Deirdre Holly1, Vivien Swanson2, Philip Cachia3, Beverley Beasant3, Colville Laird4. 1. Psychology Directorate, NHS Education for Scotland, 89 Hydepark St., 2 Central Quay, Glasgow, G3 8BW, Scotland, UK. Electronic address: deirdre.holly@nes.scot.nhs.uk. 2. Psychology Directorate, NHS Education for Scotland, 89 Hydepark St., 2 Central Quay, Glasgow, G3 8BW, Scotland, UK. 3. NHS Education for Scotland, Ninewells Hospital, Dundee, DD1 9SY, Scotland, UK. 4. BASICS Scotland, Sandpiper House, Aberuthven Enterprise Park, Main Road, Aberuthven, PH3 1EL, Scotland, UK.
Abstract
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 practitioners.
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 practitioners.