPR feedback device on provider workload, and to describe the association between provider workload and the quality of CPR.
We conducted secondary analysis of data from a randomized trial comparing CPR quality in teams with and without use of a real-time visual CPR feedback device [1]. Healthcare providers (team leaders and CPR providers) completed the NASA Task Load Index survey after participating in a simulated cardiac arrest scenario. The effect of provider roles and real-time feedback on workload were compared with independent t-tests.
Team leaders reported higher levels of mental demand, temporal demand, performance-related workload and frustration, while CPR providers reported comparatively higher physical workload. CPR providers reported significantly higher average workload (control 58.5 vs. feedback 62.3; p = 0.035) with real-time feedback provided compared to the group without feedback. Providers with high workloads (average score >60) had an increased percentage of time with guideline-compliant CPR depth versus those with low workloads (average score <60) (p = 0.034).
Healthcare providers reported high workloads during a simulated pediatric cardiac arrest. Physical and mental workloads differed based on provider role. CPR providers using a CPR feedback device reported increased average workloads. The quality of CPR improved with higher reported physical workloads.
我们旨在描述模拟儿科心搏骤停期间团队领导与心肺复苏术（CPR）提供者之间的工作量差异，评估 CPR 反馈设备对提供者工作量的影响，并描述提供者工作量与 CPR 质量之间的关联。
我们对一项比较使用与不使用实时可视 CPR 反馈设备的团队中 CPR 质量的随机试验数据进行了二次分析[1]。医疗保健提供者（团队领导和 CPR 提供者）在参与模拟心搏骤停场景后完成了 NASA 任务负荷指数调查。通过独立 t 检验比较了提供者角色和实时反馈对工作量的影响。
团队领导报告的心理需求、时间需求、与绩效相关的工作量和挫败感水平较高，而 CPR 提供者报告的身体工作量相对较高。与没有反馈的组相比，CPR 提供者在提供实时反馈时报告的平均工作量（对照组 58.5，反馈组 62.3；p=0.035）显著更高。工作量较高（平均得分>60）的提供者与工作量较低（平均得分<60）的提供者相比，具有指南一致的 CPR 深度的时间百分比增加（p=0.034）。
医疗保健提供者在模拟儿科心搏骤停期间报告了高工作量。体力和脑力工作量因提供者角色而异。使用 CPR 反馈设备的 CPR 提供者报告的平均工作量增加。报告的体力工作量越高，CPR 质量越好。
