Abstract
Team SA involves a common perspective between two or more individuals regarding current environmental events, their meaning, and projected future status. Team SA has been theorized to be important for resuscitation team effectiveness. Accordingly, multidimensional frameworks of observable behaviors relevant to resuscitation teams are needed to understand more deeply the nature of team SA, its implications for team effectiveness, and whether it can be trained. A seven-dimension team resuscitation SA framework was developed following a literature review and consensus process using a modified Delphi approach with a group of content experts. We applied a pre-post design within a day-long team training program involving four video-recorded simulated resuscitation events and 42 teams across Canada. The first and fourth events represented “pre” and “post” training events, respectively. Teams were scored on SA five times within each 15-minute event. Distractions were introduced to investigate whether SA scores would be affected. The current study provides initial construct validity evidence for a new measure of SA and explicates SA's role in resuscitation teams.
Highlights
Evidence-based training and guidelines are in place to support rapid decision-making under various emergency clinical circumstances such as resuscitation [1, 2]
Because there were more than two trained coders using the CTS, we report the intraclass correlation (ICC) as a measure of inter-rater reliability
In the current study we advance a new taxonomy of team situation awareness (SA) for emergency situations and we provide evidence regarding its reliability and validity
Summary
Evidence-based training and guidelines are in place to support rapid decision-making under various emergency clinical circumstances such as resuscitation [1, 2]. SA in particular appears to be a critical requirement for effective responses and performance in high-pressure, dynamic environments such as critical care, emergency, and resuscitation [5,6,7,8]. As these emergency situations are dealt with through teamwork, team SA is of particular importance [9]. We develop a framework of team SA for emergency situations. This is important because while SA is multidimensional, the dimensions of team SA for emergency situations remain unclear.
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