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

BMC Pregnancy and Childbirth

Research Article

Claudio Launo¹  Giancarlo Torre¹  Carlo Chiorri²  Fabrizio Bracco³  Francesca Brogioni⁴  Sara Monichino⁴  Gabriele De Tonetti⁴  Arianna Amidani⁴  Claudia Grattarola⁴  Alessandra Maltoni⁴  Andrea Dato⁴  Massimo Cordone⁵  Danilo Celleno⁶  Michele Masini⁷ 

[1] Advanced Simulation Center, University of Genoa, Genoa, Italy;Department of Educational Sciences, University of Genoa, Corso A. Podestà, 2, 16128, Genoa, Italy;V.I.E. srl, Spinoff of the University of Genoa, Genoa, Italy;Department of Educational Sciences, University of Genoa, Corso A. Podestà, 2, 16128, Genoa, Italy;V.I.E. srl, Spinoff of the University of Genoa, Genoa, Italy;Advanced Simulation Center, University of Genoa, Genoa, Italy;M.G. Vannini Hospital, Rome, Italy;IRCCS Giannina Gaslini Children’s Research Hospital, Genoa, Italy;IRCCS Giannina Gaslini Children’s Research Hospital, Genoa, Italy;Advanced Simulation Center, University of Genoa, Genoa, Italy;M.G. Vannini Hospital, Rome, Italy;V.I.E. srl, Spinoff of the University of Genoa, Genoa, Italy;

关键词: Medical Education;    Patient Simulation;    Education;    Obstetric emergency;    Social Skills;    Clinical Skills;   

DOI  :  10.1186/s12884-017-1274-z

 received in 2016-10-15, accepted in 2017-03-11,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundSimulation 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).MethodsThe 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.ResultsThe 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.ConclusionThe 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.

【 授权许可】

CC BY   
© The Author(s). 2017