Development of the "Teamwork in Endoscopy Assessment Module for Endoscopic Non-Technical Skills" (TEAM-ENTS) behavioral marker system.
Journal
Endoscopy
ISSN: 1438-8812
Titre abrégé: Endoscopy
Pays: Germany
ID NLM: 0215166
Informations de publication
Date de publication:
05 2023
05 2023
Historique:
medline:
1
5
2023
pubmed:
13
10
2022
entrez:
12
10
2022
Statut:
ppublish
Résumé
Non-technical skills (NTS) are integral to team performance and subsequent quality and safety of care. Behavioral marker systems (BMSs) are now increasingly used in healthcare to support the training and assessment of team NTS. Within gastrointestinal endoscopy, this is an area of novel research. The aims of this study were to define the core relevant NTS for endoscopy teams and develop a preliminary framework for a team-based BMS known as TEAM-ENTS (Teamwork in Endoscopy Assessment Module for Endoscopic Non-Technical Skills). This study was conducted in two phases. In phase 1, a literature review of team-based BMSs was performed to inform an interview study of core endoscopy team members. Cognitive task analysis was used to break down the NTS relevant to endoscopy teams. Framework analysis generated the structure for the preliminary TEAM-ENTS framework. In phase 2, a modified Delphi process was undertaken to refine the items of the framework. Seven consultant endoscopists and six nurses were interviewed. The final coding framework consisted of 88 codes grouped into five overarching categories. In total, 58 participants were recruited to the Delphi panel. In the first round, nine elements and 37 behavioral descriptors did not meet consensus. Following item adjustment, merging and deletion, all remaining items met consensus thresholds after the second round. The refined TEAM-ENTS BMS consists of five categories, 16 elements, and 47 behavioral descriptors. The refined TEAM-ENTS behavioral marker system was developed to reflect the core NTS relevant to endoscopy teams. Future studies will aim to fully validate this tool.
Sections du résumé
BACKGROUND
Non-technical skills (NTS) are integral to team performance and subsequent quality and safety of care. Behavioral marker systems (BMSs) are now increasingly used in healthcare to support the training and assessment of team NTS. Within gastrointestinal endoscopy, this is an area of novel research. The aims of this study were to define the core relevant NTS for endoscopy teams and develop a preliminary framework for a team-based BMS known as TEAM-ENTS (Teamwork in Endoscopy Assessment Module for Endoscopic Non-Technical Skills).
METHODS
This study was conducted in two phases. In phase 1, a literature review of team-based BMSs was performed to inform an interview study of core endoscopy team members. Cognitive task analysis was used to break down the NTS relevant to endoscopy teams. Framework analysis generated the structure for the preliminary TEAM-ENTS framework. In phase 2, a modified Delphi process was undertaken to refine the items of the framework.
RESULTS
Seven consultant endoscopists and six nurses were interviewed. The final coding framework consisted of 88 codes grouped into five overarching categories. In total, 58 participants were recruited to the Delphi panel. In the first round, nine elements and 37 behavioral descriptors did not meet consensus. Following item adjustment, merging and deletion, all remaining items met consensus thresholds after the second round. The refined TEAM-ENTS BMS consists of five categories, 16 elements, and 47 behavioral descriptors.
CONCLUSIONS
The refined TEAM-ENTS behavioral marker system was developed to reflect the core NTS relevant to endoscopy teams. Future studies will aim to fully validate this tool.
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
403-412Investigateurs
Omer Ahmed
(O)
Tiago Almedia
(T)
John Anderson
(J)
Femma Bartolome
(F)
Ian Beales
(I)
Iosif Beintaris
(I)
Philip Berry
(P)
Claire Boon
(C)
Simon Borg-Bartolo
(S)
Paula Brayford
(P)
Jamie Catelow
(J)
Vincent Cheung
(V)
Darren Craig
(D)
Justin Davies
(J)
Anjan Dhar
(A)
Ben Disney
(B)
Phedra Dodds
(P)
Tareq El-Menabawey
(T)
Rachael Follows
(R)
Emma Greig
(E)
Neil Haslam
(N)
Charlotte Hunt
(C)
Gavin Johnson
(G)
Christine Kelly
(C)
Daniel Loder
(D)
Sarah Marshall
(S)
Manmeet Matharoo
(M)
Susan McConnell
(S)
Helen Mohan
(H)
Chris Mountford
(C)
Aravinth Murugananthan
(A)
Laura Neilson
(L)
Lena Ngu
(L)
Laurence Padua
(L)
Simon Panter
(S)
Krashna Patel
(K)
Nisha Patel
(N)
Rex Polson
(R)
Sharon Powell
(S)
Elizabeth Ratcliffe
(E)
Beverley Raven
(B)
Joanne Robbins
(J)
Keith Siau
(K)
Rowena Thomas
(R)
Amelia Thorpe
(A)
Nicola Thrupp
(N)
Cynthia Tolosa
(C)
Maggie Vance
(M)
Ajay Verma
(A)
Julie Walker
(J)
Chris Wells
(C)
Clare Westwood
(C)
Ceri Williams
(C)
Eleanor Wood
(E)
Tracy Wood
(T)
Karen Wright
(K)
Emilia Wronska
(E)
Informations de copyright
Thieme. All rights reserved.
Déclaration de conflit d'intérêts
H. Ashrafian is Chief Scientific Officer of Pre-emptive Medicine and Health Security at Flagship Pioneering. A. Darzi is Executive Chair of Pre-emptive Medicine and Health Security at Flagship Pioneering. S. Thomas-Gibson receives teaching fees from Olympus and Dr Falk. S. Archer, R. Cavilla, M. Coleman, A. Haycock, C. Healey, and S. Ravindran declare that they have no conflict of interest.