Lyk-Jensen H T, Jepsen R M H G, Spanager L, Dieckmann P, Østergaard D
Danish Institute for Medical Simulation, Centre for Human Resources, Capital Region of Denmark; University of Copenhagen.
Acta Anaesthesiol Scand. 2014 Aug;58(7):794-801. doi: 10.1111/aas.12315. Epub 2014 Mar 27.
Incident reporting and fieldwork in operating rooms have shown that some of the errors that arise in anaesthesia relate to inadequate use of non-technical skills. To provide a tool for training and feedback on nurse anaesthetists' non-technical skills, this study aimed to adapt the Anaesthetists' Non-Technical Skills (ANTS) as a behavioural marker system for the formative assessment of nurse anaesthetists' non-technical skills in the operating room.
A qualitative approach with focus group interviews was used to identify the non-technical skills of nurse anaesthetists in the operating room. The interview data were transcribed verbatim. Directed content analysis was used to code and sort data deductively into the ANTS categories: task management, team working, situation awareness and decision making. The prototype named Nurse Anaesthetists' Non-Technical Skills (N-ANTS) was presented and discussed in a group of subject matter experts to ensure face validity.
The N-ANTS system consists of the same four categories as ANTS and 15 underlying elements. Three to five good and poor behavioural markers for each element were identified. The headings and definitions of the categories and elements were adjusted to encompass the behavioural markers in N-ANTS. The differences that emerged mainly reflected statements regarding the establishment of role, competence, and task delegation.
A behavioural marker system, N-ANTS, for nurse anaesthetists was adapted from a behavioural marker system, ANTS, for anaesthesiologists.
手术室中的事件报告和实地调查表明，麻醉过程中出现的一些错误与非技术技能使用不足有关。为了提供一种用于培训和反馈护士麻醉师非技术技能的工具，本研究旨在改编麻醉师非技术技能（ANTS），将其作为一种行为标记系统，用于对手术室中护士麻醉师的非技术技能进行形成性评估。
采用焦点小组访谈的定性方法来确定手术室中护士麻醉师的非技术技能。访谈数据逐字转录。使用定向内容分析法对数据进行编码，并将其演绎分类到ANTS类别中：任务管理、团队协作、态势感知和决策。在一组主题专家中展示并讨论了名为护士麻醉师非技术技能（N-ANTS）的原型，以确保表面效度。
N-ANTS系统由与ANTS相同的四个类别和15个基本要素组成。为每个要素确定了三到五个良好和不良行为标记。对类别和要素的标题及定义进行了调整，以涵盖N-ANTS中的行为标记。出现的差异主要反映在关于角色确立、能力和任务分配的陈述上。
护士麻醉师的行为标记系统N-ANTS是从麻醉医生的行为标记系统ANTS改编而来的。
