Articoli di revisione Open access

Le non-technical skills nell’arresto cardio-respiratorio: una revisione della letteratura

Autori

Pubblicato
19 marzo 2025
Fascicolo
V. 42 N. 1 (2025)
Sezione
Articoli di revisione
DOI
10.4081/scenario.2025.592

Abstract

Introduzione: le Non-Technical Skills (NTS) sono le competenze cognitive, sociali e personali complementari a quelle tecniche che contribuiscono ad una performance sicura ed efficiente. La presente revisione si pone l’obiettivo di indagare la relazione tra NTS e Technical Skills (TS) e valutare come le prime possano influenzare positivamente le seconde in situazioni di supporto di base (Basic Life Support, BLS) e avanzato (Advanced Life Support, ALS) delle funzioni vitali.

Materiali e metodi: la ricerca è stata effettuato nelle seguenti banche dati: PubMed in Medline, Cinahl Complete, Google Scholar. In seguito alla disamina degli abstract di 213 articoli e all’inserimento di criteri di inclusione quali pazienti adulti in arresto cardiaco non correlato a trauma, in un contesto sia intraospedaliero che extraospedaliero, anche simulated-based, sono stati selezionati 11 articoli scientifici.

Risultati e discussione: le NTS sono risultate correlate alle TS in situazioni reali di ALS (slope 0.48, 95% IC 0.34-0.61, p < 0.001) e in scenari simulati di RCP (U = 43.5, p = 0.014); (r = 0.45, p < 0.05). Le NTS hanno mostrato un’associazione positiva con le TS in presenza di agenti stressanti esterni (r = 0.67, 95% IC 0.40-0.83, p < 0.001). Un approccio di squadra all’RCP sembrerebbe aumentare le probabilità di sopravvivenza alla dimissione (OR 1.68, 95% IC 1.48-1.91) e il recupero neurologico (OR 1.52, 95% IC 1.31-1.77).

Conclusioni: le NTS sembrano avere un impatto positivo sulle competenze tecniche dei professionisti e sugli esiti dei pazienti, sebbene ulteriore ricerca sia necessaria per comprenderne a fondo la reale associazione.

 

Parole chiave

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