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Assessing N urse A naesthetists' N on‐ T echnical S kills in the operating room
Author(s) -
LYKJENSEN H. T.,
JEPSEN R. M. H. G.,
SPANAGER L.,
DIECKMANN P.,
ØSTERGAARD D.
Publication year - 2014
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/aas.12315
Subject(s) - competence (human resources) , formative assessment , medicine , task management , task (project management) , delegation , nursing , medical education , psychology , social psychology , pedagogy , management , political science , law , economics
Background Incident reporting and fieldwork in operating rooms have shown that some of the errors that arise in anaesthesia relate to inadequate use of non‐technical skills. To provide a tool for training and feedback on nurse anaesthetists' non‐technical skills, this study aimed to adapt the A naesthetists' N on‐ T echnical S kills ( ANTS ) as a behavioural marker system for the formative assessment of nurse anaesthetists' non‐technical skills in the operating room. Methods A qualitative approach with focus group interviews was used to identify the non‐technical skills of nurse anaesthetists in the operating room. The interview data were transcribed verbatim. Directed content analysis was used to code and sort data deductively into the ANTS categories: task management, team working, situation awareness and decision making. The prototype named N urse A naesthetists' N on‐ T echnical S kills ( N ‐ ANTS ) was presented and discussed in a group of subject matter experts to ensure face validity.Results The N ‐ ANTS system consists of the same four categories as ANTS and 15 underlying elements. Three to five good and poor behavioural markers for each element were identified. The headings and definitions of the categories and elements were adjusted to encompass the behavioural markers in N ‐ ANTS . The differences that emerged mainly reflected statements regarding the establishment of role, competence, and task delegation. Conclusion A behavioural marker system, N ‐ ANTS , for nurse anaesthetists was adapted from a behavioural marker system, ANTS , for anaesthesiologists.