A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers

Yang, Chih‐Wei; Yen, Zui-Shen; McGowan, Jane E.; Chen, H. Carrie; Chiang, Wen-Chu; Mancini, Mary E.; Soar, Jasmeet; Lai, Mei‐Shu; Ming, Matthew Huei

doi:10.1016/j.resuscitation.2012.02.027

Cited by 250 publications

(213 citation statements)

References 33 publications

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“…presence of a casualty's family/friends) environments (15,16). Since these technical skills are prone to rapid decay (17) there may be pre-hospital care-specific patient safety issues, relating to the uncertainty associated with these rapidly changeable circumstances and consequently, existing rating systems may be unsuitable.…”

Section: Introductionmentioning

confidence: 99%

Development of a behaviour rating system for rural/remote pre-hospital settings

et al. 2017

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Background: Remote and Rural pre-hospital care practitioners manage serious illness and injury on an unplanned basis, necessitating technical and non-technical skills (NTS). However, no behaviour rating systems currently address NTS within these settings. Informed by health psychology theory, a NTS-specific behaviour rating system was developed for use within pre-hospital care training for remote and rural practitioners.Method: The Immediate Medical Care Behaviour Rating System (IMCBRS), was informed by literature, expert advice and review and observation of an Immediate Medical Care (IMC) course. Once developed, the usability and appropriateness of the rating system was tested through observation of candidates' behaviour at IMC courses during simulated scenarios and rating their use of NTS using the IMCBRS.Results and Conclusion: Observation of training confirmed rating system items were demonstrated in 28-62% of scenarios, depending on context. The IMCBRS may thus be a useful addition to training for rural and remote practitioners. Highlights A patient safety behaviour rating system for rural/remote settings was developed.  Testing of the system suggests that its content may be appropriate and observable.  Some elements were more observable, which may affect future work using this system. BackgroundRural/remote practitioners manage serious illness and injury on an infrequent, unplanned basis. Within rural/remote settings the first person at the scene of a medical emergency is often a general practitioner (GP) or practice nurse. Compared to urban or hospital-based settings, those attending an emergency in these settings may be doing so single-handedly or with limited assistance, for considerable time within potentially harsh conditions, prior to an ambulance providing transport to definitive care. Quite often, working in such settings requires decisions to be made based on the distance to hospital and the patient's likelihood of survival. Effective pre-hospital care thus necessitates a high level of non-technical skills (NTS), such as communication and decision-making (1). The importance of NTS within these settings is evident within research which suggests the factors involved in the likelihood of surviving out of hospital cardiac arrest include a witnessed cardiac arrest, provision of bystander CPR, shockable cardiac rhythm and return of spontaneous circulation (ROSC) within the field (2). The tasks involved in this example necessitate communication skills involved in the provision of CPR (e.g. communicating planned actions to others) and decision-making skills (e.g. who should do what) about how to respond to the situation. In order for optimal care to be provided both technical (e.g. providing CPR) and non-technical (e.g. co-ordinating people at the scene of an emergency) skills need to be employed. Consequently, approaches to improving patient safety and clinical outcomes from emergency care should focus not only on clinical skills and operational and service factors, such as ensuring equipment ...

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Section: Introductionmentioning

confidence: 99%

Development of a behaviour rating system for rural/remote pre-hospital settings

et al. 2017

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“…The average retention of ALS skills seems to vary between 6 and 12 months. 18 Another reason for doing anaesthesia later during internship is that the experience from other rotations could serve as 'building blocks' for the anaesthesia rotation. 'I would have preferred to do anaesthetics in the second year, having more experience as a whole by then.…”

Section: Resultsmentioning

confidence: 99%

Creating the perfect intern anaesthesia rotation: a survey using feedback from past interns

Kusel¹,

Farina

Aldous³

2017

Southern African Journal of Anaesthesia and Analgesia

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“…Seven years later it is disheartening to find this same pair of 2005 studies cited in the background material of a new study by Yang et al, 6 affirming comparably vexing problems with retention of ALS. This analysis of literature related to healthcare providers' retention of ALS knowledge and skill shows that despite 6 revisions and refinements of the ALS guidelines since their first publication by the American Heart Association (AHA) in 1974 7 to their current incarnation, 8 and despite the technologic advancements afforded by computer-based cardiac arrest simulation technology, our fundamental challenges related to retention of knowledge, performance, and actual delivery of ALS to real patients persist.…”

mentioning

confidence: 85%

“…This analysis of literature related to healthcare providers' retention of ALS knowledge and skill shows that despite 6 revisions and refinements of the ALS guidelines since their first publication by the American Heart Association (AHA) in 1974 7 to their current incarnation, 8 and despite the technologic advancements afforded by computer-based cardiac arrest simulation technology, our fundamental challenges related to retention of knowledge, performance, and actual delivery of ALS to real patients persist. Notable findings from this review included the following 6 and some form of cardiac arrest simulation to appraise retention of ALS skills.…”

mentioning

confidence: 99%

Resuscitating Competence In Advanced Life Support

Alspach¹

2012

Critical Care Nurse

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A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers

Cited by 250 publications

References 33 publications

Development of a behaviour rating system for rural/remote pre-hospital settings

Development of a behaviour rating system for rural/remote pre-hospital settings

Creating the perfect intern anaesthesia rotation: a survey using feedback from past interns

Resuscitating Competence In Advanced Life Support

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