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...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-12-01
|
| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13049-021-00980-5 |
| _version_ | 1818721925339283456 |
|---|---|
| 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 |
| collection | DOAJ |
| 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 |
| first_indexed | 2024-12-17T20:46:28Z |
| format | Article |
| id | doaj.art-b4f4ef88adca48bdb9e8b66da0eafe03 |
| institution | Directory Open Access Journal |
| issn | 1757-7241 |
| language | English |
| last_indexed | 2024-12-17T20:46:28Z |
| publishDate | 2021-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj.art-b4f4ef88adca48bdb9e8b66da0eafe032022-12-21T21:33:08ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412021-12-0129112210.1186/s13049-021-00980-5Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related conceptsJ. Colin Evans0M. Blair Evans1Meagan Slack2Michael Peddle3Lorelei Lingard4Division of Emergency Medicine, Schulich School of Medicine and Dentistry, Western UniversityDepartment of Psychology, Western UniversityMiddlesex-London Paramedic ServiceDivision of Emergency Medicine, Schulich School of Medicine and Dentistry, Western UniversityCentre for Education Research and Innovation, Schulich School of Medicine and Dentistry, Western UniversityAbstract 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 abstracthttps://doi.org/10.1186/s13049-021-00980-5ResuscitationNon-technical skillsAd Hoc teamScoping reviewPrehospitalEmergency medicine |
| spellingShingle | 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 Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Resuscitation Non-technical skills Ad Hoc team Scoping review Prehospital Emergency medicine |
| title | 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_short | 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 |
| topic | Resuscitation Non-technical skills Ad Hoc team Scoping review Prehospital Emergency medicine |
| url | https://doi.org/10.1186/s13049-021-00980-5 |
| work_keys_str_mv | AT jcolinevans examiningnontechnicalskillsforadhocresuscitationteamsascopingreviewandtaxonomyofteamrelatedconcepts AT mblairevans examiningnontechnicalskillsforadhocresuscitationteamsascopingreviewandtaxonomyofteamrelatedconcepts AT meaganslack examiningnontechnicalskillsforadhocresuscitationteamsascopingreviewandtaxonomyofteamrelatedconcepts AT michaelpeddle examiningnontechnicalskillsforadhocresuscitationteamsascopingreviewandtaxonomyofteamrelatedconcepts AT loreleilingard examiningnontechnicalskillsforadhocresuscitationteamsascopingreviewandtaxonomyofteamrelatedconcepts |