PDF(Pubmed)
Abstract：
UNASSIGNED: Recently, non-technical skills (NTS) and teamwork in particular have been demonstrated to be essential in many jobs, in business as well as in medical specialties, including plastic, orthopedic, and general surgery. However, NTS and teamwork in neurosurgery have not yet been fully studied. We reviewed the relevant literature and designed a mock surgery to be used as a team-building activity specifically designed for scrub nurses and neurosurgeons.
UNASSIGNED: We conducted a systematic review by searching PubMed (Medline) and CINAHL, including relevant articles in English published until 15 July 2023. Then, we proposed a pilot study consisting of a single-session, hands-on, and cadaver-free activity, based on role play. Scrub nurses were administered the SPLINTS (Scrub Practitioners\' List of Intraoperative Non-Technical Skills) rating form as a self-evaluation at baseline and 20-30 days after the simulation. During the experiment, surgeons and scrub nurses role-played as each other, doing exercises including a simulated glioma resection surgery performed on an advanced model of a cerebral tumor (Tumor Box, UpSurgeOn®) under an exoscope. At the end, every participant completed an evaluation questionnaire.
UNASSIGNED: A limited number of articles are available on the topic. This study reports one of the first neurosurgical team-building activities in the literature. All the participating scrub nurses and neurosurgeons positively evaluated the simulation developed on a roleplay. The use of a physical simulator seems an added value, as the tactile feedback given by the model further helps to understand the actual surgical job, more than only observing and assisting. The SPLINTS showed a statistically significant improvement not only in \"Communication and Teamwork\" (p = 0.048) but also in \"Situation Awareness\" (p = 0.031).
UNASSIGNED: Our study suggests that team-building activities may play a role in improving interprofessional teamwork and other NTS in neurosurgery.
UNASSIGNED: We conducted a systematic review by searching PubMed (Medline) and CINAHL, including relevant articles in English published until 15 July 2023. Then, we proposed a pilot study consisting of a single-session, hands-on, and cadaver-free activity, based on role play. Scrub nurses were administered the SPLINTS (Scrub Practitioners\' List of Intraoperative Non-Technical Skills) rating form as a self-evaluation at baseline and 20-30 days after the simulation. During the experiment, surgeons and scrub nurses role-played as each other, doing exercises including a simulated glioma resection surgery performed on an advanced model of a cerebral tumor (Tumor Box, UpSurgeOn®) under an exoscope. At the end, every participant completed an evaluation questionnaire.
UNASSIGNED: A limited number of articles are available on the topic. This study reports one of the first neurosurgical team-building activities in the literature. All the participating scrub nurses and neurosurgeons positively evaluated the simulation developed on a roleplay. The use of a physical simulator seems an added value, as the tactile feedback given by the model further helps to understand the actual surgical job, more than only observing and assisting. The SPLINTS showed a statistically significant improvement not only in \"Communication and Teamwork\" (p = 0.048) but also in \"Situation Awareness\" (p = 0.031).
UNASSIGNED: Our study suggests that team-building activities may play a role in improving interprofessional teamwork and other NTS in neurosurgery.
摘要：
■最近，非技术技能（NTS）和团队合作已被证明在许多工作中至关重要，在商业和医学专业，包括塑料,骨科,和普外科。然而,NTS和神经外科团队合作尚未得到充分研究。我们回顾了相关文献，并设计了一种模拟手术，用作专门为擦洗护士和神经外科医生设计的团队建设活动。
■我们通过搜索PubMed（Medline）和CINAHL进行了系统综述，包括2023年7月15日之前发表的相关英文文章。然后，我们提出了一个试点研究，包括一个单一的会议，动手,和无尸体活动，基于角色扮演。在基线和模拟后20-30天，对擦洗护士进行了SPLINTS（擦洗者术中非技术技能列表）评分表作为自我评估。在实验过程中,外科医生和擦洗护士互相扮演角色，做练习，包括在脑肿瘤的高级模型上进行的模拟神经胶质瘤切除手术(肿瘤盒，UpSurgeOn®）在一个外部显微镜下。最后,每个参与者都填写了一份评估问卷。
■关于该主题的文章数量有限。这项研究报告了文献中最早的神经外科团队建设活动之一。所有参与的磨砂护士和神经外科医生都对角色扮演中开发的模拟进行了积极评价。使用物理模拟器似乎是一种附加价值，由于模型给出的触觉反馈进一步有助于理解实际的手术工作，不仅仅是观察和帮助。SPLINTS不仅在“沟通和团队合作”（p=0.048）而且在“情境意识”（p=0.031）方面都显示出统计学上的显着改善。
■我们的研究表明，团队建设活动可能在改善神经外科的跨专业团队合作和其他NTS方面发挥作用。
■我们通过搜索PubMed（Medline）和CINAHL进行了系统综述，包括2023年7月15日之前发表的相关英文文章。然后，我们提出了一个试点研究，包括一个单一的会议，动手,和无尸体活动，基于角色扮演。在基线和模拟后20-30天，对擦洗护士进行了SPLINTS（擦洗者术中非技术技能列表）评分表作为自我评估。在实验过程中,外科医生和擦洗护士互相扮演角色，做练习，包括在脑肿瘤的高级模型上进行的模拟神经胶质瘤切除手术(肿瘤盒，UpSurgeOn®）在一个外部显微镜下。最后,每个参与者都填写了一份评估问卷。
■关于该主题的文章数量有限。这项研究报告了文献中最早的神经外科团队建设活动之一。所有参与的磨砂护士和神经外科医生都对角色扮演中开发的模拟进行了积极评价。使用物理模拟器似乎是一种附加价值，由于模型给出的触觉反馈进一步有助于理解实际的手术工作，不仅仅是观察和帮助。SPLINTS不仅在“沟通和团队合作”（p=0.048）而且在“情境意识”（p=0.031）方面都显示出统计学上的显着改善。
■我们的研究表明，团队建设活动可能在改善神经外科的跨专业团队合作和其他NTS方面发挥作用。
