Articoli di revisione
V. 42 N. 1 (2025)
https://doi.org/10.4081/scenario.2025.592

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

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
##plugins.generic.dates.received##: 26 maggio 2024
##plugins.generic.dates.accepted##: 7 dicembre 2024
Pubblicato: 19 marzo 2025
786
Visite
595
Downloads
Non-Technical Skills, Cardiopulmonary Resuscitation, Cardiac Arrest, Basic Life Support, Advanced Life Support

Autori

Federica Annese
federica.annese@auslromagna.it
https://orcid.org/0009-0005-4451-8957
Tutor Didattico-Esperto del Processo Formativo, Corso di Laurea in Infermieristica-Forli' Università di Bologna, Campus di Ravenna, Italia.
Rachele Versari
https://orcid.org/0009-0002-9380-5811
Infermiera, Dipartimento di Chirurgia, Ospedale di cura privato accreditato Villa Serena, Forlì, Italia.

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.

 

Downloads

La data di download non è ancora disponibile.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
1. Linee Guida RCP 2021. Available from: https://www.ircouncil.it/linee-guida-rcp-2021/
2. Flin R, Maran N. Basic concepts for crew resource management and non-technical skills. Best Pract Res Clin Anaesthesiol 2015;29:27–39.
3. Flin R, O'Connor P, Crichton M. Safety at the sharp end: a guide to non-technical skills. Prima edizione. Londra: CRC Press 2008.
4. Evans JC, Evans MB, Slack M, et al. Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts. Scand J Trauma Resus 2021;29.
5. Prineas S, Mosier K, Mirko C, Guicciardi S. Non-technical Skills in Healthcare. In: Donaldson L, Ricciardi W, Sheridan S, Tartaglia R. Textbook of Patient Safety and Clinical Risk Management. Cham (CH): Springer 2021, capitolo 30.
6. Bennett R, Mehmed N, Williams B. Non‐technical skills in paramedicine: a scoping review. Nurs Health Sci 2021;23:40–52.
7. Cormack S. Non-technical skills in the out-of-hospital cardiac arrest: is it time for a pit stop? Br Paramedic J 2019;3:45.
8. Lauridsen KG, Watanabe I, Løfgren B et al. Standardising communication to improve in hospital cardiopulmonary resuscitation. Resuscitation 2020;147:73–80.
9. Kim E, Lee K. Relationship between non-technical skills and resuscitation performance of nurses’ team in in-situ simulated cardiac arrest. Korean J Adult Nurs 2015;27:146–55.
10. Cormack S, Scott S, Stedmon A. Non-technical skills in out-of-hospital cardiac arrest management: a scoping review. Australasian J Paramed 2020;17:1–8.
11. Radhakrishnan B, Katikar MD, Myatra SN et al. Importance of non-technical skills in anaesthesia education. Indian J Anaesth 2022;66:64-9.
12. World Health Organization (WHO). Available from: https://www.who.int/news-room/questions-and-answers/item/stress
13. ERC guidelines 2021. Available from: https://cprguidelines.eu/guidelines-2021
14. Buccione E, Cicolini G, Della Pelle C. La percezione degli infermieri delle no-technical skills durante la rianimazione cardiopolmonare: studio pilota. Scenario 2019;36:5–12.
15. Greif R, Lockey A, Breckwoldt J et al. European resuscitation council guidelines 2021: education for resuscitation. Resuscitation 2021;161:388–407.
16. Ministero della Salute. Linee di indirizzo sullo sviluppo della simulazione in sanità in Italia. 2022. Available from: https://www.salute.gov.it/portale/documentazione/p6_2_2_1.jsp?id=3268
17. Peltonen V, Peltonen LM, Salanterä S, et al. An observational study of technical and non-technical skills in advanced life support in the clinical setting. Resuscitation 2020;153:162-168.
18. Riem N, Boet S, Bould MD, et al. Do technical skills correlate with non-technical skills in crisis resource management: a simulation study. Br J Anaesth 2012;109:723–8.
19. Krage R, Zwaan L, Tjon Soei Len L, et al. Relationship between non-technical skills and technical performance during cardiopulmonary resuscitation: does stress have an influence? Emerg Med J 2017;34:728-33.
20. Kim S, Ahn KO, Jeong S. The effect of team-based CPR on outcomes in out of hospital cardiac arrest patients: a meta-analysis. Am J of Emerg Med 2018;36:248–52.
21. Dewolf P, Clarebout G, Wauters L, et al. The effect of teaching nontechnical skills in advanced life support: a systematic review. AEM Educ Train 2020;5:e10522.
22. Stærk M, Lauridsen KG, Støtt CT et al. Inhospital cardiac arrest - the crucial first 5 min: a simulation study. Adv Simul (Lond) 2022;9;7:29.
23. Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systematic review of the past decade. Hum Resour Health 2020;18:2.
24. Truchot J, Michelet D, Philippon AL, et al. Effect of a specific training intervention with task interruptions on the quality of simulated advance life support: a randomized multi centered controlled simulation study. Australas Emerg Care 2023;26:153–7.
25. Andersen PO, Jensen MK, Lippert A, Østergaard D. Identifying non-technical skills and barriers for improvement of teamwork in cardiac arrest teams. Resuscitation 2010;81:695–702.
26. 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. Circulation 2015;132:315–67.
27. Yang Y, Hu D, Peng D. Team-based resuscitation for out-of-hospital cardiac arrest. Am J Emerg Med 2018;36:889–90.
28. Govender K, Sliwa K, Wallis L, Pillay Y. Comparison of two training programmes on paramedic-delivered CPR performance. Emerg Med J 2016;33:351–6.
29. Thorne CJ, Kimani PK, Hampshire S et al. Feedback in advanced life support: a quality improvement initiative. Resuscitation 2020;155:189–98.
30. Peddle M, Bearman M, Radomski N, et al. What non-technical skills competencies are addressed by australian standards documents for health professionals who work in secondary and tertiary clinical settings? A qualitative comparative analysis. BMJ Open 2018;8:e020799.
31. Large C, Aldridge M. Non-technical skills required to recognise and escalate patient deterioration in acute hospital settings. Nurs Manag (Harrow) 2018;25:24–30.

Come citare



Le non-technical skills nell’arresto cardio-respiratorio: una revisione della letteratura. (2025). Scenario® - Il Nursing Nella Sopravvivenza, 42(1). https://doi.org/10.4081/scenario.2025.592
Copyright (c) 2025 Gli Autori Creative Commons License

Questo volume è pubblicato con la licenza Creative Commons Attribuzione - Non commerciale 4.0 Internazionale.