In this podcast, the hosts discuss the importance of non-technical skills in resuscitation and critically unwell patients. They delve into topics such as situational awareness, leadership, followership, and effective resuscitation techniques. The podcast also explores the concepts of nurse-led code, devolved leadership approach, graded assertiveness, and empowering new leaders. Overall, it's an informative and insightful discussion on the vital skills needed in healthcare.
Effective leadership and followership are crucial for delivering optimal care and outcomes for patients in high acuity cases such as traumas and cardiac arrests.
Situational awareness is a critical component in patient care, and it requires gathering and processing information, understanding its meaning, and predicting future outcomes.
Effective decision-making, which involves competence, credibility, adaptability, and embracing one's own limitations, is crucial in achieving favorable outcomes for patients.
Deep dives
Importance of Leadership and Followership
Leadership and followership are crucial aspects in delivering optimal care and outcomes for patients. They play a significant role in the management of critically unwell patients, such as those in traumas and cardiac arrests. The non-technical skills involved in resuscitation and patient care, including situational awareness, decision-making, team working, and task management, are essential for safe and efficient performance. Good leadership involves being knowledgeable, adaptable, and humble, as well as exhibiting effective communication and a calm approach. Good followership or teamwork requires competence, commitment, open communication, support, accountability, creativity, and providing feedback. Both leadership and followership contribute to a well-functioning and successful healthcare team.
Situational Awareness: Its Importance and Elements
Situational awareness is a critical component in patient care. It involves being aware of and comprehending all relevant information that contributes to the current situation and making future projections based on that information. Situational awareness consists of gathering and processing information, understanding its meaning, and predicting future outcomes. It underpins every patient encounter and is vital for making effective decisions and avoiding errors. Factors such as stress and cognitive biases can impact situational awareness. Methods like checklists and guidelines can help unload cognitive burdens. The loss of situational awareness can have catastrophic consequences, so maintaining it is crucial for safe and optimal patient care.
Decision-Making in Patient Care
Decision-making is a cognitive process in which a specific course of action is chosen from a range of options. In the context of patient care, decision-making often falls to the team leader, who must consider the input of the team and their own observations to determine appropriate interventions. Effective decision-making requires competence, credibility, adaptability, and empathy. It involves recognizing and embracing one's own limitations, as well as being open to input and feedback from others. Good decision-making is crucial in achieving favorable outcomes for patients.
The Importance of Teamwork and Followership
Teamwork, or followership, is essential for successful patient care. Teams function best when members know each other, understand the importance of their roles, and work collaboratively. Being a good team member involves being competent, committed, open in communication, supportive, accountable, prepared to admit when help is needed, creative, and capable of providing feedback. Effective teamwork enables better patient outcomes and improves team dynamics. It is crucial to consider the specific characteristics of each team member and allocate roles based on competence and confidence.
Effective Leadership and Development
Developing effective leaders is vital in healthcare. Providing opportunities for individuals to lead in various situations and guiding them through proper preparation and empowerment are essential. Empowering new leaders involves demonstrating followership, supporting their decisions, and then providing constructive feedback for growth. It is important to strike a balance between providing guidance and allowing new leaders to develop their own style. Debriefing after each leadership experience helps identify areas for improvement and fosters continuous learning and development.
We talk a lot about the different skills involved in the management of the critically unwell patient; CPR, airway management, defibrillation, chest drains, RSI etc, etc…..but there is another aspect which is arguably as important and that is the non-technical skills involved in resuscitation.
In this podcast we discuss non-technical skills, followership, leadership and different models of working. What’s really important to remember in this episode is that at the centre of leadership and follwership is a patient, or patients, that we’re trying to deliver the best care and outcomes for and that effective leadership and followership are key to achieving.
Now leadership and followership comes in a variety of places but for this episode we’re mainly going to look at the importance and way in which leadership and follower ship manifests itself in high acuity cases such as traumas and cardiac arrests but the concepts are translatable to all sorts of cases and parts of healthcare.
Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
Enjoy!
Simon, Rob & James
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