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Review
. 2024 Jun 18:19:100687.
doi: 10.1016/j.resplu.2024.100687. eCollection 2024 Sep.

Teaching team competencies within resuscitation training: A systematic review

Barbara Farquharson  1 , Andrea Cortegiani  2   3 , Kasper G Lauridsen  4   5   6 , Joyce Yeung  7 , Robert Greif  8   9 , Sabine Nabecker  10 ; Education Implementation Team Task Force of the International Liaison Committee on Resuscitation ILCOR
Affiliations
Review

Teaching team competencies within resuscitation training: A systematic review

Barbara Farquharson et al. Resusc Plus. .

Abstract

Objectives: To evaluate the effectiveness of life support training with specific emphasis on team competencies on clinical and educational outcomes.

Methods: This systematic review was prospectively registered (PROSPERO CRD42023473154) and followed the PICOST (population, intervention, comparison, outcome, study design, timeframe) format. All randomized controlled trials and non-randomized studies evaluating learners undertaking life support training with specific emphasis on team competencies in any setting (actual and simulated resuscitations) were included. Unpublished studies were excluded. Medline, Embase and Cochrane databases as well as trial registries were searched from inception to August 2023 (updated January 18, 2024). Two researchers performed title and abstract screening, full-text screening, data extraction, assessment of risk of bias (using RoB2 and ROBINS-I) and certainty of evidence (using GRADE). PRISMA reporting checklist was used to report the results. No funding was obtained to perform this systematic review.

Results: The literature search identified 5470 manuscripts. After the removal of 2073 duplicates, reviewing the remaining articles' titles and abstracts yielded 31 articles for full-text review. Of these, 17 studies were finally included. The studies involved the following training levels: basic life support, adult advanced life support, paediatric and neonatal resuscitations. Most studies (n = 16) evaluated outcomes in simulated, and only one study in actual resuscitations. Studies included in all training contexts showed either neutrality and/or benefits of life support training with specific emphasis on team competencies. Team competencies training improved CPR skill performance and CPR quality. Specific team competencies that improved included leadership, communication, decision-making and task management. No undesirable effects were observed. Meta-analysis was not possible due to significant methodological heterogeneity. Sub-group analysis was impossible due to lack of data. Risk of bias assessment ranged from some concerns to serious. Overall certainty of evidence was rated as low to very low due to risk of bias and imprecision.

Conclusion: This systematic review identified very low and low certainty evidence, almost entirely derived from simulation studies. The studies and their findings were heterogenous but suggest that teaching team competencies can improve resuscitation skills performance and CPR quality, as well as improve team competencies, specifically leadership, communication, decision-making, and task management. Further research is required to understand optimal configuration of team competencies training interventions and to understand the effect on clinical outcomes and cost-effectiveness.

Keywords: Cardiopulmonary resuscitation; Communication; Decision-making; Team competencies; Teamwork; Workload.

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Conflict of interest statement

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: BF, AC, KGL, JY, SN and RG are members of the ILCOR EIT Task Force (RG is chair). RG is ERC Director of Guidelines and ILCOR; RG, KGL and JY are Editorial Board members of Resuscitation Plus.

Figures

Fig. 1
Fig. 1
PRISMA Flow Chart − Teaching team competencies within resuscitation training: a systematic review.
See this image and copyright information in PMC

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