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Development and Evaluation of the Taxonomy of Trauma Leadership Skills–Shortened for Observation and Reflection in Training: A Practical Tool for Observing and Reflecting on Trauma Leadership Performance

Trauma leadership skills are increasingly being addressed in trauma courses, but few resources are available to systematically observe and debrief trainees' performances. The authors therefore translated their previously developed, extensive Taxonomy of Trauma Leadership Skills (TTLS) into a pr...

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Autores principales: Leenstra, Nico F., Jung, Oliver C., Cnossen, Fokie, Jaarsma, A. Debbie C., Tulleken, Jaap E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850591/
https://www.ncbi.nlm.nih.gov/pubmed/32732816
http://dx.doi.org/10.1097/SIH.0000000000000474
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author Leenstra, Nico F.
Jung, Oliver C.
Cnossen, Fokie
Jaarsma, A. Debbie C.
Tulleken, Jaap E.
author_facet Leenstra, Nico F.
Jung, Oliver C.
Cnossen, Fokie
Jaarsma, A. Debbie C.
Tulleken, Jaap E.
author_sort Leenstra, Nico F.
collection PubMed
description Trauma leadership skills are increasingly being addressed in trauma courses, but few resources are available to systematically observe and debrief trainees' performances. The authors therefore translated their previously developed, extensive Taxonomy of Trauma Leadership Skills (TTLS) into a practical observation tool that is tailored to the vocabulary of clinician instructors and their workflow and workload during simulation-based training. METHODS: In 2016 to 2018, the TTLS was subjected to practical evaluation in an iterative process of 2 stages. In the first stage, testing panels of trauma specialists observed excerpts from videotaped simulations and indicated from the list of elements which behaviors they felt were being shown. Any ambiguities or redundancy were addressed by rephrasing or combining elements. In the second stage, iterations were used in actual scenario training to observe and debrief trainees' performances. The instructors' recommendations resulted in further improvements of clarity, ease of use, and usefulness, until no new suggestions were raised. RESULTS: The resultant “TTLS–Shortened for Observation and Reflection in Training” was given a simpler structure and more concrete and self-explanatory benchmarks. It contains 6 skill categories for evaluation, each with 4 to 6 benchmark behaviors. CONCLUSIONS: The TTLS–Shortened for Observation and Reflection in Training is an important addition to other trauma assessment tools because of its specific focus on leadership skills. It helps set concrete performance expectations, simplify note taking, and target observations and debriefings. One central challenge was striking a balance between its conciseness and specificity. The authors reflected on how the decisions for the resultant structure ease and leverage the conduct of observations and performance debriefing.
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spelling pubmed-78505912021-02-02 Development and Evaluation of the Taxonomy of Trauma Leadership Skills–Shortened for Observation and Reflection in Training: A Practical Tool for Observing and Reflecting on Trauma Leadership Performance Leenstra, Nico F. Jung, Oliver C. Cnossen, Fokie Jaarsma, A. Debbie C. Tulleken, Jaap E. Simul Healthc Empirical Investigations Trauma leadership skills are increasingly being addressed in trauma courses, but few resources are available to systematically observe and debrief trainees' performances. The authors therefore translated their previously developed, extensive Taxonomy of Trauma Leadership Skills (TTLS) into a practical observation tool that is tailored to the vocabulary of clinician instructors and their workflow and workload during simulation-based training. METHODS: In 2016 to 2018, the TTLS was subjected to practical evaluation in an iterative process of 2 stages. In the first stage, testing panels of trauma specialists observed excerpts from videotaped simulations and indicated from the list of elements which behaviors they felt were being shown. Any ambiguities or redundancy were addressed by rephrasing or combining elements. In the second stage, iterations were used in actual scenario training to observe and debrief trainees' performances. The instructors' recommendations resulted in further improvements of clarity, ease of use, and usefulness, until no new suggestions were raised. RESULTS: The resultant “TTLS–Shortened for Observation and Reflection in Training” was given a simpler structure and more concrete and self-explanatory benchmarks. It contains 6 skill categories for evaluation, each with 4 to 6 benchmark behaviors. CONCLUSIONS: The TTLS–Shortened for Observation and Reflection in Training is an important addition to other trauma assessment tools because of its specific focus on leadership skills. It helps set concrete performance expectations, simplify note taking, and target observations and debriefings. One central challenge was striking a balance between its conciseness and specificity. The authors reflected on how the decisions for the resultant structure ease and leverage the conduct of observations and performance debriefing. Lippincott Williams & Wilkins 2021-02 2020-07-24 /pmc/articles/PMC7850591/ /pubmed/32732816 http://dx.doi.org/10.1097/SIH.0000000000000474 Text en Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Society for Simulation in Healthcare. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Empirical Investigations
Leenstra, Nico F.
Jung, Oliver C.
Cnossen, Fokie
Jaarsma, A. Debbie C.
Tulleken, Jaap E.
Development and Evaluation of the Taxonomy of Trauma Leadership Skills–Shortened for Observation and Reflection in Training: A Practical Tool for Observing and Reflecting on Trauma Leadership Performance
title Development and Evaluation of the Taxonomy of Trauma Leadership Skills–Shortened for Observation and Reflection in Training: A Practical Tool for Observing and Reflecting on Trauma Leadership Performance
title_full Development and Evaluation of the Taxonomy of Trauma Leadership Skills–Shortened for Observation and Reflection in Training: A Practical Tool for Observing and Reflecting on Trauma Leadership Performance
title_fullStr Development and Evaluation of the Taxonomy of Trauma Leadership Skills–Shortened for Observation and Reflection in Training: A Practical Tool for Observing and Reflecting on Trauma Leadership Performance
title_full_unstemmed Development and Evaluation of the Taxonomy of Trauma Leadership Skills–Shortened for Observation and Reflection in Training: A Practical Tool for Observing and Reflecting on Trauma Leadership Performance
title_short Development and Evaluation of the Taxonomy of Trauma Leadership Skills–Shortened for Observation and Reflection in Training: A Practical Tool for Observing and Reflecting on Trauma Leadership Performance
title_sort development and evaluation of the taxonomy of trauma leadership skills–shortened for observation and reflection in training: a practical tool for observing and reflecting on trauma leadership performance
topic Empirical Investigations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850591/
https://www.ncbi.nlm.nih.gov/pubmed/32732816
http://dx.doi.org/10.1097/SIH.0000000000000474
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