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Adaptation of non-technical skills behavioural markers for delivery room simulation
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 theoretic...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5356378/ https://www.ncbi.nlm.nih.gov/pubmed/28302085 http://dx.doi.org/10.1186/s12884-017-1274-z |
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author | Bracco, Fabrizio Masini, Michele De Tonetti, Gabriele Brogioni, Francesca Amidani, Arianna Monichino, Sara Maltoni, Alessandra Dato, Andrea Grattarola, Claudia Cordone, Massimo Torre, Giancarlo Launo, Claudio Chiorri, Carlo Celleno, Danilo |
author_facet | Bracco, Fabrizio Masini, Michele De Tonetti, Gabriele Brogioni, Francesca Amidani, Arianna Monichino, Sara Maltoni, Alessandra Dato, Andrea Grattarola, Claudia Cordone, Massimo Torre, Giancarlo Launo, Claudio Chiorri, Carlo Celleno, Danilo |
author_sort | Bracco, Fabrizio |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5356378 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-53563782017-03-22 Adaptation of non-technical skills behavioural markers for delivery room simulation Bracco, Fabrizio Masini, Michele De Tonetti, Gabriele Brogioni, Francesca Amidani, Arianna Monichino, Sara Maltoni, Alessandra Dato, Andrea Grattarola, Claudia Cordone, Massimo Torre, Giancarlo Launo, Claudio Chiorri, Carlo Celleno, Danilo BMC Pregnancy Childbirth Research Article 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. BioMed Central 2017-03-17 /pmc/articles/PMC5356378/ /pubmed/28302085 http://dx.doi.org/10.1186/s12884-017-1274-z Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Bracco, Fabrizio Masini, Michele De Tonetti, Gabriele Brogioni, Francesca Amidani, Arianna Monichino, Sara Maltoni, Alessandra Dato, Andrea Grattarola, Claudia Cordone, Massimo Torre, Giancarlo Launo, Claudio Chiorri, Carlo Celleno, Danilo Adaptation of non-technical skills behavioural markers for delivery room simulation |
title | Adaptation of non-technical skills behavioural markers for delivery room simulation |
title_full | Adaptation of non-technical skills behavioural markers for delivery room simulation |
title_fullStr | Adaptation of non-technical skills behavioural markers for delivery room simulation |
title_full_unstemmed | Adaptation of non-technical skills behavioural markers for delivery room simulation |
title_short | Adaptation of non-technical skills behavioural markers for delivery room simulation |
title_sort | adaptation of non-technical skills behavioural markers for delivery room simulation |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5356378/ https://www.ncbi.nlm.nih.gov/pubmed/28302085 http://dx.doi.org/10.1186/s12884-017-1274-z |
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