Objective and Subjective Evaluation of Non-Technical Skills and Technical Leadership Skills During Simulated Critical Care Scenarios.

Abstract

OCCUPATIONAL APPLICATIONSThe analysis of communication, attention, and cognitive engagement relative to leadership and non-technical skills (NTS) is important for understanding the team dynamic within clinical settings. We found negative correlations between passive communication (receiving information instead of dictating information) and leadership scores, suggesting that passive leadership traits lead to weaker technical leadership performance. Additionally, continuously sharing goals and providing affirmations to patients had positive relationships with leadership scores. These concepts should be utilized by leaders, as the dissemination of information to team members and consistent care and respect for patients can lead to a safer clinical environment. Relationships of eye-tracking and brain activity metrics to leadership scores indicated strong leadership was associated with awareness of struggling team members and decisiveness. Overall, passive leadership, such as indecisiveness, passive communication, and cognitive overload, show a negative relationship with non-technical skills and technical leadership skills in clinical care environments.