심폐소생팀 수행도 및 리더십 평가도구 개발
Development of Assessment Tools for Performance and Leadership of a Cardiopulmonary Resuscitation Team
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Background: The assessment tools for leadership and performance of resuscitation teams are have not been developed. We evaluated the checklists for resuscitation team performance and teamwork. Methods: We developed two checklists for team dynamics (D1, D2) and two checklists for team performances (P1, P2). The videotaped mock resuscitation before and after a 2-hr Advanced Cardiovascular Life Support (ACLS) training were also evaluated by two emergency physicians and two nurses using the four checklists. The validity and agreement between assessors were determined. Internal consistency was determined using Cronbach-α. Results: There were no significant differences in scores by expert consensus and the checklist score. The average scores between different assessors were different except for the D1 and D2 between doctors. The Cronbach-α for internal consistency were within acceptable ranges in the checklists D2 and P2. Conclusions: This study suggests that the D2 and P2 checklists are provisionally acceptable due to relatively high validity, agreement, and internal consistency. However, further research is needed to develop validated checklists for resuscitation teams.
Abstract
Background: The assessment tools for leadership and performance of resuscitation teams are have not been developed. We evaluated the checklists for resuscitation team performance and teamwork. Methods: We developed two checklists for team dynamics (D1, D2) and two checklists for team performances (P1, P2). The videotaped mock resuscitation before and after a 2-hr Advanced Cardiovascular Life Support (ACLS) training were also evaluated by two emergency physicians and two nurses using the four checklists. The validity and agreement between assessors were determined. Internal consistency was determined using Cronbach-α. Results: There were no significant differences in scores by expert consensus and the checklist score. The average scores between different assessors were different except for the D1 and D2 between doctors. The Cronbach-α for internal consistency were within acceptable ranges in the checklists D2 and P2. Conclusions: This study suggests that the D2 and P2 checklists are provisionally acceptable due to relatively high validity, agreement, and internal consistency. However, further research is needed to develop validated checklists for resuscitation teams.
참고문헌 (14)
- Schenarts PJ, "Incorporating leadership training, a horizontal approach to resuscitation and performance feedback into advanced life support", Crit Care Med, 35, pp.1781~1782 (2007)
- Hayes CW, "Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents", Crit Care Med, 35, pp.1668~1672 (2007)
- Field JM, "Advanced Cardiovascular Life Support. Provider manual. Part 3. Effective resuscitation team dynamics", pp.11~17 (2006), American Heart Association
- Cooper SJR, "Leadership of resuscitation teams: “Lighthouse leadership”", Resuscitation, 42, pp.27~45 (1999)
- Cooper S, "Developing leaders for advanced life support: evaluation of a training programme", Resuscitation, 49, pp.33~38 (2001)
- Field JM, "Advanced cardiovascular life support. Provider manual. Megacode testing checklist", pp.125~127 (2006), AHA
- Morgan PJ, "High-fidelity patient simulation: validation of performance checklists", Br J Anaesth, 92, pp.388~392 (2004)
- Mikrogianakis A, "Evaluation of a multidisciplinary pediatric mock trauma code education initiative: a pilot study", J Trauma, 64, pp.761~767 (2008)
- Holcomb JB, "Evaluation of trauma team performance using an advanced human patient simulator for resuscitation training", J Trauma, 52, pp.1078~1085 (2002)
- Sugrue M, "A prospective study of the performance of the trauma team leader", J Trauma, 38, pp.79~82 (1995)
- Gilfoyle E, "Development of a leadership skills workshop in paediatric advanced resuscitation", Med Teach, 29, pp.e276~e283 (2007)
- Lin L, "Overview of agreement statistics for medical devices", J Biopharm Stat, 18, pp.126~144 (2008)
- Abella BS, "CPR quality improvement during in-hospital cardiac arrest using a real-time audiovisual feedback system", Resuscitation, 73, pp.54~61 (2007)
- Byrne AJ, "Assessment instruments used during anaesthetic simulation: review of published studies", Br J Anaesth, 86, pp.445~450 (2001)