Formation of Cardiopulmonary Resuscitation Teams: A Qualitative Content Analysis
Authors
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Yadolah Shirvani
Candidate in PhD nursing, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran; Department of Cardiology, Cardiovascular Diseases Research Center, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
https://orcid.org/0000-0002-0768-1203
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Mohammad Ali Cheraghi
Department of Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
https://orcid.org/0000-0003-4868-6315
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Nazila Javadi-Pashaki
Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
https://orcid.org/0000-0002-5174-526X
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Abdolhossein Emami-Sigaroudi
Department of Community Health Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
https://orcid.org/0000-0002-1394-3361
DOI:
https://doi.org/10.22100/sjms.v11i3.1304Keywords:
Cardiopulmonary resuscitation, Teamwork, Cardiac arrest, Qualitative studyAbstract
Background: Cardiac arrest is a life-threatening condition where the outcome depends critically on immediate interventions through basic and advanced cardiopulmonary resuscitation. The quality of these interventions depends on the CPR team's performance, which itself is determined by how the team forms. Therefore, this study was conducted to understand cardiopulmonary CPR team members' experiences of team formation and its influencing factors.
Methods: This qualitative study used conventional content analysis in Iran over a 14-month period (December 2023 to January 2025). The study population included all members of cardiopulmonary CPR teams at Guilan University of Medical Sciences-affiliated hospitals. We used purposive sampling and continued recruitment until data saturation was achieved after 18 interviews with 18 participants. Semi-structured interviews were conducted, and data were analyzed using MAXQDA 20.
Results: Data analysis led to the identification 2 main categories — with 6 subcategories, including the membership method (mandatory membership, voluntary membership, incidental membership) and selection criteria (ability criteria, contractual criteria, no specific criteria).
Conclusions: The composition of CPR teams ranges from volunteers and motivated individuals to those with mandatory membership, so that if the “membership method” of the members is voluntary and noncoercive and the selection of members is based on specific competency criteria, the team's performance is more likely to be effective.
References
Giacoppo DJEHJ. Impact of bystander-initiated cardiopulmonary resuscitation for out-of-hospital cardiac arrest: where would you be happy to have a cardiac arrest? 2019;40(3):319-321. doi: 10.1093/eurheartj/ehy911
Panchal AR, Bartos JA, Cabañas JG, et al. Part 3: adult basic and advanced life support: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. 2020;142(16_Suppl_2):S366-S468. doi: 10.1161/CIR.0000000000000918
Abdollahi H, Tayebeh P, Mazlum R, et al. Effect of capnography feedback during cpr on return of spontaneous circulation. 2018;61(1):816-824.
Clarke S, Apesoa-Varano EC, Barton JJBo. Code Blue: methodology for a qualitative study of teamwork during simulated cardiac arrest. 2016;6(1). doi: 10.1136/bmjopen-2015-009259
Nishiyama C, Kiguchi T, Okubo M, et al. Three-year trends in out-of-hospital cardiac arrest across the world: Second report from the International Liaison Committee on Resuscitation (ILCOR). 2023;186:109757. doi: 10.1016/j.resuscitation.2023.109757
Goodarzi A, Jalali A, Almasi A, et al. Study of survival rate after cardiopulmonary resuscitation (CPR) in hospitals of Kermanshah in 2013. 2014;7(1):52. doi: 10.5539/gjhs.v7n1p52
Chopra A, Wong N, Ziegler C, et al. Systematic review and meta-analysis of hemodynamic-directed feedback during cardiopulmonary resuscitation in cardiac arrest. 2016;101:102-107. doi: 10.1016/j.resuscitation.2016.01.025
Neumar RW, Shuster M, Callaway CW, et al. Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. 2015;132(18_suppl_2):S315-S367.
Walton M, Woodward H, Van Staalduinen S, et al. The WHO patient safety curriculum guide for medical schools. 2010;19(6):542-546. doi: 10.1136/qshc.2009.036970
Gafa M, Fenech A, Scerri C, et al. Teamwork in healthcare organisations. 2005;5(2) doi: 10.1080/15602210500174474
Weaver SJ, Dy SM, Rosen MAJBq, et al. Team-training in healthcare: a narrative synthesis of the literature. 2014;23(5):359-372. doi: 10.1136/bmjqs-2013-001848
Chan PS, Nallamothu BKJJ. Improving outcomes following in-hospital cardiac arrest: life after death. 2012;307(18):1917-1918. doi: 10.1001/jama.2012.3504
Johnson SL, Haerling KA, Yuwen W, et al. Incivility and clinical performance, teamwork, and emotions: a randomized controlled trial. 2020;35(1):70-76. doi: 10.1097/NCQ.0000000000000407
Lauridsen KG, Watanabe I, Løfgren B, et al. Standardising communication to improve in-hospital cardiopulmonary resuscitation. 2020;147:73-80. doi: 10.1016/j.resuscitation.2019.12.013
Vetter MJ, Zavotsky KE. Advancing Evidence-Based Practice in Nursing and Healthcare. Elsevier Health Sciences; 2024.
Rosenman ED, Bullard MJ, Jones KA, et al. Development and empirical testing of a novel team leadership assessment measure: a pilot study using simulated and live patient encounters. 2019;3(2):163-171. doi: 10.1002/aet2.10321
Verhoeven D. Team familiarity and task interdependence: a new perspective on dynamic team composition. 2019;
Elo S, Kyngäs HJJoan. The qualitative content analysis process. 2008;62(1):107-115. doi: 10.1111/j.1365-2648.2007.04569.x
Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams & Wilkins; 2010.
Ornato JP, Peberdy MA, Reid RD, et al. Impact of resuscitation system errors on survival from in-hospital cardiac arrest. 2012;83(1):63-69. doi: 10.1016/j.resuscitation.2011.09.009
McGrath JE, Arrow H, Berdahl JL. The study of groups: Past, present, and future. Personality and Social Psychology at the Interface. Psychology Press; 2014:95-105. doi: 10.4324/9780203764923-7
Baker DJAp. Medical teamwork and patient safety: the evidence-based relation. 2005;
Riisla K, Wendt H, Babalola MT, et al. Building cohesive teams-the role of leaders' bottom-line mentality and behavior. 2021;13(14):8047. doi: 10.3390/su13148047
Mullangi S, Bhandari R, Thanaporn P, et al. Perceptions of resuscitation care among in-hospital cardiac arrest responders: a qualitative analysis. 2020;20:1-7. doi: 10.1186/s12913-020-4990-4
Hoegl MJBH. Smaller teams-better teamwork: How to keep project teams small. 2005;48(3):209-214. doi: 10.1016/j.bushor.2004.10.013
Case R, Cartledge S, Siedenburg J, et al. Identifying barriers to the provision of bystander cardiopulmonary resuscitation (CPR) in high-risk regions: A qualitative review of emergency calls. 2018;129:43-47. doi: 10.1016/j.resuscitation.2018.06.001
Janatolmakan M, Nouri R, Soroush A, et al. Barriers to the success of cardiopulmonary resuscitation from the perspective of Iranian nurses: A qualitative content analysis. 2021;54:100954. doi: 10.1016/j.ienj.2020.100954
Rajeswaran L, Cox M, Moeng S, et al. Assessment of nurses' cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana. 2018;10(1):1-6. doi: 10.4102/phcfm.v10i1.1633
Munezero JBT, Atuhaire C, Groves S, et al. Assessment of nurses knowledge and skills following cardiopulmonary resuscitation training at Mbarara Regional Referral Hospital, Uganda. 2018;30(1). doi: 10.11604/pamj.2018.30.108.15398
Paris CR, Salas E, Cannon-Bowers JAJE. Teamwork in multi-person systems: a review and analysis. 2000;43(8):1052-1075. doi: 10.1080/00140130050084879
Sjöberg F, Schönning E, Salzmann‐Erikson MJJocn. Nurses' experiences of performing cardiopulmonary resuscitation in intensive care units: a qualitative study. 2015;24(17-18):2522-2528. doi: 10.1111/jocn.12844
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