Abstract

Situational awareness is especially important to decision-making in health care. Comprehending the situation is crucial for anticipating any change in the environment and delivering optimal care. The objective of this study was to evaluate the effects of a training to increase situational awareness and mutual care designed for health care workers (FoCo) in a randomized controlled trial with additional qualitative analysis. We also investigated the perception of the training for the COVID-19 pandemic moment, in May 2020, almost 6 months after we finished the data collection at the Emergency Care Unit, which became a COVID-19 treatment reference for the care of a population depending on the public health system, in Sao Paulo, Brazil. We conclude that FoCo training can be an important instrument for health care professionals both in times of pandemic and “normal times,” to increase situational awareness, the culture of mutual care and decrease the possibility of occupational injuries and illnesses.

Highlights

  • Situational awareness (SA) “describes the ability of an individual to maintain an adequate internal representation of the status of the environment in complex and dynamic domains where time constants are short and conditions may change within seconds and minutes” [1]

  • The objective of this study was to evaluate the effects of a training to increase situational awareness and mutual care designed for health care workers (HCW) in their working hours

  • We investigated the perception of the FoCo training for the COVID-19 pandemic moment, in May 2020, almost 6 months after we finished the data collection at the Emergency Care Unit, which became a COVID19 treatment reference for the care of a population depending on the public health system, in Sao Paulo, Brazil

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Summary

Introduction

Situational awareness (SA) “describes the ability of an individual to maintain an adequate internal representation of the status of the environment in complex and dynamic domains where time constants are short and conditions may change within seconds and minutes” [1]. It was initially studied in the context of aviation as a crucial factor for decision making. The failures in SA were classified in three levels: (I) -failure to correctly perceive the information, (II)- failure to comprehend the situation-, or (III) failure to project the situation into the future. Comprehending the situation to provide a mental model is crucial for anticipating any change in the environment and delivering optimal care [3]

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