Background: Remote and Rural pre-hospital care practitioners manage serious illness and injury on an unplanned basis, necessitating technical and non-technical skills (NTS). However, no behaviour rating systems currently address NTS within these settings. Informed by health psychology theory, a NTS-specific behaviour rating system was developed for use within pre-hospital care training for remote and rural practitioners.Method: The Immediate Medical Care Behaviour Rating System (IMCBRS), was informed by literature, expert advice and review and observation of an Immediate Medical Care (IMC) course. Once developed, the usability and appropriateness of the rating system was tested through observation of candidates' behaviour at IMC courses during simulated scenarios and rating their use of NTS using the IMCBRS.Results and Conclusion: Observation of training confirmed rating system items were demonstrated in 28-62% of scenarios, depending on context. The IMCBRS may thus be a useful addition to training for rural and remote practitioners. Highlights A patient safety behaviour rating system for rural/remote settings was developed. Testing of the system suggests that its content may be appropriate and observable. Some elements were more observable, which may affect future work using this system. BackgroundRural/remote practitioners manage serious illness and injury on an infrequent, unplanned basis. Within rural/remote settings the first person at the scene of a medical emergency is often a general practitioner (GP) or practice nurse. Compared to urban or hospital-based settings, those attending an emergency in these settings may be doing so single-handedly or with limited assistance, for considerable time within potentially harsh conditions, prior to an ambulance providing transport to definitive care. Quite often, working in such settings requires decisions to be made based on the distance to hospital and the patient's likelihood of survival. Effective pre-hospital care thus necessitates a high level of non-technical skills (NTS), such as communication and decision-making (1). The importance of NTS within these settings is evident within research which suggests the factors involved in the likelihood of surviving out of hospital cardiac arrest include a witnessed cardiac arrest, provision of bystander CPR, shockable cardiac rhythm and return of spontaneous circulation (ROSC) within the field (2). The tasks involved in this example necessitate communication skills involved in the provision of CPR (e.g. communicating planned actions to others) and decision-making skills (e.g. who should do what) about how to respond to the situation. In order for optimal care to be provided both technical (e.g. providing CPR) and non-technical (e.g. co-ordinating people at the scene of an emergency) skills need to be employed. Consequently, approaches to improving patient safety and clinical outcomes from emergency care should focus not only on clinical skills and operational and service factors, such as ensuring equipment ...
Four priority areas were identified, which formed the basis of the national strategy Partnership for Care, which included a mobile unit, a managed educational network, a programme board and an alliance of stakeholders.
Developing shared national resources, with standardised workshops taught in local contexts via a mobile skills unit is one approach to the challenges associated with delivering high-risk clinical skills education.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.