TY - JOUR
T1 - Workload of Team Leaders and Team Members during a Simulated Sepsis Scenario
AU - Tofil, Nancy M.
AU - Lin, Yiqun
AU - Zhong, John
AU - Peterson, Dawn Taylor
AU - White, Marjorie Lee
AU - Grant, Vincent
AU - Grant, David J.
AU - Gottesman, Ronald
AU - Sudikoff, Stephanie N.
AU - Adler, Mark
AU - Marohn, Kimberly
AU - Davidson, Jennifer
AU - Cheng, Adam
AU - for the International Network for Simulation-Based Pediatric Innovation, Research and Education Cardiopulmonary Resuscitation (INSPRIRE CPR) Investigators
N1 - Publisher Copyright:
Copyright © 2017 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.
PY - 2017/9/1
Y1 - 2017/9/1
N2 - Objectives: Crisis resource management principles dictate appropriate distribution of mental and/or physical workload so as not to overwhelm any one team member. Workload during pediatric emergencies is not well studied. The National Aeronautics and Space Administration-Task Load Index is a multidimensional tool designed to assess workload validated in multiple settings. Low workload is defined as less than 40, moderate 40-60, and greater than 60 signify high workloads. Our hypothesis is that workload among both team leaders and team members is moderate to high during a simulated pediatric sepsis scenario and that team leaders would have a higher workload than team members. Design: Multicenter observational study. Setting: Nine pediatric simulation centers (five United States, three Canada, and one United Kingdom). Patients: Team leaders and team members during a 12-minute pediatric sepsis scenario. Interventions: National Aeronautics and Space Administration-Task Load Index. Measurements and Main Results: One hundred twenty-seven teams were recruited from nine sites. One hundred twenty-seven team leaders and 253 team members completed the National Aeronautics and Space Administration-Task Load Index. Team leader had significantly higher overall workload than team member (51 ± 11 vs 44 ± 13; p < 0.01). Team leader had higher workloads in all subcategories except in performance where the values were equal and in physical demand where team members were higher than team leaders (29 ± 22 vs 18 ± 16; p < 0.01). The highest category for each group was mental 73 ± 13 for team leader and 60 ± 20 for team member. For team leader, two categories, mental (73 ± 17) and effort (66 ± 16), were high workload, most domains for team member were moderate workload levels. Conclusions: Team leader and team member are under moderate workloads during a pediatric sepsis scenario with team leader under high workloads (> 60) in the mental demand and effort subscales. Team leader average significantly higher workloads. Consideration of decreasing team leader responsibilities may improve team workload distribution.
AB - Objectives: Crisis resource management principles dictate appropriate distribution of mental and/or physical workload so as not to overwhelm any one team member. Workload during pediatric emergencies is not well studied. The National Aeronautics and Space Administration-Task Load Index is a multidimensional tool designed to assess workload validated in multiple settings. Low workload is defined as less than 40, moderate 40-60, and greater than 60 signify high workloads. Our hypothesis is that workload among both team leaders and team members is moderate to high during a simulated pediatric sepsis scenario and that team leaders would have a higher workload than team members. Design: Multicenter observational study. Setting: Nine pediatric simulation centers (five United States, three Canada, and one United Kingdom). Patients: Team leaders and team members during a 12-minute pediatric sepsis scenario. Interventions: National Aeronautics and Space Administration-Task Load Index. Measurements and Main Results: One hundred twenty-seven teams were recruited from nine sites. One hundred twenty-seven team leaders and 253 team members completed the National Aeronautics and Space Administration-Task Load Index. Team leader had significantly higher overall workload than team member (51 ± 11 vs 44 ± 13; p < 0.01). Team leader had higher workloads in all subcategories except in performance where the values were equal and in physical demand where team members were higher than team leaders (29 ± 22 vs 18 ± 16; p < 0.01). The highest category for each group was mental 73 ± 13 for team leader and 60 ± 20 for team member. For team leader, two categories, mental (73 ± 17) and effort (66 ± 16), were high workload, most domains for team member were moderate workload levels. Conclusions: Team leader and team member are under moderate workloads during a pediatric sepsis scenario with team leader under high workloads (> 60) in the mental demand and effort subscales. Team leader average significantly higher workloads. Consideration of decreasing team leader responsibilities may improve team workload distribution.
KW - National Aeronautics and Space Administration-Task Load Index
KW - pediatric
KW - sepsis
KW - simulation
KW - workload
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U2 - 10.1097/PCC.0000000000001258
DO - 10.1097/PCC.0000000000001258
M3 - Article
C2 - 28654549
AN - SCOPUS:85021290888
SN - 1529-7535
VL - 18
SP - e423-e427
JO - Pediatric Critical Care Medicine
JF - Pediatric Critical Care Medicine
IS - 9
ER -