Department of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
REGIOMED Kliniken, Ketschendorfer Straße 33, 96450, Coburg, Germany.
Anaesthesiologie. 2022 Dec;71(Suppl 2):180-189. doi: 10.1007/s00101-022-01170-3. Epub 2022 Jul 8.
Teams in anesthesia and intensive care work as high responsibility teams (HRT). Success in this environment partly depends on the use of nontechnical skills which can be learned through simulation-based training. A teamwork context analysis could help to identify training requirements for crew resource management training.
We used a multicentric observational cross-sectional study design utilizing survey methodology to evaluate the teamwork context of different work environments, using the 62-item TAKAI inventory. We surveyed anesthesia and intensive care staff from nine hospitals in Germany which provide varying levels of care.
In total, 128 people (44.5% male, 53.9% female) from 9 German hospitals participated in the study. The topics "interconnectedness: departments", "interconnectedness: information flow", "dynamics", "polytely", "velocity of the team's movement", "velocity of system changes", "hierarchy" and "hierarchy: leadership", "shared task mental model", "shared team mental model" and all aspects of the scale "adaptive behaviors" were identified as focal aspects to be implemented into Crew-Resource-Management (CRM) training for the evaluated work environments.
The TAKAI scales meet quality criteria (Cronbach's alpha > 0.6) and are appropriate for use in the analysis of the teamwork environment. The results indicate many similarities between the work contexts surveyed but also slight differences. TAKAI can be an additional method to design an appropriate simulation training program for HRT in anesthesia and intensive care medicine as there does not seem to be a one-size-fits-all simulation concept. For a special focus on the needs of a work context, the easy to perform TAKAI analysis in the needs analysis step is worthwhile.
麻醉和重症监护团队作为高责任团队（HRT）开展工作。在这种环境下取得成功部分取决于非技术技能的运用，而这些技能可以通过基于模拟的培训来学习。团队工作环境分析有助于确定机组资源管理培训的培训需求。
我们采用多中心观察性横断面研究设计，利用调查方法，使用 62 项 TAKAI 清单评估不同工作环境的团队合作环境。我们调查了来自德国 9 家提供不同护理水平的医院的麻醉和重症监护工作人员。
共有 9 家德国医院的 128 人（44.5%男性，53.9%女性）参与了这项研究。“相互关联：部门”、“相互关联：信息流”、“动态”、“礼貌”、“团队行动速度”、“系统变化速度”、“层次结构”和“层次结构：领导力”、“共享任务心理模型”、“共享团队心理模型”以及“适应行为”尺度的所有方面被确定为要在评估工作环境的机组资源管理（CRM）培训中实施的重点方面。
TAKAI 量表符合质量标准（Cronbach's alpha>0.6），适用于分析团队合作环境。结果表明，所调查的工作环境之间存在许多相似之处，但也存在细微差异。TAKAI 可以作为一种额外的方法，为麻醉和重症监护医学中的 HRT 设计合适的模拟培训计划，因为似乎没有一种适合所有工作环境的模拟概念。对于特别关注工作环境需求的情况，在需求分析步骤中进行易于执行的 TAKAI 分析是值得的。
