Background. For uncommon events in medicine, such as pediatric CPR, more frequent training is associated with improved performance among healthcare providers and physicians in training. Gamified learning may facilitate motivation to practice CPR, though studies to support this are lacking. Intervention. Residents were interviewed to understand motivating factors for CPR practice outside of a traditional classroom certification setting. Methods. We used a qualitative study design within a larger multinational study. Semi-structured, one-on-one interviews were completed with pediatric residents using a constructivist approach. Transcripts were reviewed independently by two authors (IHG, JLS). Results. The inductive framework gradually moved away from gamification and towards that of self-determination. Participating residents reported several types of intrinsic and extrinsic motivational drivers towards practicing CPR, such as practicing CPR to prepare, or as a connection to clinical practice. Some themes were amotivational, such as performance anxiety, and detracted from their drive to practice. Despite a gamification design to this curriculum, these components were rarely mentioned. These themes related to achieving Maslow’s three psychological needs of autonomy, relatedness and competence. Conclusion. The motivation to practice CPR among residents aligns with the self-determination theory. By stimulating intrinsic motivating factors, future curriculum design may better motivate residents to practice CPR.

中文翻译：

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练习心肺复苏术：居民动机的定性分析

背景。对于医学中的罕见事件，例如儿科 CPR，更频繁的培训与医疗保健提供者和医生在培训中的表现提高有关。游戏化学习可能会促进练习 CPR 的动机，尽管缺乏支持这一点的研究。干涉。居民接受了采访，以了解在传统课堂认证环境之外进行 CPR 实践的激励因素。方法。我们在一项更大的跨国研究中使用了定性研究设计。使用建构主义方法对儿科住院医师进行了半结构化的一对一访谈。两位作者（IHG，JLS）独立审查了成绩单。结果。归纳框架逐渐从游戏化转向自我决定。参与的居民报告了练习 CPR 的几种内在和外在动机驱动因素，例如练习 CPR 以准备，或作为与临床实践的联系。一些主题是没有动力的，例如表现焦虑，并减损了他们练习的动力。尽管对本课程进行了游戏化设计，但很少提及这些组件。这些主题与实现马斯洛的自主性、关联性和能力这三个心理需求有关。结论。在居民中练习 CPR 的动机与自决理论相一致。通过激发内在激励因素，未来的课程设计可以更好地激励居民练习心肺复苏术。或作为与临床实践的联系。一些主题是没有动力的，例如表现焦虑，并减损了他们练习的动力。尽管对本课程进行了游戏化设计，但很少提及这些组件。这些主题与实现马斯洛的自主性、关联性和能力这三个心理需求有关。结论。在居民中练习 CPR 的动机与自决理论相一致。通过激发内在激励因素，未来的课程设计可以更好地激励居民练习心肺复苏术。或作为与临床实践的联系。一些主题是没有动力的，例如表现焦虑，并减损了他们练习的动力。尽管对本课程进行了游戏化设计，但很少提及这些组件。这些主题与实现马斯洛的自主性、关联性和能力这三个心理需求有关。结论。在居民中练习 CPR 的动机与自决理论相一致。通过激发内在激励因素，未来的课程设计可以更好地激励居民练习心肺复苏术。相关性和能力。结论。在居民中练习 CPR 的动机与自决理论相一致。通过激发内在激励因素，未来的课程设计可以更好地激励居民练习心肺复苏术。相关性和能力。结论。在居民中练习 CPR 的动机与自决理论相一致。通过激发内在激励因素，未来的课程设计可以更好地激励居民练习心肺复苏术。