Relationship Between Self-efficacy and Performance of Simulated Neonatal Chest Compressions and Ventilation

Abstract

Introduction Because improved competence in caring for patients is difficult to measure, self-efficacy (the strength of one's belief in one's ability to complete a task) is often used as a surrogate measurement of clinical ability. However, studies in adults and children have shown at best only weak correlations between self-efficacy and performance. This correlation has not been well studied in neonatal resuscitation limiting the utility of self-efficacy as a measurement of the effectiveness of interventions in this population. The objective of this study was to determine whether self-efficacy correlates with performance of simulated neonatal chest compressions and ventilation. Methods Sixty-nine neonatal fellows, neonatal nurse practitioners, neonatologists, and nurses completed a 7-point Likert scale in which they reported their ability to perform ventilations and chest compressions. The participants then performed chest compressions and bag-valve-mask ventilation on a mannequin. The performance of participants was compared with the rating of their ability using Spearman rank correlation coefficient. Results There was no correlation between participants' self-assessment and performance of chest compressions (r s = 0.003) or bag-valve-mask ventilation (r s = 0.08). There was a correlation between experience (years of neonatal intensive care unit experience, number of mock codes, and number of real codes) and the ratings of self-efficacy as well as between the number of mock codes and ventilation performance. Conclusions In this study, self-reported efficacy had no correlation to clinical skills in neonatal resuscitation; participants both overestimated and underestimated their clinical proficiency. Prior participation in mock codes in the neonatal intensive care unit was the only factor that correlated with resuscitation performance.

Efecto de la simulación háptica en la autoeficacia académica de odontólogos en formación.

“…La mayor parte de la literatura menciona que implementar la simulación como parte del proceso de aprendizaje, permite favorecer y mejorar la autoeficacia (14,15,16,17) , otros en cambio no han encontrado una correlación directa (18) . Sin embargo, cuando un equipo docente diseña las actividades que el estudiantado debe realizar para cumplir con ciertos resultados de aprendizaje e indicadores, se crean ambientes simulados que reproducen situaciones que favorecen la enseñanza de procedimientos tanto de diagnóstico como terapéuticos, facilitando la repetición de procesos o de situaciones clínicas que promuevan la toma de decisiones profesionales (19) .…”

Simulation-Based Outreach Program Improves Rural Hospitals’ Team Confidence in Neonatal Resuscitation

“…Individuals in the physician group may have been involved with more high-risk resuscitations over their lifetimes and this may have influenced the lack of change in confidence. Increased experience is associated with higher baseline confidence in resuscitation [18] and prior experience with a medical procedure is associated with increased confidence in performing it [19]. Another factor for differences in confidence may be related to gender as multiple studies have shown women perceive themselves as less self-confident in many areas of medicine [20][21][22].…”

Evolution of clinical event debriefs in a quaternary pediatric emergency department after implementation of a debriefing tool

“…Finally, teams in our study of debriefings seemed to focus more on CRM‐related concerns than on the medical management of PALS, but the study was not designed to correlate their qualitative discussions of performance with other parameters, such as quantitative measures of CPR quality. Within the resuscitation education literature, there is a growing awareness that reported self‐efficacy for clinical skills is not an adequate indicator of performance in real‐life emergencies 25,26 . It may be that future studies of clinical event debriefing can help address possible gaps between perception and reality regarding resuscitation performance in cardiac arrests and other high‐stakes events.…”