Agha Riaz A, Fowler Alexander J, Sevdalis Nick
Department of Plastic Surgery, Guys and St Thomas' NHS Foundation Trust, London.
Department of Medicine, Guys and St Thomas' NHS Foundation Trust, London, UK.
Ann Med Surg (Lond). 2015 Oct 9;4(4):422-7. doi: 10.1016/j.amsu.2015.10.006. eCollection 2015 Dec.
Non-technical skills are of increasing importance in surgery and surgical training. A traditional focus on technical skills acquisition and competence is no longer enough for the delivery of a modern, safe surgical practice. This review discusses the importance of non-technical skills and the values that underpin successful modern surgical practice. This narrative review used a number of sources including written and online, there was no specific search strategy of defined databases. Modern surgical practice requires; technical and non-technical skills, evidence-based practice, an emphasis on lifelong learning, monitoring of outcomes and a supportive institutional and health service framework. Finally these requirements need to be combined with a number of personal and professional values including integrity, professionalism and compassionate, patient-centred care.
非技术技能在外科手术及外科培训中愈发重要。传统上专注于技术技能的获取与能力已不足以实现现代、安全的外科手术实践。本综述探讨了非技术技能的重要性以及支撑成功现代外科手术实践的价值观。本叙述性综述使用了包括书面资料和在线资源在内的多种来源,未对特定数据库采用专门的检索策略。现代外科手术实践需要;技术和非技术技能、循证实践、强调终身学习、结果监测以及支持性的机构和卫生服务框架。最后,这些要求需要与包括正直、专业精神以及富有同情心的、以患者为中心的护理等一系列个人和职业价值观相结合。