Development of the Interdisciplinary and Interprofessional Course Concept “Advanced Critical Illness Life Support”

Michael, Mark; Biermann, Hannah; Gröning, Ingmar; Pin, Martin; Kümpers, Philipp; Kumle, Bernhard; Bernhard, Michaël

doi:10.3389/fmed.2022.939187

Cited by 14 publications

(6 citation statements)

References 14 publications

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“…Further, research should concentrate on the emotional impact as emotions and feelings play a significant role and may be a barrier in communication and speaking up–- that is difficult even if the person giving feedback is calm and sentient. Consequently, education on SVP recognition and management must comprise teaching of communication de-escalation skills not only in advanced life support courses [ 40 , 42 ] like ALS, ACLS, PALS or ACiLS [ 43 ] but moreover as a life-long learning issue for all medical professionals and parts of the chain of rescue from out-of-hospital to the ED, the cath lab, endoscopy or surgical ward, to high- and medium dependency units (ICU, IMC) and rehabilitation hospitals. With regard to our findings for learning motivation, suitable and attractive courses for all kinds of learners have to be considered, addressing or even inspiring the unawares.…”

Section: Discussionmentioning

confidence: 99%

Self-Assessment and Learning Motivation in the Second Victim Phenomenon

Bushuven

Trifunovic-Koenig²,

Bentele

et al. 2022

IJERPH

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Introduction: The experience of a second victim phenomenon after an event plays a significant role in health care providers’ well-being. Untreated; it may lead to severe harm to victims and their families; other patients; hospitals; and society due to impairment or even loss of highly specialised employees. In order to manage the phenomenon, lifelong learning is inevitable but depends on learning motivation to attend training. This motivation may be impaired by overconfidence effects (e.g., over-placement and overestimation) that may suggest no demand for education. The aim of this study was to examine the interdependency of learning motivation and overconfidence concerning second victim effects. Methods: We assessed 176 physicians about overconfidence and learning motivation combined with a knowledge test. The nationwide online study took place in early 2022 and addressed about 3000 German physicians of internal medicine. Statistics included analytical and qualitative methods. Results: Of 176 participants, 83 completed the assessment. Analysis showed the presence of two overconfidence effects and in-group biases (clinical tribalism). None of the effects correlated directly with learning motivation, but cluster analysis revealed three different learning types: highly motivated, competent, and confident “experts”, motivated and overconfident “recruitables”, and unmotivated and overconfident “unawares”. Qualitative analysis revealed four main themes: “environmental factors”, “emotionality”, “violence and death”, and “missing qualifications” contributing to the phenomenon. Discussion: We confirmed the presence of overconfidence in second victim management competencies in about 3% of all persons addressed. Further, we could detect the same three learning motivation patterns compared to preceding studies on learning motivation in other medical competencies like life support and infection control. These findings considering overconfidence effects may be helpful for safety managers, medical teachers, curriculum developers and supervisors to create preventive educational curricula on second victim recognition and management.

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Section: Discussionmentioning

confidence: 99%

Self-Assessment and Learning Motivation in the Second Victim Phenomenon

Bushuven

Trifunovic-Koenig²,

Bentele

et al. 2022

IJERPH

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“…This methodology has been incorporated into the European Resuscitation Council (ERC) course framework and training programmes, setting new standards for life support courses. 23 Moreover, specific team-oriented strategies, such as the pre-patient arrival briefing, have been codified into clinical protocols as the 'Zero-Point Survey'. 24 This approach, critical for team preparation, has transformed the way in which teams respond to trauma cases.…”

Section: Evolution Of the Programme From 2008 To 2023mentioning

confidence: 99%

The European Trauma Course: Transforming systems through training

Thies,

Bergmans,

Billington

et al. 2024

Resuscitation Plus

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“…On the contrary, with succeeding simulation studies focusing on real-life hand hygiene protocol adherence, the number of participants would play a significant role as adherence is individually different and vulnerable to psychological effects (24,25). In addition, other life support courses should be taken into account, such as PALS, ATLS, PHTLS, or ACiLS (26,27) scenarios, to determine whether the number and opportunities for hand disinfection differ from ACLS scenarios. Consequently, realtime observations in real cases should clarify further differences between simulated and realistic cases (14).…”

Section: Limitationsmentioning

confidence: 99%

Indications for hand and glove disinfection in Advanced Cardiovascular Life Support: A manikin simulation study

et al. 2023

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Background and aimThere are no investigations on hand hygiene during cardiopulmonary resuscitation (CPR), even though these patients are at high risk for healthcare-associated infections. We aimed to evaluate the number of indicated hand hygiene per CPR case in general and the fraction that could be accomplished without delay for other life-saving techniques through standardized observations.Materials and methodsIn 2022, we conducted Advanced Cardiovascular Life Support (ACLS) courses over 4 days, practicing 33 ACLS case vignettes with standard measurements of chest compression fractions and hand hygiene indications. A total of nine healthcare workers (six nurses and three physicians) participated.ResultsA total of 33 training scenarios resulted in 613 indications for hand disinfection. Of these, 150 (24%) occurred before patient contact and 310 (51%) before aseptic activities. In 282 out of 310 (91%) indications, which have the highest impact on patient safety, the medication administrator was responsible; in 28 out of 310 (9%) indications, the airway manager was responsible. Depending on the scenario and assuming 15 s to be sufficient for alcoholic disinfection, 56–100% (mean 84.1%, SD ± 13.1%) of all indications could have been accomplished without delaying patient resuscitation. Percentages were lower for 30-s of exposure time.ConclusionTo the best of our knowledge, this is the first study investigating the feasibility of hand hygiene in a manikin CPR study. Even if the feasibility is overestimated due to the study setup, the fundamental conclusion is that a relevant part of the WHO indications for hand disinfection can be implemented without compromising quality in acute care, thus increasing the overall quality of patient care.

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Development of the Interdisciplinary and Interprofessional Course Concept “Advanced Critical Illness Life Support”

Cited by 14 publications

References 14 publications

Self-Assessment and Learning Motivation in the Second Victim Phenomenon

Self-Assessment and Learning Motivation in the Second Victim Phenomenon

The European Trauma Course: Transforming systems through training

Indications for hand and glove disinfection in Advanced Cardiovascular Life Support: A manikin simulation study

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