Factors influencing the self-reported confidence as a team leader during CPR among pediatric residents: A national survey

Abstract

Introduction: Simulated emergencies are an excellent opportunity for healthcare professionals to practice leadership skills, without endangering patient safety. The current Saudi Pediatric Residency Training Program curriculum does not contain an explicit course for the leadership skills. Our study was designed to identify the different factors that influence the self-confidence of the residents when assuming the role of a team leader during a real CPR. Methodology: It was a cross-sectional questionnaire-based survey done in February 2017. The target population was physicians enrolled in the Saudi Pediatric Residency Training Program. The survey was distributed during the 5th Saudi Pediatric Association Conference and through an email via Saudi Pediatric Association e-mailing group. Results: The survey was sent to 1052 residents; however, 640 of them received the survey. Out of total who received, just 231 responded. Most of them (49.8%) had their last valid certification course (PALS) a year back. However, 12.6% never had it. Their self-rated confidence being a team member (mean = 7.8/10, S.D = 2.1) was greater than being a leader of a CPR team (mean = 6.3/10, S.D = 2.4) p < 0.001. Male physicians self-rated confidence leading CPR teams (mean = 6.7, S.D = 2.4) was greater than their female colleagues (mean = 5.9, S.D = 2.4), p = 0.013. As physicians training level went from R-1 to fellowship, their confidence to lead CPR teams tended to increase. Those physicians who did not have PALS certificate perceived less confidence leading the CPR teams. There was a significant effect for recent real CPR event attended on physicians perceived confidence, p < 0.001. Lastly, physicians who assumed team leadership role during real CPR had significantly greater perceived self-confidence as compared to those who assumed a member role (p < 0.05). Conclusion: Self-reported confidence as a team leader during CPR was higher in the residents who were certified with life support licenses, especially during their training period.