Adaptation of non-technical skills behavioural markers for delivery room simulation

Autor: Danilo Celleno, Massimo Cordone, Sara Monichino, Giancarlo Torre, Carlo Chiorri, Andrea Dato, Alessandra Maltoni, Francesca Brogioni, Michele Masini, C Launo, Gabriele De Tonetti, Claudia Grattarola, Arianna Amidani, Fabrizio Bracco
Rok vydání: 2017
Předmět:
Male
Skills management
Cognition
0302 clinical medicine
Anesthesiology
Pregnancy
Obstetrics and Gynaecology
Eclampsia
030212 general & internal medicine
Communication
Debriefing
Obstetrics and Gynecology
Middle Aged
Test (assessment)
Obstetrics
Female
Clinical Competence
Uterine Inertia
Research Article
Adult
Obstetric emergency
medicine.medical_specialty
Formative Feedback
Interprofessional Relations
Midwifery
Education
Social Skills
Formative assessment
Young Adult
03 medical and health sciences
Social skills
Seizures
Rating scale
medicine
Clinical Skills
Medical Education
Patient Simulation
Humans
Set (psychology)
Simulation Training
Maternal-Child Nursing
Patient Care Team
Gynecology
Medical education
business.industry
Delivery Rooms
Postpartum Hemorrhage
030208 emergency & critical care medicine
Usability
Uterine Hemorrhage
Emergencies
business
Zdroj: BMC Pregnancy and Childbirth
ISSN: 1471-2393
DOI: 10.1186/s12884-017-1274-z
Popis: Background Simulation in healthcare has proved to be a useful method in improving skills and increasing the safety of clinical operations. The debriefing session, after the simulated scenario, is the core of the simulation, since it allows participants to integrate the experience with the theoretical frameworks and the procedural guidelines. There is consistent evidence for the relevance of non-technical skills (NTS) for the safe and efficient accomplishment of operations. However, the observation, assessment and feedback on these skills is particularly complex, because the process needs expert observers and the feedback is often provided in judgmental and ineffective ways. The aim of this study was therefore to develop and test a set of observation and rating forms for the NTS behavioural markers of multi-professional teams involved in delivery room emergency simulations (MINTS-DR, Multi-professional Inventory for Non-Technical Skills in the Delivery Room). Methods The MINTS-DR was developed by adapting the existing tools and, when needed, by designing new tools according to the literature. We followed a bottom-up process accompanied by interviews and co-design between practitioners and psychology experts. The forms were specific for anaesthetists, gynaecologists, nurses/midwives, assistants, plus a global team assessment tool. We administered the tools in five editions of a simulation training course that involved 48 practitioners. Ratings on usability and usefulness were collected. Results The mean ratings of the usability and usefulness of the tools were not statistically different to or higher than 4 on a 5-point rating scale. In either case no significant differences were found across professional categories. Conclusion The MINTS-DR is quick and easy to administer. It is judged to be a useful asset in maximising the learning experience that is provided by the simulation. Electronic supplementary material The online version of this article (doi:10.1186/s12884-017-1274-z) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
Externí odkaz: