Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNIP-S), Royal Australasian College of Surgeons, Australia; University of Adelaide Discipline of Surgery, Queen Elizabeth Hospital, Australia.
Br J Surg. 2015 May;102(6):708-15. doi: 10.1002/bjs.9787. Epub 2015 Mar 19.
An important factor that may influence an individual's performance is self-efficacy, a personal judgement of capability to perform a particular task successfully. This prospective study explored newly qualified surgeons' and surgical trainees' self-efficacy in non-technical skills compared with their non-technical skills performance in simulated scenarios.
Participants undertook surgical scenarios challenging non-technical skills in two simulation sessions 6 weeks apart. Some participants attended a non-technical skills workshop between sessions. Participants completed pretraining and post-training surveys about their perceived self-efficacy in non-technical skills, which were analysed and compared with their performance in surgical scenarios in two simulation sessions. Change in performance between sessions was compared with any change in participants' perceived self-efficacy.
There were 40 participants in all, 17 of whom attended the non-technical skills workshop. There was no significant difference in participants' self-efficacy regarding non-technical skills from the pretraining to the post-training survey. However, there was a tendency for participants with the highest reported self-efficacy to adjust their score downwards after training and for participants with the lowest self-efficacy to adjust their score upwards. Although there was significant improvement in non-technical skills performance from the first to second simulation sessions, a correlation between participants' self-efficacy and performance in scenarios in any of the comparisons was not found.
The results suggest that new surgeons and surgical trainees have poor insight into their non-technical skills. Although it was not possible to correlate participants' self-belief in their abilities directly with their performance in a simulation, in general they became more critical in appraisal of their abilities as a result of the intervention.
自我效能感是一个可能影响个体表现的重要因素，它是个人对成功完成特定任务能力的个人判断。本前瞻性研究探讨了新获得资格的外科医生和外科受训者在非技术技能方面的自我效能感，以及他们在模拟场景中的非技术技能表现。
参与者在相隔 6 周的两次模拟会议中进行了具有挑战性的非技术技能手术场景。一些参与者在两次会议之间参加了非技术技能研讨会。参与者在培训前后完成了关于他们对非技术技能的感知自我效能感的调查，对这些调查进行了分析，并与他们在两次模拟会议中的手术场景表现进行了比较。会议之间表现的变化与参与者感知的自我效能感的任何变化进行了比较。
共有 40 名参与者，其中 17 名参加了非技术技能研讨会。参与者在非技术技能方面的自我效能感在培训前和培训后的调查中没有显著差异。然而，报告自我效能感最高的参与者有向下调整得分的趋势，而自我效能感最低的参与者有向上调整得分的趋势。尽管从第一次模拟会议到第二次模拟会议，非技术技能表现有显著提高，但在任何比较中，参与者的自我效能感和场景表现之间都没有发现相关性。
结果表明，新外科医生和外科受训者对他们的非技术技能缺乏洞察力。尽管无法将参与者对自身能力的自我信念与模拟中的表现直接相关联，但一般来说，由于干预措施，他们对自身能力的评估变得更加严格。
