Factors necessary for entrustment decision-making in surgical operating rooms: A modified Delphi study.

Autor:	Ahmad QA; Department of Medical Education, The University of Lahore, Lahore, Pakistan.; Department of Surgery, Post Graduate Medical Institute, Ameer-u-din Medical College Lahore, Pakistan., Mahboob U; Department of Medical Education, Institute of Health Professions Education & Research, Khyber Medical University, Peshawar, Pakistan., Khan RA; Department of Medical Education, Islamic International Medical College, Riphah International University, Islamabad, Pakistan., Waheed K; Department of Obstetrics & Gynaecology, King Edward Medical University, Lahore, Pakistan., Fahim A; Department of Oral Biology, University College of Dentistry, The University of Lahore, Lahore, Pakistan.; Department of Health Sciences, The Equator University of Science and Technology, Uganda.
Jazyk:	angličtina
Zdroj:	Journal of Taibah University Medical Sciences [J Taibah Univ Med Sci] 2024 May 13; Vol. 19 (3), pp. 611-618. Date of Electronic Publication: 2024 May 13 (Print Publication: 2024).
DOI:	10.1016/j.jtumed.2024.05.001
Abstrakt:	Objective: Resident autonomy in an operation theatre has been directly linked with patient safety in healthcare. The objective of this study was to identify the factors necessary for making resident-entrustment decisions from the perspective of a supervisor/consultant viewpoint. The second objective was to develop a checklist for assessing resident readiness for independent work. Materials and Methods: This study employed a mixed-method Delphi approach. In the first stage, a comprehensive literature review and a qualitative exploratory study produced a list of factors related to residents. The second phase involved content validation by a panel of experts, followed by a two-round Delphi study with 20 expert panelists. Results: A total of 49 resident-related factors for entrustment were identified, which were reduced to 46 after content validation. During Delphi Round I, 17 factors were fully accepted, 7 were rejected and 22 items were partially accepted. Out of the 39 items sent to Delphi Round II, 23 items were accepted and 16 were rejected. A final 23-item checklist was formed based on the following factors; 6 Cognitive (knowledgeable, risk manager, safe doctor, general manager, field of interest, communicator), 5 Psychomotor (past performer, competent, ability to pick critical findings, ability to act situationally, decision maker) and 12 affective (responsible, leader, honest, empathetic, ethical, receptive, humble, emotionally intelligent, motivated, accountable, team player, disciplined) factors. Conclusion: The study resulted in the formation of a checklist based on the factors necessary for entrustment decision-making in surgical operating rooms. Some of the novel contextual factors were 'general manager', 'field of interest', 'ability to pick critical findings', 'accountable', 'risk manager', and 'past performer'. This framework offers a guideline for supervisors and residents to evaluate progress throughout the residency program. The developed tool demonstrates good content validity and is suitable for entrustment assessment following construct validation. (© 2024 The Authors.)
Databáze:	MEDLINE
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