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Exploring the relationship between anaesthesiologists' non-technical and technical skills

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Vis graf over relationer
Background: A combination of non-technical skills (NTS) and
technical skills (TS) is crucial for anaesthetic patient management.
However, a deeper understanding of the relationship between
these two skills remains to be explored. We investigated the characteristics
of trainee anaesthesiologists’ NTS and TS in a simulated
unexpected difficult airway management scenario.
Methods: A mixed-method approach was used to explore the
relationship between NTS and TS in 25 videos of 2nd year trainee
anaesthesiologists managing a simulated difficult airway scenario.
The videos were assessed using the customised version of the
Anaesthetists’ Non-Technical Skills System, ANTSdk, and an
adapted TS checklist for calculating the correlation between NTS
and TS. Written descriptions of the observed NTS were analysed
using directed content analysis.
Results: The correlation between the NTS and the TS ratings
was 0.106 (two-tailed significance of 0.613). Inter-rater reliability
was substantial. Themes characterising good NTS included a systematic
approach, planning and communicating decisions as well
as responding to the evolving situation. A list of desirable, concrete
NTS for the specific airway management situation was generated.
Conclusion: This study illustrates that anaesthesiologist trainees’
NTS and TS were not correlated in this setting, but rather intertwined
and how the interplay of NTS and TS can impact patient
management. Themes describing the characteristics of NTS and a
list of desirable, concrete NTS were developed to aid the understanding,
training and use of NTS.
OriginalsprogEngelsk
TidsskriftActa Anaesthesiologica Scandinavica
Vol/bind60
Udgave nummer1
Sider (fra-til)36-47
ISSN0001-5172
DOI
StatusUdgivet - jan. 2016

ID: 45586819