在基于模拟的团队培训前后评估麻醉团队在临床实践中的非技术技能:一项准实验研究。

IF 1.6 Q2 ANESTHESIOLOGY
Anesthesiology Research and Practice Pub Date : 2024-07-05 eCollection Date: 2024-01-01 DOI:10.1155/2024/2021671
Anne Strand Finstad, Conrad Arnfinn Bjørshol, Ingunn Aase, Jo Røislien, Randi Ballangrud
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引用次数: 0

摘要

背景:对非技术性技能进行原位模拟团队培训被认为是预防医护人员因团队合作不佳而导致不良事件的重要举措。本研究旨在评估麻醉人员在临床环境中接受原位模拟团队培训前后的非技术性技能:该研究于 2020 年 10 月至 2021 年 6 月进行,采用了准实验性的前后设计,基于原位模拟团队培训前后对麻醉团队在手术室麻醉诱导过程中的非技术性技能进行视频录像观察和评分。麻醉人员被分成 20 个小组,在麻醉诱导过程中进行录像。使用麻醉师非技术技能(ANTS)系统对各小组的非技术技能进行评分。采用配对样本 t 检验来评估干预措施对麻醉团队在 ANTS 各项评分上的影响。采用加权卡帕法评估了两名ANTS评分员之间的相互一致性:结果:在类别水平上,模拟团队培训后的总分在统计学上有显著提高(3.48 vs. 3.71; p < 0.001)。此外,15 个要素中有 5 个要素的得分存在明显差异。两位评分者之间的相互评分一致度为中等(加权卡帕 = 0.51,P 值 结论:麻醉团队的技术水平在模拟培训后有了明显提高(3.48 对 3.71;P < 0.001):麻醉团队在接受模拟团队培训后,非技术性技能有所提高,这可能表明知识已从培训转移到临床实践中。评分者之间的一致性一般,这可能归因于评估程序的主观性。ANTS 最初是作为个人评估工具使用的,但本研究证明了其作为团队评估工具的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Anaesthesia Teams' Non-Technical Skills in Clinical Practice before and after Simulation-Based Team Training: A Quasiexperimental Study.

Background: In situ simulation-based team training of non-technical skills is considered an important initiative for preventing adverse events caused by poor teamwork among healthcare personnel. This study aimed to assess the non-technical skills of anaesthesia personnel before and after in situ simulation-based team training in a clinical setting.

Methods: The study was conducted from October 2020 to June 2021 using a quasiexperimental before and after design based on video-recorded observations and ratings of anaesthesia teams' non-technical skills during anaesthesia induction in the operating room before and shortly after in situ simulation-based team training. Anaesthesia personnel were divided into 20 teams and video recorded during anaesthesia induction. The Anaesthetists' Non-technical Skills (ANTS) system was used to score the teams' non-technical skills. A paired-sample t-test was used to assess the impact of the intervention on the anaesthesia teams' scores on the various ANTS categories. Interrater agreement between the two ANTS raters was assessed using weighted kappa.

Results: At the category level, the overall scores had a statistically significant increase in performance after simulation-based team training (3.48 vs. 3.71; p < 0.001). Furthermore, scores of five of the 15 elements were significantly different. Interrater agreement revealed moderate agreement between the two raters (weighted kappa = 0.51, p value <0.001).

Conclusion: The anaesthesia teams' increased non-technical skills after simulation-based team training may indicate the transfer of knowledge from training to clinical practice. The moderate agreement between the raters could be attributed to the subjective nature of the evaluation procedure. The ANTS was originally used as an individual assessment tool; however, this study has demonstrated its potential as a team assessment tool.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
29
审稿时长
18 weeks
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