Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study

Linders, Marjolein; Binkhorst, Mathijs; Draaisma, J. M. T.; Heijst, Arno F J van; Hogeveen, Marije

doi:10.1186/s12873-021-00509-0

Cited by 9 publications

(12 citation statements)

References 17 publications

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“…A study by Linders et al assessed adherence to the approach during neonatal advanced life support scenarios. In line with the present study, lower adherence among nurses compared to residents and specialists was found [ 6 ]. Possible explanations are potential differences between the in-hospital courses for different profession categories or less accredited courses for nurses compared to physicians.…”

Section: Discussionsupporting

confidence: 92%

“…Despite efforts to increase awareness and knowledge of the ABCDE approach, adherence appears to be suboptimal [ 5 , 6 ]. According to Olgers et al, healthcare professionals in the Emergency Department used the ABCDE approach in only 33% of potentially unstable patients [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…According to Olgers et al, healthcare professionals in the Emergency Department used the ABCDE approach in only 33% of potentially unstable patients [ 5 ]. A randomized controlled simulation study by Linders et al found an overall adherence to the ABCDE approach performed by neonatal healthcare professionals of 31.5% [ 6 ]. The cause of this non-compliance is unknown.…”

Section: Introductionmentioning

confidence: 99%

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Healthcare professionals’ knowledge of the systematic ABCDE approach: a cross-sectional study

Schoeber¹,

Linders²,

Binkhorst³

et al. 2022

BMC Emerg Med

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Background The Airway, Breathing, Circulation, Disability and Exposure (ABCDE) approach is a universal, priority-based approach for the assessment and treatment of critically ill patients. Although the ABCDE approach is widely recommended, adherence in practice appears to be suboptimal. The cause of this non-compliance is unknown. As knowledge is a prerequisite for adherence, the aim of this study was to assess healthcare professionals’ knowledge of the ABCDE approach. Methods A cross-sectional study was conducted at the Radboud University Medical Center, the Netherlands. A digital multiple-choice assessment tool of the ABCDE approach was developed by an expert panel through a mini-Delphi method and validated by performing test item statistics and an expert-novice comparison. The validated test was sent to healthcare professionals (nurses, residents and medical specialists) of the participating departments: Anaesthesiology, Paediatrics, Emergency Department and the Neonatal, Paediatric and Adult Intensive Care Units. Primary outcome was the test score, reflecting individual level of knowledge. Descriptive statistics, regression analysis and ANOVA were used. Results Test validation showed a Cronbach’s alpha of 0.71 and an expert-novice comparison of 91.9% (standard deviation (SD) 9.1) and 72.4% (15.2) respectively (p < 0.001). Of 954 eligible participants, 240 filled out the questionnaire. The mean (SD) test score (% of correct answers) was 80.1% (12.2). Nurses had significantly lower scores (74.9% (10.9)) than residents (92.3% (7.5)) and medical specialists (88.0% (8.6)) (p < 0.001). The Neonatal Intensive Care Unit (75.9% (12.6)) and Adult Intensive Care Unit (77.4% (11.2)) had significantly lower scores than Paediatric Intensive Care Unit (85.6% (10.6)), Emergency Department (85.5% (10.4)) and Anaesthesiology (85.3% (10.6)) (p < 0.05). Younger participants scored higher than older participants (−0.30% (-0.46;-0.15) in test score/year increase in age). Conclusion Scores of a validated knowledge test regarding the ABCDE approach vary among healthcare professionals caring for critically ill patients. Type of department, profession category and age had a significant influence on the test score. Further research should relate theoretical knowledge level to clinical practice. Tailored interventions to increase ABCDE-related knowledge are recommended.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Healthcare professionals’ knowledge of the systematic ABCDE approach: a cross-sectional study

Schoeber¹,

Linders²,

Binkhorst³

et al. 2022

BMC Emerg Med

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“…No presente estudo foi observado o uso do ABCDE, contudo percebe-se que apesar de haver 5 itens a serem avaliados segundo o protocolo, nem todo os itens foram avaliados, havendo cerca de 63% dos pacientes com avaliações incompletas através do instrumento, além ainda de a grande maioria das avaliações terem sido realizadas com a sequência incorreta. Tais resultados levantam novamente a preocupação quanto a qualidade do atendimento prestado às vítimas de trauma, uma vez que o ABCDE deveria ser implementado sob a premissa de aumentar a qualidade da avaliação e atendimento do paciente (THIM et al, 2012;SMITH;BOWDEN, 2017), a sua aplicação de forma incorreta e incompleta acaba por comprometer a acurácia do uso do mesmo (LINDERS et al, 2021).…”

Section: Discussionunclassified

Assistência de enfermagem ao paciente com traumas multissistêmico em um Hospital de Urgência e Emergência no interior de Rondônia

Santos¹,

Pinheiro²,

Souza³

et al. 2022

Braz. J. Hea. Rev.

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O trauma é definido como uma força que é exercida através de um objeto em movimento que impacta o indivíduo, podendo causar diversas lesões, e politraumatismo é um termo médico utilizado para definir múltiplas lesões de diversas naturezas que podem comprometer diversos órgãos e sistemas (PHTLS, 2017). Trata-se de um estudo descritivo, observacional quantitativo e qualitativa realizado com os profissionais que atuam na Sala vermelha de um hospital no interior do estado de Rondônia, foram observados cerca de 46 atendimentos a pacientes politraumatizados no período de março a junho de 2022. Com o objetivo de evidenciar como é realizado a assistência de enfermagem durante o atendimento ao paciente vítima de trauma multissistêmico em um hospital público de Urgência e Emergência. Discutir sobre a padronização da assistência voltada às vítimas de trauma é essencial para realização de um atendimento de qualidade, visto que contribui para uma assistência mais ágil e eficiente, levando em consideração às diferentes formas de apresentação, gravidade e complexidade em particular de cada paciente. Diante disso, faz-se necessário investigar quais ações são executadas durante o atendimento ao paciente vítima de múltiplos traumas, e se há alguma forma de padronização durante o atendimento prestado.

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“… 6 Moreover, as found by Linders et al, in their study, some factors may affect the application of the ABCDE approach as well as impede the reliance of healthcare workers on ABCDE; this include guidelines themselves, professional considerations, patient factors, team factors, incentives and also resources. 1 …”

Section: Introductionmentioning

confidence: 99%

Physicians’ Knowledge of the Systematic ABCDE Approach in Riyadh, Saudi Arabia

Qutob,

Almutairy,

Altamimi

et al. 2024

JMDH

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Purpose To evaluate physicians’ knowledge of the ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach components. Methods A cross-sectional study was conducted in 2023 using an online questionnaire in order to collect data about the knowledge of the ABCDE approach’s components among physicians in different specialties in Riyadh, Saudi Arabia. Results The number of participants were 165 in total and the median knowledge score for all participants was 15.0, with an associated interquartile range (IQR) of 10.0 to 20.0. Intensive Care Medicine had the highest median knowledge score of 19.0 (IQR: 12.0–21.0), followed by Internal Medicine at 17.0 (IQR: 13.0–20.0). Conversely, Cardiology and Anesthesiology showed lower scores, with medians of 8.0 (IQR: 4.0–10.0) and 7.5 (IQR: 4.0–13.5), respectively (p = 0.011). Senior Registrars demonstrated the highest median knowledge score of 20.0 (IQR: 14.0–22.0), while Fellows had the lowest at 8.5 (IQR: 7.0–13.0) (p < 0.001). Practicing for 10 to 15 years and more than 15 years having medians of 20.0 (IQR: 16.0–23.0) and 19.0 (IQR: 17.0–22.0), respectively. However, participants with less experience, working for less than 5 years, had a median score of 12.0 (IQR: 8.5–16.5) (p < 0.001). Conclusion Knowledge scores of physicians representing various medical specialties found diverse levels regarding the ABCDE approach. Knowledge scores were significantly influenced by the primary area of practice, level of experience, and duration worked in the profession, highlighting the need for tailored training and education across different specialties and career stages. On the other hand, future studies should concentrate on finding new factors that influence practice adherence to the ABCDE approach and tying theoretical knowledge to clinical practice.

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Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study

Cited by 9 publications

References 17 publications

Healthcare professionals’ knowledge of the systematic ABCDE approach: a cross-sectional study

Healthcare professionals’ knowledge of the systematic ABCDE approach: a cross-sectional study

Assistência de enfermagem ao paciente com traumas multissistêmico em um Hospital de Urgência e Emergência no interior de Rondônia

Physicians’ Knowledge of the Systematic ABCDE Approach in Riyadh, Saudi Arabia

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