任务负载负面影响关键护理航空运输团队在模拟中的表现
Richard J Strilka1, Joshua L Fiechter2, Kent C Etherton3
1Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH 45267, United States.
关键护理航空运输 (CCAT) 团队的医生报告了更高的任务负载,特别是精神和时间需求,这与团队表现较低有关. 这种关联在护士或呼吸治疗师中没有见到,这表明医生独特地将他们感知到的表现与团队结果联系起来.
科学领域:
- 军事医学 军事医学
- 关键的护理关键的护理
- 航空医疗疏散服务
- 人类因素工程 人类因素工程
背景情况:
- 美国武装部队转向同行冲突需要加强关键护理空运 (CCAT) 能力,以实现大量患者的移动.
- 了解CCAT团队的任务负载及其性能影响对于减轻复杂运输任务期间的和至关重要.
研究的目的:
- 在高保真模拟过程中量化任务负载并评估其与CCAT团队团队表现的关系.
- 识别不同类型的提供者 (医生,护士,呼吸治疗师) 对任务负载感知及其对非技术技能的影响的差异.
主要方法:
- 一个高保真模拟评估了44个CCAT团队照顾2名重症患者.
- 使用国家航空航天局任务负载指数 (NASA-TLX) 测量任务负载.
- 使用Team Emergency Assessment Measure (TEAM) 评估团队的非技术性表现,并使用多级别贝叶斯模型进行分析.
主要成果:
- 在所有提供者类型中报告了增加的努力,心理需求和时间需求.
- 医生 (MDs) 显示个人任务负载和团队表现之间存在显著的负相关性 (斯皮尔曼的 ρ = -0.23).
- 这种相关性对于注册护士 (RN) 或呼吸治疗师 (RT) 来说在统计上是不可靠的;MDs将更高的感知任务负载和丧与较低的团队表现联系起来.
结论:
- 医生的感知任务负载,特别是丧和精神需求,与团队表现有负面关联,与RN和RT不同.
- 医生是唯一认识到团队表现不佳,并将其归因于他们自己的缺点.
- 研究结果强调了医生认知和时间负载在CCAT团队有效性中的关键作用,并建议针对性的干预措施.
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