Daniel K. Inouye Graduate School of Nursing, Uniformed Services University, Bethesda, MD 20814-4712, USA.
The Henry M Jackson Foundation for the Advancement of Military Medicine, Inc, Bethesda, MD 20814-4712, USA.
Mil Med. 2021 Oct 26;186(Suppl 3):35-41. doi: 10.1093/milmed/usab236.
Military healthcare providers working in military interprofessional healthcare teams (MIHTs) require situational awareness (SA) to ensure safe and efficacious patient care. This study aimed to explore SA in MIHTs to understand how SA can be reinforced and maintained in MIHTs. The research team set out to answer two questions: "What aspects of individual and team SA are particularly important for MIHTs?" and "How can we enable military healthcare providers to be effective MIHTs members with robust SA?".
This study used Grounded Theory methodology collecting perspectives from 30 study participants from various backgrounds, including 11 different healthcare professions from the U.S. Army, Air Force, and Navy. Each study participant had experiences participating in, leading one, or leading many MIHTs. Data were collected in three cycles and analyzed within each cycle until saturation was reached.
Five themes were robustly represented in the data set regarding SA: (1) contextually informed adaptability, (2) readiness, (3) trust, (4) communication, and (5) mission focus.
The urgency often faced by MIHTs brings SA and the principles that underpin SA into sharper focus. The SA themes identified in this research may provide insight into training effectiveness, team strengths and weaknesses, and team performance.
在军事多专业医疗团队（MIHT）中工作的军事医疗保健提供者需要具备态势感知（SA）能力，以确保安全有效的患者护理。本研究旨在探索 MIHT 中的 SA，以了解如何在 MIHT 中加强和维持 SA。研究小组提出了两个问题：“个体和团队 SA 的哪些方面对 MIHT 特别重要？”和“我们如何使军事医疗保健提供者具备强大的 SA，成为有效的 MIHT 成员？”。
本研究使用扎根理论方法，从来自美国陆军、空军和海军的 11 个不同医疗保健专业的 30 名研究参与者那里收集了观点。每个研究参与者都有参与、领导一个或多个 MIHT 的经验。数据在三个周期中收集，并在每个周期内进行分析，直到达到饱和。
关于 SA，数据集中有五个主题得到了强有力的体现：（1）情境感知的适应性，（2）准备情况，（3）信任，（4）沟通和（5）任务重点。
MIHT 经常面临的紧迫性使 SA 及其基础原则更加突出。本研究中确定的 SA 主题可能为培训效果、团队优势和劣势以及团队绩效提供深入了解。
