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- Title
What are the non-technical skills required by junior doctors in the NHS to manage medical emergencies? A scoping review.
- Authors
Ying Xin Tan; Bin Jalal, Arif Hanafi; Ngai, Victoria; Manobharath, Nivetha; Chi Fang Soh, Terrence; Tan, Ying Xin; Jalal, Arif Hanafi Bin; Soh, Terrence Chi Fang
- Abstract
Many junior doctors have reported a lack of confidence in managing emergency conditions. However, there is insufficient literature summarising the current knowledge about the non-technical skills needed by junior doctors to tackle medical emergencies. This paper aims to identify the non-technical skills necessary for the management of medical emergencies by junior doctors. Three databases were systematically searched to identify relevant articles published between January 2000 and March 2020. In total, 8707 unique articles were identified and independently screened by at least two authors, using predetermined inclusion and exclusion criteria. A coding framework was applied to extract relevant data and for thematic analysis of the included studies. These methods have been performed following the PRISMA-ScR Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. There were a total of 13 articles included in the thematic analysis. The result of this review was the identification of several key non-technical skills: teamwork, communication, asking for help, challenging seniority, task prioritisation, decision-making, leadership and handling stress. In conclusion, lack of non-technical skills in junior doctors has a negative impact on patient care in a medical emergency. The training of junior doctors can be re-evaluated and designed to reflect the importance of these non-technical skills.
- Subjects
EMERGENCY nursing; MEDICAL emergencies; COMMUNICATIVE disorders; OBSTETRICAL emergencies; PHYSICIANS; STUDENT health services; MEDICAL care; MEDICAL personnel; SYSTEMATIC reviews; NATIONAL health services; COMMUNICATION; LITERATURE reviews; EMERGENCY medicine
- Publication
Postgraduate Medical Journal, 2021, Vol 97, Issue 1154, p813
- ISSN
0032-5473
- Publication type
journal article
- DOI
10.1136/postgradmedj-2020-139285