Exploring the relationship between anaesthesiologists' non-technical and technical skills

K Gjeraa; R M H G Jepsen; M Rewers; D Østergaard; P Dieckmann

doi:10.1111/aas.12598

Exploring the relationship between anaesthesiologists' non-technical and technical skills

K Gjeraa, R M H G Jepsen, M Rewers, D Østergaard, P Dieckmann

Department of Clinical Medicine

17 Citations (Scopus)

Abstract

BACKGROUND: A combination of non-technical skills (NTS) and technical skills (TS) is crucial for anaesthetic patient management. However, a deeper understanding of the relationship between these two skills remains to be explored. We investigated the characteristics of trainee anaesthesiologists' NTS and TS in a simulated unexpected difficult airway management scenario.

METHODS: A mixed-method approach was used to explore the relationship between NTS and TS in 25 videos of 2nd year trainee anaesthesiologists managing a simulated difficult airway scenario. The videos were assessed using the customised version of the Anaesthetists' Non-Technical Skills System, ANTSdk, and an adapted TS checklist for calculating the correlation between NTS and TS. Written descriptions of the observed NTS were analysed using directed content analysis.

RESULTS: The correlation between the NTS and the TS ratings was 0.106 (two-tailed significance of 0.613). Inter-rater reliability was substantial. Themes characterising good NTS included a systematic approach, planning and communicating decisions as well as responding to the evolving situation. A list of desirable, concrete NTS for the specific airway management situation was generated.

CONCLUSION: This study illustrates that anaesthesiologist trainees' NTS and TS were not correlated in this setting, but rather intertwined and how the interplay of NTS and TS can impact patient management. Themes describing the characteristics of NTS and a list of desirable, concrete NTS were developed to aid the understanding, training and use of NTS.

Original language	English
Journal	Acta Anaesthesiologica Scandinavica
Volume	60
Issue number	1
Pages (from-to)	36-47
Number of pages	12
ISSN	0001-5172
DOIs	https://doi.org/10.1111/aas.12598
Publication status	Published - 1 Jan 2016

Keywords

Airway Management
Anesthesiology
Clinical Competence
Guideline Adherence
Humans
Intubation, Intratracheal
Nurses
Observer Variation
Patient Care Planning
Physicians
Reproducibility of Results
Video Recording
Journal Article
Research Support, Non-U.S. Gov't

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10.1111/aas.12598

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title = "Exploring the relationship between anaesthesiologists' non-technical and technical skills",

abstract = "BACKGROUND: A combination of non-technical skills (NTS) and technical skills (TS) is crucial for anaesthetic patient management. However, a deeper understanding of the relationship between these two skills remains to be explored. We investigated the characteristics of trainee anaesthesiologists' NTS and TS in a simulated unexpected difficult airway management scenario.METHODS: A mixed-method approach was used to explore the relationship between NTS and TS in 25 videos of 2nd year trainee anaesthesiologists managing a simulated difficult airway scenario. The videos were assessed using the customised version of the Anaesthetists' Non-Technical Skills System, ANTSdk, and an adapted TS checklist for calculating the correlation between NTS and TS. Written descriptions of the observed NTS were analysed using directed content analysis.RESULTS: The correlation between the NTS and the TS ratings was 0.106 (two-tailed significance of 0.613). Inter-rater reliability was substantial. Themes characterising good NTS included a systematic approach, planning and communicating decisions as well as responding to the evolving situation. A list of desirable, concrete NTS for the specific airway management situation was generated.CONCLUSION: This study illustrates that anaesthesiologist trainees' NTS and TS were not correlated in this setting, but rather intertwined and how the interplay of NTS and TS can impact patient management. Themes describing the characteristics of NTS and a list of desirable, concrete NTS were developed to aid the understanding, training and use of NTS.",

keywords = "Airway Management, Anesthesiology, Clinical Competence, Guideline Adherence, Humans, Intubation, Intratracheal, Nurses, Observer Variation, Patient Care Planning, Physicians, Reproducibility of Results, Video Recording, Journal Article, Research Support, Non-U.S. Gov't",

author = "K Gjeraa and Jepsen, {R M H G} and M Rewers and D {\O}stergaard and P Dieckmann",

note = "{\textcopyright} 2015 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.",

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AU - Gjeraa, K

AU - Jepsen, R M H G

AU - Rewers, M

AU - Østergaard, D

AU - Dieckmann, P

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N2 - BACKGROUND: A combination of non-technical skills (NTS) and technical skills (TS) is crucial for anaesthetic patient management. However, a deeper understanding of the relationship between these two skills remains to be explored. We investigated the characteristics of trainee anaesthesiologists' NTS and TS in a simulated unexpected difficult airway management scenario.METHODS: A mixed-method approach was used to explore the relationship between NTS and TS in 25 videos of 2nd year trainee anaesthesiologists managing a simulated difficult airway scenario. The videos were assessed using the customised version of the Anaesthetists' Non-Technical Skills System, ANTSdk, and an adapted TS checklist for calculating the correlation between NTS and TS. Written descriptions of the observed NTS were analysed using directed content analysis.RESULTS: The correlation between the NTS and the TS ratings was 0.106 (two-tailed significance of 0.613). Inter-rater reliability was substantial. Themes characterising good NTS included a systematic approach, planning and communicating decisions as well as responding to the evolving situation. A list of desirable, concrete NTS for the specific airway management situation was generated.CONCLUSION: This study illustrates that anaesthesiologist trainees' NTS and TS were not correlated in this setting, but rather intertwined and how the interplay of NTS and TS can impact patient management. Themes describing the characteristics of NTS and a list of desirable, concrete NTS were developed to aid the understanding, training and use of NTS.

AB - BACKGROUND: A combination of non-technical skills (NTS) and technical skills (TS) is crucial for anaesthetic patient management. However, a deeper understanding of the relationship between these two skills remains to be explored. We investigated the characteristics of trainee anaesthesiologists' NTS and TS in a simulated unexpected difficult airway management scenario.METHODS: A mixed-method approach was used to explore the relationship between NTS and TS in 25 videos of 2nd year trainee anaesthesiologists managing a simulated difficult airway scenario. The videos were assessed using the customised version of the Anaesthetists' Non-Technical Skills System, ANTSdk, and an adapted TS checklist for calculating the correlation between NTS and TS. Written descriptions of the observed NTS were analysed using directed content analysis.RESULTS: The correlation between the NTS and the TS ratings was 0.106 (two-tailed significance of 0.613). Inter-rater reliability was substantial. Themes characterising good NTS included a systematic approach, planning and communicating decisions as well as responding to the evolving situation. A list of desirable, concrete NTS for the specific airway management situation was generated.CONCLUSION: This study illustrates that anaesthesiologist trainees' NTS and TS were not correlated in this setting, but rather intertwined and how the interplay of NTS and TS can impact patient management. Themes describing the characteristics of NTS and a list of desirable, concrete NTS were developed to aid the understanding, training and use of NTS.

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KW - Guideline Adherence

KW - Humans

KW - Intubation, Intratracheal

KW - Nurses

KW - Observer Variation

KW - Patient Care Planning

KW - Physicians

KW - Reproducibility of Results

KW - Video Recording

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

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DO - 10.1111/aas.12598

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SN - 0001-5172

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JO - Acta Anaesthesiologica Scandinavica

JF - Acta Anaesthesiologica Scandinavica

IS - 1

ER -

Exploring the relationship between anaesthesiologists' non-technical and technical skills

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