Determination of health-care teamwork training competencies: a Delphi study.
OBJECTIVE
The purpose of this study was to determine the optimum content of a 1-day classroom-based crew resource management (CRM) course for health-care personnel working in ad hoc teams in complex, time-critical hospital departments such as surgery, intensive care or emergency.


METHODS
A two-round modified Delphi panel.


METHODS
selected teamwork competency components suitable for inclusion in 1 day of training from a list developed via literature review. Participants Fifteen experts in health care, CRM and training.


METHODS
Knowledge, skill and attitude competency components for a 1-day CRM course.


RESULTS
Of the 110 knowledge, skill and attitude CRM competency components, 40 components were selected by greater than 70% of respondents, whereas the remaining 62 components were selected by fewer than 55% of respondents. These 40 competency components ranged across five competency domains: communication, task management, situational awareness, decision-making and leadership, and provided a consensus on the most critical areas for inclusion in training for health-care personnel.


CONCLUSIONS
This new competency model is now available for use. Although the sample size was limited, a high degree of consensus was reached after only two rounds. A modified Delphi technique within the context of competencies first refined from the literature was a useful and cost-effective method for determining the content of a 1-day CRM training course for health-care workers.
Clay-Williams
Robyn
R
Australian Institute of Health Innovation, University of New South Wales, Sydney, NSW 2052, Australia. r.clay-williams@student.unsw.edu.au
Braithwaite
Jeffrey
J
D000328:Adult; D003697:Delphi Technique; D004521:Educational Measurement / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education*; D006748:Hospital Departments; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration*