Abstract
Background
This 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.
Methods
This 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.
Results
A 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’.
Conclusion
The 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
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Article info
Publication history
Published online: August 20, 2014
Accepted:
August 5,
2014
Received in revised form:
July 6,
2014
Received:
March 6,
2014
Footnotes
☆A Spanish translated version of the summary of this article appears as Appendix in the final online version at http://dx.doi.org/10.1016/j.resuscitation.2014.08.004.
Identification
Copyright
© 2014 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
