The Library
Factors affecting team leadership skills and their relationship with quality of cardiopulmonary resuscitation
Tools
Yeung, Joyce, Ong, Giok J., Davies, Robin P., Smith, F. Gao (Fang Gao) and Perkins, Gavin D. (2012) Factors affecting team leadership skills and their relationship with quality of cardiopulmonary resuscitation. Critical Care Medicine, Volume 40 (Number 9). pp. 2617-2621. doi:10.1097/CCM.0b013e3182591fda ISSN 0090-3493.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1097/CCM.0b013e3182591fda
Abstract
Objective: This study aims to explore the relationship between team-leadership skills and quality of cardiopulmonary resuscitation in an adult cardiac-arrest simulation. Factors affecting team-leadership skills were also assessed.
Design: Forty advanced life-support providers leading a cardiac arrest team in a standardized cardiac-arrest simulation were videotaped. Background data were collected, including age (in yrs), sex, whether they had received any leadership training in the past, whether they were part of a professional group, the most recent advanced life-support course (in months) they had undergone, advanced life-support instructor/provider status, and whether they had led in any cardiac arrest situation in the preceding 6 months.
Measurements and Main Results: Participants were scored using the Cardiac Arrest Simulation test score and Leadership Behavior Description Questionnaire for leadership skills. Process-focused quality of cardiopulmonary resuscitation data were collected directly from manikin and video recordings. Primary outcomes were complex technical skills (measured as Cardiac Arrest Simulation test score, preshock pause, and hands-off ratio). Secondary outcomes were simple technical skills (chest-compression rate, depth, and ventilation rate). Univariate linear regressions were performed to examine how leadership skills affect quality of cardiopulmonary resuscitation and bivariate correlations elicited factors affecting team-leadership skills.
Teams led by leaders with the best leadership skills performed higher quality cardiopulmonary resuscitation with better technical performance (R2 = 0.75, p < .001), shorter preshock pauses (R2 = 0.18, p < .001), with lower total hands-off ratio (R2 = 0.24, p = .01), and shorter time to first shock (R2 = 0.14, p = .02). Leadership skills were not significantly associated with more simple technical skills such as chest-compression rate, depth, and ventilation rate. Prior training in team leader skills was independently associated with better leadership behavior.
Conclusions: There is an association between team leadership skills and cardiac arrest simulation test score, preshock pause, and hands off ratio. Developing leadership skills should be considered an integral part of resuscitation training.
Item Type: | Journal Article | ||||
---|---|---|---|---|---|
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||
Journal or Publication Title: | Critical Care Medicine | ||||
Publisher: | Lippincott Williams & Wilkins | ||||
ISSN: | 0090-3493 | ||||
Official Date: | 2012 | ||||
Dates: |
|
||||
Volume: | Volume 40 | ||||
Number: | Number 9 | ||||
Page Range: | pp. 2617-2621 | ||||
DOI: | 10.1097/CCM.0b013e3182591fda | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |