| Summary: | 碩士 === 義守大學 === 醫務管理學系 === 104 === Background and purpose： Emergency training is the educational and training focus in medical units; it is especially important in intensive care unit (ICU) as it is a way to illustrate important skills. This study investigates the medical staffs in Department of Emergency (ED) on their understandings of advanced cardiovascular life support (ACLS) when treating patients with non-traumatic cardiac arrest. The main purpose was to implement models of team resource management (TRM) in educational trainings and contextual stimulations in order to investigate the intervention of TRM in emergency medical staffs when conducting ACLS.
Study materials and methods: The study investigated the improvement of knowledge and ACLS performance after the intervention of TRM education understanding. This is an experimental study based on ED medical staffs in a southern medical center in Taiwan. The survey was designed after gathering data; internal reliability test was done using Cronbach’s α, and the result of >0.9 indicated acceptable reliability. The survey aimed to collect data in four dimensions of TRM including leadership, situation monitoring, cooperation, communication.
Result: The sample consisted of more females than males; 38.26% were medical staffs between ages 26-38, 79.13% were nurses. There was no significant difference in seniority; however, 60% of the people surveyed in ED have seniority of less than 3 years. After the intervention of TRM, there was a significant difference of p<0.001 in understanding of leadership, situational monitoring, cooperation, and communication. In terms of demographic, there was a significant difference between males and females in cooperation and communication after the intervention of TRM. Also, there was significant difference in communication amongst different age groups. There was no significant difference in understanding of TRM amongst different occupations, seniority, and ED seniority.
Conclusion: If TRM can be actively promoted and conducted, there would be an increase in team cooperation. This would allow emergency team to be more accurate and precise in conducting ACLS, hence increasing the success rate. The findings of this study can be used as a reference in practical management and future studies for medical caregivers in clinical practices and impending researchers.
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