ArticleResuscitation plus2026
Perceived factors influencing healthcare professionals' adherence to the ABCDE approach: an exploratory explanatory sequential mixed-methods study.
Article in Resuscitation plus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The Airway, Breathing, Circulation, Disability, and Exposure (ABCDE) approach is considered the preferred way to assess potentially critically ill patients. This study aimed to identify perceived factors influencing healthcare professionals' adherence to the ABCDE approach. Methods: An exploratory, explanatory sequential mixed-methods study was performed, comprising an cross-sectional questionnaire phase followed by semi-structured focus groups. A total of 239 healthcare professionals (nurses, nurse practitioners, physician assistants, residents and medical specialists) from six disciplines (Anaesthesiology, Emergency Medicine, Paediatrics and the Neonatal, Paediatric and Adult Intensive Care Units) filled out a questionnaire. Questionnaire results were analysed and used as input for five semi-structured focus groups with 22 participants. The focus groups were transcribed and analysed using template analysis, complemented by identification of additional themes. Results: Perceived factors influencing adherence to the approach were categorised into five domains: guideline, individual health professional, patient, professional interactions, and incentives/resources. The importance of the ABCDE approach was affirmed, with 95.4% recognising it as their responsibility to perform the approach. Confidence in competency was high with a median rating of 90% (IQR 80-99) on a 0-100% scale. While feedback was considered valuable, 68.2% indicated it was provided rarely. Other identified factors included the ABCDE approach's simplicity and structure, healthcare professionals' experience, patient condition, the presence of a predefined team leader, and the role of regular education. 'Context dependency', 'ABCDE as a language' and 'Personal value' were identified as additional themes. Conclusions: This study identified perceived factors influencing healthcare professionals' adherence to the ABCDE approach. Adequate application of the ABCDE approach may require continuous learning in education and clinical practice.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.