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Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine ( IF 3.0 ) Pub Date : 2021-12-04 , DOI: 10.1186/s13049-021-00980-5
J Colin Evans 1 , M Blair Evans 2 , Meagan Slack 3 , Michael Peddle 1 , Lorelei Lingard 4
Affiliation  

Non-technical skills (NTS) concepts from high-risk industries such as aviation have been enthusiastically applied to medical teams for decades. Yet it remains unclear whether—and how—these concepts impact resuscitation team performance. In the context of ad hoc teams in prehospital, emergency department, and trauma domains, even less is known about their relevance and impact. This scoping review, guided by PRISMA-ScR and Arksey & O’Malley’s framework, included a systematic search across five databases, followed by article selection and extracting and synthesizing data. Articles were eligible for inclusion if they pertained to NTS for resuscitation teams performing in prehospital, emergency department, or trauma settings. Articles were subjected to descriptive analysis, coherence analysis, and citation network analysis. Sixty-one articles were included. Descriptive analysis identified fourteen unique non-technical skills. Coherence analysis revealed inconsistencies in both definition and measurement of various NTS constructs, while citation network analysis suggests parallel, disconnected scholarly conversations that foster discordance in their operationalization across domains. To reconcile these inconsistencies, we offer a taxonomy of non-technical skills for ad hoc resuscitation teams. This scoping review presents a vigorous investigation into the literature pertaining to how NTS influence optimal resuscitation performance for ad hoc prehospital, emergency department, and trauma teams. Our proposed taxonomy offers a coherent foundation and shared vocabulary for future research and education efforts. Finally, we identify important limitations regarding the traditional measurement of NTS, which constrain our understanding of how and why these concepts support optimal performance in team resuscitation.

中文翻译:

检查临时复苏团队的非技术技能:团队相关概念的范围审查和分类

几十年来,来自航空等高风险行业的非技术技能 (NTS) 概念一直被热情地应用于医疗团队。然而,目前尚不清楚这些概念是否以及如何影响复苏团队的绩效。在院前、急诊科和创伤领域的特设团队的背景下,对它们的相关性和影响知之甚少。本次范围审查在 PRISMA-ScR 和 Arksey & O'Malley 的框架的指导下,包括对五个数据库的系统搜索,然后是文章选择以及提取和合成数据。如果文章与在院前、急诊室或创伤环境中执行的复苏团队的 NTS 相关,则有资格纳入。文章经过描述性分析、连贯性分析和引文网络分析。收录了 61 篇文章。描述性分析确定了十四项独特的非技术技能。连贯性分析揭示了各种 NTS 结构的定义和测量不一致,而引文网络分析表明平行的、不连贯的学术对话会导致跨领域操作的不一致。为了调和这些不一致,我们为临时复苏团队提供了非技术技能的分类。本范围界定审查对有关 NTS 如何影响临时院前、急诊科和创伤小组的最佳复苏性能的文献进行了深入调查。我们提议的分类法为未来的研究和教育工作提供了一个连贯的基础和共享的词汇。最后,
更新日期:2021-12-04
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