title: Development of a behaviour rating system for rural/remote pre-hospital settings.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: 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.
authors.forename: Deirdre
authors.initials: D
authors.lastname: Holly
authors.affiliation: Psychology Directorate, NHS Education for Scotland, 89 Hydepark St., 2 Central Quay, Glasgow, G3 8BW, Scotland, UK.
authors.forename: Vivien
authors.initials: V
authors.lastname: Swanson
authors.affiliation: NHS Education for Scotland, Ninewells Hospital, Dundee, DD1 9SY, Scotland, UK.
authors.forename: Philip
authors.initials: P
authors.lastname: Cachia
authors.affiliation: NHS Education for Scotland, Ninewells Hospital, Dundee, DD1 9SY, Scotland, UK.
authors.forename: Beverley
authors.initials: B
authors.lastname: Beasant
authors.affiliation: BASICS Scotland, Sandpiper House, Aberuthven Enterprise Park, Main Road, Aberuthven, PH3 1EL, Scotland, UK.
authors.forename: Colville
authors.initials: C
authors.lastname: Laird
mesh_terms: D001364:Awareness; D001519:Behavior; D003142:Communication; D003479:Curriculum; D003657:Decision Making; D004632:Emergency Medical Services; D004638:Emergency Treatment; D058005:General Practitioners / Q000193:education*; D006801:Humans; D007857:Leadership; D009722:Nurse Practitioners / Q000193:education*; D010348:Patient Care Team; D061214:Patient Safety; D019035:Rural Health Services
keywords: Non-technical skills; Pre-hospital emergency care; Rural and remote