@article{641942e34a7641e0ba326629bbb30244,
title = "Impact of a CPR feedback device on healthcare provider workload during simulated cardiac arrest",
abstract = "Objective: We aimed to describe the differences in workload between team leaders and CPR providers during a simulated pediatric cardiac arrest, to evaluate the impact of a CPR feedback device on provider workload, and to describe the association between provider workload and the quality of CPR. Methods: We conducted secondary analysis of data from a randomized trial comparing CPR quality in teams with and without use of a real-time visual CPR feedback device [1]. Healthcare providers (team leaders and CPR providers) completed the NASA Task Load Index survey after participating in a simulated cardiac arrest scenario. The effect of provider roles and real-time feedback on workload were compared with independent t-tests. Results: Team leaders reported higher levels of mental demand, temporal demand, performance-related workload and frustration, while CPR providers reported comparatively higher physical workload. CPR providers reported significantly higher average workload (control 58.5 vs. feedback 62.3; p = 0.035) with real-time feedback provided compared to the group without feedback. Providers with high workloads (average score >60) had an increased percentage of time with guideline-compliant CPR depth versus those with low workloads (average score <60) (p = 0.034). Conclusions: Healthcare providers reported high workloads during a simulated pediatric cardiac arrest. Physical and mental workloads differed based on provider role. CPR providers using a CPR feedback device reported increased average workloads. The quality of CPR improved with higher reported physical workloads.",
keywords = "Cardiopulmonary resuscitation, Chest compressions, Quality, Resuscitation, Workload",
author = "{For the International Network for Simulation-based Pediatric Innovation, Research, Education CPR Investigators (INSPIRE)} and Brown, {Linda L.} and Yiqun Lin and Tofil, {Nancy M.} and Frank Overly and Duff, {Jonathan P.} and Farhan Bhanji and Nadkarni, {Vinay M.} and Hunt, {Elizabeth A.} and Alexis Bragg and David Kessler and Ilana Bank and Adam Cheng",
note = "Funding Information: Adam Cheng (study design, writing, editing, and review) received funding from the Heart and Stroke Foundation of Canada and the Canadian Insititute for Health Research for this study. Vinay Nadkarni (study design, writing, editing and review of manuscript) is supported by: Endowed Chair, Critical Care Medicine, Children{\textquoteright}s Hospital of Philadelphia ; and the following research grants: AHRQ RO3HS021583 ; Nihon Kohden America Research Grant ; NIH/NHLBI RO1HL114484 ; NIH U01 HL107681 ; NIH/NHLBI 1U01HL094345-01 ; and NIH/NINDS 5R01HL058669-10 . Nancy Tofil (study design, writing, editing, review of manuscript) was a speaker at the fall 2013 Laerdal Conference and spoke using her own created materials, did not receive a speaker stipend, but was reimbursed for travel. Elizabeth Hunt (study design, writing, editing, review) is supported by Drs. David S. and Marilyn M. Zamierowski Endowed Directorship, Johns Hopkins Simulation Center and grants from the Laerdal Foundation for Acute Care Medicine and the Hartwell Foundation. The other authors have no other financial or conflict of interests or disclosures. Funding Information: This study was funded by a research grant from the Heart and Stroke Foundation of Canada and the Canadian Institute for Health Research. Funds were used for the design of the study, as well as completion of data collection, analysis and interpretation of the data. The CPRCards {\texttrademark} were provided by the Laerdal Corporation, and SimJunior manikins were also loaned to each site. No funds were received from the Laerdal Corporation. Publisher Copyright: {\textcopyright} 2018 Elsevier B.V.",
year = "2018",
month = sep,
doi = "10.1016/j.resuscitation.2018.06.035",
language = "English (US)",
volume = "130",
pages = "111--117",
journal = "Resuscitation",
issn = "0300-9572",
publisher = "Elsevier Ireland Ltd",
}