Attitudes and Practices of Cardiopulmonary Resuscitation Team Members about Teamwork; a Cross-Sectional Study
Iranian Journal of Emergency Medicine,
Vol. 9 No. 1 (2022),
Introduction: One of the competencies required by nurses and physicians to provide effective care in urgent situations is teamwork skills. This study aimed to investigate the attitudes and performance of the cardiopulmonary resuscitation team members of emergency departments in relation to teamwork during resuscitation.
Methods: This is a cross-sectional study that was conducted from October to February 2016 in 7 teaching hospitals in Tabriz, Iran. A total of 147 nurses and 126 physicians from emergency departments were randomly recruited in this study. Research tool consisted of 3 parts including, questionnaires in demographics, Teamwork Attitudes Questionnaire and performance team work scale. The data were analyzed using SPSS 21 software.
Results: The mean age of nurses was 31.25 ± 5.19 and physicians was 36.17 ± 5.68. The majority of nurses (41.5%) and physicians (32.5%) had participated in CPR more than 20 times. The mean score of attitudes of nurses was 120.98 ± 9.23 and physicians was 119.95 ± 9.29 and their overall attitudes towards teamwork was optimal (P = 0.001). The mean performance score of nurses was 46.14 ± 2.49 and that of physicians was 46.48 ± 2.14 at the desired level (P = 0.001).
Discussion: In urgent situations such as CPR, communication and coordination of resuscitation team members play an important role in the outcome of operation. Promoting and encouraging a positive attitude and performance towards teamwork, team training and mental preparation for work can be a valuable and low-cost solution to increase resuscitation team members’ work efficiency and ultimately improve the quality of patient care.
- Cardiopulmonary resuscitation
- Emergency department
How to Cite
Anto-Ocrah M, Maxwell N, Cushman J, Acheampong E, Kodam R-S, Homan C, et al. Public knowledge and attitudes towards bystander cardiopulmonary resuscitation (CPR) in Ghana, West Africa. International Journal of Emergency Medicine. 2020;13(1):1-12.
Vural M, Koşar MF, Kerimoğlu O, Kızkapan F, Kahyaoğlu S, Tuğrul S, et al. Cardiopulmonary resuscitation knowledge among nursing students: a questionnaire study. Anatolian journal of cardiology. 2017;17(2):140.
Panjaki AN, Salari N, Khoshfetrat aM. Investigating the Success Rate of Cardiopulmonary Resuscitation,
Survival Rate in Patients, and their Related Factors. Journal of Critical Care Nursing. 2018;11(1).
movahedi a, kavosi a, behnam h, mahammadi g, majd hm, malekzadeh j. Evaluation of 24-hour survival of patients after successful cardiopulmonary resuscitation and the factors affecting it
In Ghaem Hospital of Mashhad. Neishabour Journal of Medical Sciences. 2016:56-63.
jaberi y, changhizian l, zadeh sm. Evaluation of the success rate of in-hospital cardiopulmonary resuscitation and its related factors. Scientific Journal of Zanjan University of Medical Sciences. 2011:48-57.
David P. Baker PD. TeamSTEPPS® Teamwork Attitudes Questionnaire Manual.
jafaei r, karimi h, yamani n, irajpour a, saadatyar fs. Interprofessional education: a way to improve health care. Research in Medical Education. 2014:54-62.
kalantari r, zakerian a, mahmudi m, zanjirani a, meshkati m, garrosi e. Assessing the Teamwork among Surgical Teams of Hospitals
Affiliated to Social Security Organizations in Tehran City. 2016:9-21.
Hunziker S, Johansson AC, Tschan F, Semmer NK, Rock L, Howell MD, et al. Teamwork and leadership in cardiopulmonary resuscitation. Journal of the American College of Cardiology. 2011;57(24):2381-8.
Henderson SO, Ballesteros D. Evaluation of a hospital-wide resuscitation team: does it increase survival for in-hospital cardiopulmonary arrest? Resuscitation. 2001;48(2):111-6.
Witz A. Patriarchy and professions: The gendered politics of occupational closure. Sociology. 1990;24(4):675-90.
Greif R, Bhanji F, Bigham BL, Bray J, Breckwoldt J, Cheng A, et al. Education, implementation, and teams: 2020 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation. 2020;142(16_suppl_1):S222-S83.
Morgan L, Hadi M, Pickering S, Robertson E, Griffin D, Collins G, et al. The effect of teamwork training on team performance and clinical outcome in elective orthopaedic surgery: a controlled interrupted time series study. BMJ open. 2015;5(4):e006216.
Baker DP, Day R, Salas E. Teamwork as an essential component of high‐reliability organizations. Health services research. 2006;41(4p2):1576-98.
Torka beydokhti M, Hajinabi K, Jahangiri K. The Relationship between the Patient's Safety and Nurses' Team Working in Surgical and Intensive Care Units in Gilan Province Selected Hospitals. Management Strategies in Health System. 2018;3(1):33-43.
James F. Malec P. The Mayo High Performance Teamwork Scale: Reliability
and Validity for Evaluating Key Crew Resource
Marsch SC, Tschan F, Semmer N, Spychiger M, Breuer M, Hunziker PR. Performance of first responders in simulated cardiac arrests. Critical care medicine. 2005;33(5):963-7.
Marsch SC, Müller C, Marquardt K, Conrad G, Tschan F, Hunziker PR. Human factors affect the quality of cardiopulmonary resuscitation in simulated cardiac arrests. Resuscitation. 2004;60(1):51-6.
Freytag J, Stroben F, Hautz WE, Schauber SK, Kämmer JE. Rating the quality of teamwork—a comparison of novice and expert ratings using the Team Emergency Assessment Measure (TEAM) in simulated emergencies. Scandinavian journal of trauma, resuscitation and emergency medicine. 2019;27(1):12.
Lewis KB, Stacey D, Squires JE, Carroll S. Shared decision-making models acknowledging an interprofessional approach: a theory analysis to inform nursing practice. Research and theory for nursing practice. 2016;30(1):26-43.
Gotlib Conn L, Kenaszchuk C, Dainty K, Zwarenstein M, Reeves S. Nurse–physician collaboration in general internal medicine: a synthesis of survey and ethnographic techniques. Health and Interprofessional Practice. 2014;2(2):eP1057.
Rostami H, Rahmani A. ghahramanian A. The View Point of Nurses about Professional Relationship between Nurses and Physicians. Journal of Gorgan University of Medical Sciences. 2010;7(1):63.
Park K-O, Park S-H, Yu M. Physicians' experience of communication with nurses related to patient safety: a phenomenological study using the Colaizzi method. Asian nursing research. 2018;12(3):166-74.
Calder LA, Mastoras G, Rahimpour M, Sohmer B, Weitzman B, Cwinn AA, et al. Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis. International journal of emergency medicine. 2017;10(1):1-9.
Matziou V, Vlahioti E, Perdikaris P, Matziou T, Megapanou E, Petsios K. Physician and nursing perceptions concerning interprofessional communication and collaboration. Journal of interprofessional care. 2014;28(6):526-33.
Hallin K, Henriksson P, Dalén N, Kiessling A. Effects of interprofessional education on patient perceived quality of care. Medical Teacher. 2011;33(1):e22-e6.
McKay A, Walker ST, Brett SJ, Vincent C, Sevdalis N. Team performance in resuscitation teams: comparison and critique of two recently developed scoring tools. Resuscitation. 2012;83(12):1478-83.
Holcomb JB, Dumire RD, Crommett JW, Stamateris CE, Fagert MA, Cleveland JA, et al. Evaluation of trauma team performance using an advanced human patient simulator for resuscitation training. Journal of Trauma and Acute Care Surgery. 2002;52(6):1078-86.
Bergs EA, Rutten FL, Tadros T, Krijnen P, Schipper IB. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11.
Grover E, Porter JE, Morphet J. An exploration of emergency nurses’ perceptions, attitudes and experience of teamwork in the emergency department. Australasian emergency nursing journal. 2017;20(2):92-7.
Donaldson MS, Corrigan JM, Kohn LT. To err is human: building a safer health system. 2000.
Waterson P, Carman E-M, Manser T, Hammer A. Hospital Survey on Patient Safety Culture (HSPSC): a systematic review of the psychometric properties of 62 international studies. BMJ open. 2019;9(9):e026896.
Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity. Health care management science. 2007;10(2):139-49.
Pour RM, Fatemi MA. Evaluation of patient safety culture based on the viewpoint of nurses and physicians employed in a Military hospital. 2018.
Mousavi E, ; Kavi E, Larti N, dorcheh Sj, Gharahzadeh, Ali. The relationship between attitude toward
the effectiveness of teamwork and
observing safety standards in Isfahan
educational hospitals. 2018;13(3).
Rezaei S, Roshangar F, Rahmani A, Jabbarzadeh Tabrizi F, Sarbakhsh P, Parvan K. Emergency nurses attitudes toward interprofessional collaboration and teamwork and their affecting factors: A cross-sectional study. Nursing and Midwifery Studies. 2021;10(3):173-80.
Al‐Ahmadi H. Factors affecting performance of hospital nurses in Riyadh Region, Saudi Arabia. International journal of health care quality assurance. 2009
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