Comprehensive Literature Search to Identify Assessment Tools for Operating Room Nontechnical Skills to Determine Common Critical Components.

Autor: Garbee DD; School of Nursing, LSU Health New Orleans Health Sciences Center, 1900 Gravier Street, New Orleans, LA 70112 USA., Bonanno LS; School of Nursing, LSU Health New Orleans Health Sciences Center, 1900 Gravier Street, New Orleans, LA 70112 USA., Rogers CL; Department of Surgery, LSU Health New Orleans Health Sciences Center, 1542 Tulane Avenue, Room 734, New Orleans, LA 70112 USA., Kerdolff KE; John P. Ische Library, LSU Health New Orleans Health Sciences Center, 533 Bolivar Street, New Orleans, LA 70112 USA., Paige JT; Department of Surgery, LSU Health New Orleans Health Sciences Center, 1542 Tulane Avenue, Room 734, New Orleans, LA 70112 USA.
Jazyk: angličtina
Zdroj: Medical science educator [Med Sci Educ] 2020 Nov 10; Vol. 31 (1), pp. 81-89. Date of Electronic Publication: 2020 Nov 10 (Print Publication: 2021).
DOI: 10.1007/s40670-020-01117-6
Abstrakt: Background: Effective use of nontechnical skills (NTS) contributes to the provision of safe, quality care in the fast-paced, dynamic setting of the operating room (OR). Inter-professional education of NTS to OR team members can improve performance. Such training requires the accurate measurement of NTS in order to identify gaps in their utilization by OR teams. Although several instruments for measuring OR NTS exist in the literature, each tool tends to define specific NTS differently.
Aim: We aimed to determine commonalities in defined measurements among existing OR NTS tools.
Methods: We undertook a comprehensive literature review of assessment tools for OR NTS to determine the critical components common to these instruments. A PubMed search of the literature from May 2009 to May 2019 combined various combinations of keywords and Medical Subject Headings (MeSH) related to the following subjects: teamwork, teams, assessment, debriefing, surgery, operating room, nontechnical, communication. From this start, articles were selected describing specific instruments. Three reviewers then identified the common components measured among these assessment tools. Reviewers collated kin constructs within each instrument using frequency counts of similarly termed and conceptualized components.
Results: The initial PubMed search produced 119 articles of which 24 articles satisfied the inclusion criteria. Within these articles, 10 assessment tools evaluated OR NTS. Kin constructs were grouped into six NTS categories in the following decreasing frequency order: communication, situation awareness, teamwork, leadership, decision making, and task management/decision making (equal).
Conclusion: NTS OR assessment tools in the literature have a variety of kin constructs related to the specific measured components within the instruments. Such kin constructs contain thematic cohesion across six primary NTS groupings with some variation in scale and scope. Future plans include using this information to develop an easy-to-use assessment tool to assist with debriefing in the clinical environment.
Competing Interests: Conflict of InterestThe authors declare that they have no conflicts of interest.
(© International Association of Medical Science Educators 2020.)
Databáze: MEDLINE
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