| Autor: |
M. Hayter, Tobias Everett, Clyde Matava, Zeev Friedman, M. D. Bould, L. M. K. Noble |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
Anaesthesia. 70:1119-1129 |
| ISSN: |
0003-2409 |
| Popis: |
Summary A key factor that may contribute to communication failures is status asymmetry between team members. We examined the effect of a consultant anaesthetist's interpersonal behaviour on trainees’ ability to effectively challenge clearly incorrect clinical decisions. Thirty-four trainees were recruited to participate in a video-recorded scenario of an airway crisis. They were randomised to a group in which a confederate consultant anaesthetist's interpersonal behaviour was scripted to recreate either a strict/exclusive or an open/inclusive communication dynamic. The scenario allowed trainees four opportunities to challenge clearly wrong decisions. Performances were scored using the modified Advocacy-Inquiry Score. The highest median (IQR [range]) score was 3.0 (2.2–4.0 [1.0–5.0]) in the exclusive communication group, and 3.5 (3.0–4.5 [2.5–6.0]) in the inclusive communication group (p = 0.06). The study did not show a significant effect of consultant behaviour on trainees’ ability to challenge their superior. It did demonstrate trainees’ inability to challenge their seniors effectively, resulting in critical communication gaps. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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