Table 2 Team member reflections and learning points for future clinical work
Non-technical skills category | Non-technical skills elements | Citations |
|---|---|---|
Situation awareness | Gathering information | “Ask if something has happened while I was out of the room” |
Anticipate and think ahead | “Work on being ahead of things – think for myself what is needed” | |
Demonstrate self-awareness | “Take a few extra seconds when I am called to an acutely ill patient” “Take a step back as a team leader not to lose the overview” | |
Decision making | Identify options | “Think of why I do things and reflect on what is best to do now or later” |
Choosing and implementing decisions | “Communicate what we think, see and do” | |
Reassess decisions | “Do a sum up to maintain the overview” “Time out for everyone to be able to follow what is going on” | |
Leadership | Plan and prepare | “Use a systematic approach” “Do things in the right order” |
Prioritise | “Be better at providing the vital parameters in the right order” “Sort the information and structure the orders in a prioritised row of order” | |
Identify and use resources | “Delegate tasks, could one take care of the relatives?” “Be aware of not sending all out of the room to fetch things” “Offer my help | |
Use authority | “Would make an overview of the situation and say things aloud” “Be aware of my role as a consultant. How much should I do?” “I have heard what you said, but prioritise something else now | |
Provide and maintain standards | I will secure documentation during the case | |
Teamwork | Exchange information | “Express what makes me wonder, so the other team members can come up with suggestions” “Speak loud and clear, and use closed loops” “Ask more questions and involve the team members – what do they think about their experiences” “Use the ABCDE structure for all to hear” “Use ISBAR, it works but often I forget it” “Ask what the team expects from me” |
Assess competencies | “Get the person with the right competencies to do the task” | |
Coordinate activities | “Remember to use the persons coming into the room instead of doing it my-self” | |
Support others | “Keep calm and get things done” “Let the less experienced nurses do it and support them instead of taking over as I usually do” “Give my colleagues room and see what they need” |