Dieckmann Peter, Zeltner Louise Graae, Helsø Anne-Mette
Copenhagen Academy for Medical Education and Simulation (CAMES), Center for Human Resources, Capital Region of Denmark, Herlev Hospital, 25th floor, Herlev Ringvej 75, 2370 Herlev, Denmark.
Adv Simul (Lond). 2016 Dec 5;1:30. doi: 10.1186/s41077-016-0031-0. eCollection 2016.
Non-technical skills (NTS) are an integral part of the abilities healthcare professionals need to optimally care for patients. Integrating NTS into the already complex tasks of healthcare can be a challenge for clinicians. Integrating NTS into simulation-based training increases the demands for simulation instructors with regard to scenario design, conduct, and debriefing. We introduce a simulation game, , that can trigger discussions on how NTS can influence work processes. aims to help clinicians and simulation instructors alike to improve their understanding of NTS concepts and where they can apply them in their work. It complements existing approaches to teaching NTS by limiting the complexity of the game and by removing medical content, allowing learners to concentrate on NTS. is relevant for groups and teams working across the range of different healthcare contexts. During participants stand in a circle and hand on everyday objects to each other according to simple rules, resulting in many events that can be debriefed in relation to safe patient care. We describe both the conduct of and ideas on how to debrief participants. We provide variations that can be used in different contexts, focusing the exercise on different learning goals. We also offer the theoretical rationale for using an out-of-context simulation in combination with other forms of teaching. Although we did not evaluate formally, oral feedback from participants and the replication of by many simulation teams support its value.
非技术技能（NTS）是医疗保健专业人员为患者提供最佳护理所需能力的一个组成部分。将非技术技能融入本就复杂的医疗保健任务中，对临床医生来说可能是一项挑战。将非技术技能融入基于模拟的培训，会增加模拟培训师在情景设计、实施和总结方面的要求。我们引入一款模拟游戏，它可以引发关于非技术技能如何影响工作流程的讨论。旨在帮助临床医生和模拟培训师更好地理解非技术技能概念，以及如何在工作中应用这些概念。它通过限制游戏的复杂性并去除医学内容，对现有的非技术技能教学方法进行补充，使学习者能够专注于非技术技能。与在各种不同医疗环境中工作的团队相关。在过程中，参与者围成一圈，按照简单规则相互传递日常物品，这会产生许多与安全患者护理相关的事件，可在总结时进行讨论。我们描述了的实施过程以及如何对参与者进行总结的思路。我们提供了可在不同环境中使用的变体，将练习重点放在不同的学习目标上。我们还为结合其他教学形式使用脱离实际情境的模拟提供了理论依据。尽管我们没有对进行正式评估，但参与者的口头反馈以及许多模拟团队对的复制都证明了它的价值。
