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Workload of learners during simulated paediatric cardiopulmonary resuscitation
  1. Ann L Young1,
  2. Cara B Doughty2,
  3. Kaitlin C Williamson3,
  4. Sharon K Won2,
  5. Marideth C Rus2,
  6. Nadia N Villarreal4,
  7. Elizabeth A Camp2,
  8. Daniel S Lemke2
  1. 1 Division of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts, USA
  2. 2 Section of Emergency Medicine, Baylor College of Medicine Department of Pediatrics, Houston, Texas, USA
  3. 3 Pediatrics, Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, USA
  4. 4 Pediatric Emergency Medicine, Texas Children's Hospital, Houston, Texas, USA
  1. Correspondence to Dr Ann L Young, Boston Children's Hospital Division of Emergency Medicine, Boston, MA 02115, USA; AnnYoungMD{at}gmail.com

Abstract

Introduction Learner workload during simulated team-based resuscitations is not well understood. In this descriptive study, we measured the workload of learners in different team roles during simulated paediatric cardiopulmonary resuscitation.

Methods Paediatric emergency nurses and paediatric and emergency medicine residents formed teams of four to eight and randomised into roles to participate in simulation-based, paediatric resuscitation. Participant workload was measured using the NASA Task Load Index, which provides an average workload score (from 0 to 100) across six subscores: mental demand, physical demand, temporal demand, performance, frustration and mental effort. Workload is considered low if less than 40, moderate if between 40 and 60 and high if greater than 60.

Results There were 210 participants representing 40 simulation teams. 138 residents (66%) and 72 nurses (34%) participated. Team lead reported the highest workload at 65.2±10.0 (p=0.001), while the airway reported the lowest at 53.9±10.8 (p=0.001); team lead had higher scores for all subscores except physical demand. Team lead reported the highest mental demand (p<0.001), while airway reported the lowest. Cardiopulmonary resuscitation coach and first responder reported the highest physical demands (p<0.001), while team lead and nurse recorder reported the lowest (p<0.001).

Conclusions Workload for learners in paediatric simulated resuscitation teams was moderate to high and varied significantly based on team role. Composition of workload varied significantly by team role. Measuring learner workload during simulated resuscitations allows improved processes and choreography to optimise workload distribution.

  • cardiopulmonary resuscitation
  • cognitive load
  • education
  • medical
  • emergency paediatrics
  • simulation

Data availability statement

All data relevant to the study are included in the article or uploaded as supplementary information.

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Data availability statement

All data relevant to the study are included in the article or uploaded as supplementary information.

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Footnotes

  • Twitter @AnnYoungMD, @caradoughty1, @pemdoc

  • Contributors ALY, CBD, and DSL: contributed to study conceptualisation and design, created the data collection instruments, collected data, contributed to statistical analysis and interpretation of data, drafted the initial manuscript, and approved the final manuscript as submitted. KCW: contributed to study conceptualisation and design, created the data collection instruments, collected data, drafted the initial manuscript, and approved the final manuscript as submitted. SKW: collected data, contributed to statistical analysis and interpretation of data, drafted the initial manuscript, and approved the final manuscript as submitted. MCR and NNV: collected data, drafted the initial manuscript, and approved the final manuscript as submitted. EAC: contributed to study conceptualisation and design, created the data collection instruments, contributed to statistical analysis and interpretation of data, drafted the initial manuscript, and approved the final manuscript as submitted.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Author note This work should be attributed to the Baylor College of Medicine, Department of Pediatrics, Section of Emergency Medicine, at Texas Children’s Hospital in Houston, Texas, USA.

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