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Non-technical skills in cardio-respiratory arrest: a literature review

Authors

Federica Annese
federica.annese@auslromagna.it
https://orcid.org/0009-0005-4451-8957
Didactic Tutor-Expert in the Training Process, Degree Course in Nursing-Forli' University of Bologna, Ravenna Campus, Italy.
Rachele Versari
https://orcid.org/0009-0002-9380-5811
Nurse Practitioner, Department of Surgery, Villa Serena - Accredited Private Nursing Hospital, Forlì, Italy.

Introduction: this review aims to investigate the relationship between Non-Technical Skills (NTS) and Technical Skills (TS) in basic and advanced life support situations.

Materials and methods: the search was carried out in the following databases: PubMed, Cinahl Complete, Cochrane Library, PsycInfo, Eric Database, UpToDate, JBI. Following the examination of the abstracts of 213 articles and the inclusion of inclusion criteria such as adult patients in cardiac arrest not related to trauma, in both an in-hospital and extra-hospital context, including simulation-based, 7 scientific articles were selected.

Results and discussion: NTS were correlated with TS in real ALS situations (slope 0.48, 95% CI 0.34-0.61, p < 0.001) and in simulated CPR scenarios (U = 43.5, p = 0.014). Furthermore, the team leader's NTS showed a positive association with the entire team's TS in the presence of external stressors (r = 0.67, 95% CI 0.40-0.83, p < 0.001). A team approach to CPR would appear to increase the odds of survival to discharge (OR 1.68, 95% CI 1.48-1.91) and neurological recovery (OR 1.52, 95% CI 1.31-1.77).

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How to Cite

Annese, F., & Versari, R. (2025). Non-technical skills in cardio-respiratory arrest: a literature review. Scenario® - Il Nursing Nella Sopravvivenza, 42(1). https://doi.org/10.4081/scenario.2025.592
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Aniarti has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.


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