Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts

Abstract Background Non-technical skills (NTS) concepts from high-risk industries such as aviation have been enthusiastically applied to medical teams for decades. Yet it remains unclear whether—and how—these concepts impact resuscitation team performance. In the context of ad hoc teams in prehospit...

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Autores principales: J. Colin Evans, M. Blair Evans, Meagan Slack, Michael Peddle, Lorelei Lingard
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Publicado: BMC 2021
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spelling oai:doaj.org-article:b4f4ef88adca48bdb9e8b66da0eafe032021-12-05T12:10:50ZExamining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts10.1186/s13049-021-00980-51757-7241https://doaj.org/article/b4f4ef88adca48bdb9e8b66da0eafe032021-12-01T00:00:00Zhttps://doi.org/10.1186/s13049-021-00980-5https://doaj.org/toc/1757-7241Abstract Background Non-technical skills (NTS) concepts from high-risk industries such as aviation have been enthusiastically applied to medical teams for decades. Yet it remains unclear whether—and how—these concepts impact resuscitation team performance. In the context of ad hoc teams in prehospital, emergency department, and trauma domains, even less is known about their relevance and impact. Methods This scoping review, guided by PRISMA-ScR and Arksey & O’Malley’s framework, included a systematic search across five databases, followed by article selection and extracting and synthesizing data. Articles were eligible for inclusion if they pertained to NTS for resuscitation teams performing in prehospital, emergency department, or trauma settings. Articles were subjected to descriptive analysis, coherence analysis, and citation network analysis. Results Sixty-one articles were included. Descriptive analysis identified fourteen unique non-technical skills. Coherence analysis revealed inconsistencies in both definition and measurement of various NTS constructs, while citation network analysis suggests parallel, disconnected scholarly conversations that foster discordance in their operationalization across domains. To reconcile these inconsistencies, we offer a taxonomy of non-technical skills for ad hoc resuscitation teams. Conclusion This scoping review presents a vigorous investigation into the literature pertaining to how NTS influence optimal resuscitation performance for ad hoc prehospital, emergency department, and trauma teams. Our proposed taxonomy offers a coherent foundation and shared vocabulary for future research and education efforts. Finally, we identify important limitations regarding the traditional measurement of NTS, which constrain our understanding of how and why these concepts support optimal performance in team resuscitation. Graphical abstractJ. Colin EvansM. Blair EvansMeagan SlackMichael PeddleLorelei LingardBMCarticleResuscitationNon-technical skillsAd Hoc teamScoping reviewPrehospitalEmergency medicineMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENScandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 29, Iss 1, Pp 1-22 (2021)
institution DOAJ
collection DOAJ
language EN
topic Resuscitation
Non-technical skills
Ad Hoc team
Scoping review
Prehospital
Emergency medicine
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
spellingShingle Resuscitation
Non-technical skills
Ad Hoc team
Scoping review
Prehospital
Emergency medicine
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
J. Colin Evans
M. Blair Evans
Meagan Slack
Michael Peddle
Lorelei Lingard
Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts
description Abstract Background Non-technical skills (NTS) concepts from high-risk industries such as aviation have been enthusiastically applied to medical teams for decades. Yet it remains unclear whether—and how—these concepts impact resuscitation team performance. In the context of ad hoc teams in prehospital, emergency department, and trauma domains, even less is known about their relevance and impact. Methods This scoping review, guided by PRISMA-ScR and Arksey & O’Malley’s framework, included a systematic search across five databases, followed by article selection and extracting and synthesizing data. Articles were eligible for inclusion if they pertained to NTS for resuscitation teams performing in prehospital, emergency department, or trauma settings. Articles were subjected to descriptive analysis, coherence analysis, and citation network analysis. Results Sixty-one articles were included. Descriptive analysis identified fourteen unique non-technical skills. Coherence analysis revealed inconsistencies in both definition and measurement of various NTS constructs, while citation network analysis suggests parallel, disconnected scholarly conversations that foster discordance in their operationalization across domains. To reconcile these inconsistencies, we offer a taxonomy of non-technical skills for ad hoc resuscitation teams. Conclusion This scoping review presents a vigorous investigation into the literature pertaining to how NTS influence optimal resuscitation performance for ad hoc prehospital, emergency department, and trauma teams. Our proposed taxonomy offers a coherent foundation and shared vocabulary for future research and education efforts. Finally, we identify important limitations regarding the traditional measurement of NTS, which constrain our understanding of how and why these concepts support optimal performance in team resuscitation. Graphical abstract
format article
author J. Colin Evans
M. Blair Evans
Meagan Slack
Michael Peddle
Lorelei Lingard
author_facet J. Colin Evans
M. Blair Evans
Meagan Slack
Michael Peddle
Lorelei Lingard
author_sort J. Colin Evans
title Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts
title_short Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts
title_full Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts
title_fullStr Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts
title_full_unstemmed Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts
title_sort examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts
publisher BMC
publishDate 2021
url https://doaj.org/article/b4f4ef88adca48bdb9e8b66da0eafe03
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