Porter Joanne E, Cant Robyn P, Cooper Simon J
School of Nursing, Midwifery and Healthcare, Federation University Australia, Churchill, Victoria, Australia.
School of Nursing and Midwifery, Wellington Rd, Clayton, VIC 3800, Australia; School of Nursing, Midwifery and Healthcare, Federation University Australia, Northways Rd, Churchill, Victoria 3862, Australia.
Int Emerg Nurs. 2018 May;38:15-20. doi: 10.1016/j.ienj.2017.12.006. Epub 2018 Feb 13.
Non-technical skills (NTS) teamwork training can enhance clinicians' understanding of roles and improve communication. We evaluated a quality improvement project rating teams' NTS performance to determine the value of formal rating and debriefing processes.
In two Australian emergency departments the NTS of resuscitation teams were rated by senior nurses and medical staff. Key measures were leadership, teamwork, and task management using a valid instrument: Team Emergency Assessment Measure (TEAM™). Emergency nurses were asked to attend a focus group from which key themes around the quality improvement process were identified.
Main themes were: 'Team composition' (allocation of resuscitation team roles), 'Resuscitation leadership' (including both nursing and medical leadership roles) and 'TEAM™ ratings promote reflective practice' (providing staff a platform to discuss team effectiveness). Objective ratings were seen as enabling staff to provide feedback to other team members. Reflection on practice and debriefing were thought to improve communication, help define roles and responsibilities, and clarify leadership roles.
Use of a non-technical skills rating scheme such as TEAM™ after team-based clinical resuscitation events was seen by emergency department nurses as feasible and a useful process for examining and improving multi-disciplinary practice, while improving team performance.
非技术技能（NTS）团队协作培训可增强临床医生对角色的理解并改善沟通。我们评估了一个对团队非技术技能表现进行评级的质量改进项目，以确定正式评级和汇报流程的价值。
在澳大利亚的两个急诊科，复苏团队的非技术技能由高级护士和医务人员进行评级。使用有效的工具“团队应急评估量表（TEAM™）”对领导能力、团队协作和任务管理等关键指标进行评估。急诊护士被要求参加一个焦点小组，从中确定围绕质量改进过程的关键主题。
主要主题包括：“团队构成”（复苏团队角色的分配）、“复苏领导能力”（包括护理和医疗领导角色）以及“TEAM™评级促进反思性实践”（为工作人员提供一个讨论团队有效性的平台）。客观评级被视为使工作人员能够向其他团队成员提供反馈。对实践的反思和汇报被认为可以改善沟通、帮助界定角色和职责以及明确领导角色。
急诊科护士认为，在基于团队的临床复苏事件后使用诸如TEAM™这样的非技术技能评级方案是可行的，并且是检查和改善多学科实践以及提高团队绩效的有用过程。
