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Chapter 3 - Non-technical Skills

Published online by Cambridge University Press:  06 June 2024

George Attilakos
Affiliation:
University College London
Sharon Jordan
Affiliation:
Southmead Hospital, Bristol
Michele Mohajer
Affiliation:
Shropshire Women and Children’s Centre
Glen Mola
Affiliation:
University of Papua New Guinea
Stephen O'Brien
Affiliation:
University of Bristol
Dimitrios Siassakos
Affiliation:
University College London
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Summary

The components of a good AVB are complex and layered. They go far beyond a degree of knowledge and technical ability. They encompass a range of cognitive and social skills that promote respect for women and their partners and enable an environment in which women feel safe and secure, acknowledging her rite of passage and the privilege of assisting at the birth of a new life. This chapter explores our understanding of these important ‘non-technical’ skills of a consummate accoucheur.

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Publisher: Cambridge University Press
Print publication year: 2024

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References

Flin, R, O’Connor, P, Crichton, M. Safety at the Sharp End: A Guide to Non-technical Skills.Boca Raton, FL, USA: Ashgate; 2008.Google Scholar
Bogner, M. (editor). Human Error in Medicine. Hillsdale, NJ: LEA; 1994.Google Scholar
Bogner, M. (editor). Misadventures in Health Care. Mahwah, NJ: LEA; 2004.Google Scholar
Wilson, J. A practical guide to risk management in surgery; developing and planning. Healthcare Risk Resources International – Royal College of Surgeons Symposium 1999.Google Scholar
Guise, JM, Segel, S. Teamwork in obstetric critical care. Best Pract Res Clin Obstet Gynaecol 2008;22:937–51.CrossRefGoogle ScholarPubMed
Kirkup, DB. The Report of the Morecambe Bay Investigation. 2015.Google Scholar
RCOG. Each Baby Counts: 2015 Full Report. London; 2017.Google Scholar
Magro, M. Five years of cerebral palsy claims: a thematic review of NHS Resolution data. London: NHS Resolution; 2017.Google Scholar
Flin, R, Maran, N. Identifying and training non-technical skills for teams in acute medicine. Qual Saf Health Care. 2004;13 Suppl 1: i80–4.CrossRefGoogle ScholarPubMed
Fletcher, G, Flin, R, McGeorge, P et al. Anaesthetists’ Non-Technical Skills (ANTS): evaluation of a behavioural marker system. Br J Anaesth 2003;90:580–8.Google ScholarPubMed
Yule, S, Flin, R, Paterson-Brown, S, Maran, N, Rowley, D. Development of a rating system for surgeons’ non-technical skills. Med Educ 2006;40:1098–104.Google ScholarPubMed
McCulloch, P, Mishra, A, Handa, A et al. The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. Qual Saf Health Care 2009;18:109–15.Google ScholarPubMed
Frost, J. Pope, C, Liebling, R, Murphy, D. Utopian theory and the discourse of natural birth. Social Theory & Health 2006;4:299318.Google Scholar
Astbury, J, Brown, S, Lumley, J, Small, R. Birth events, birth experiences and social differences in postnatal depression. Aust J Public Health 1994;18:176–84.CrossRefGoogle ScholarPubMed
Croskerry, P. The theory and practice of clinical decision-making. Can J Anaesth 2005;52:R18.Google Scholar
Endsley, M. Towards a theory of situational awareness in dynamic systems. Human Factors 1995;37:3264.Google Scholar
Gaba, D, Howard, S, Small, S. Situational awareness in anesthesiology. Human Factors. 1995;37:2031.CrossRefGoogle ScholarPubMed
Cass, G, Goyder, K, Strachan, B, Bahl, R. Can we improve women’s experience of operative birth? European Journal of Obstetrics & Gynecology and Reproductive Biology. 2020. In press.Google Scholar
TNS for the COI Communications (on behalf of Department of Health). NHS Maternity Services Quantitative Research, The Stationery Office, October 2005. www.dh.gov.uk/assetRoot;?04/12/42/44/04/12422.pdfGoogle Scholar
Wahlberg, Å, Andreen Sachs, M, Johannesson, K et al. Post-traumatic stress symptoms in Swedish obstetricians and midwives after severe obstetric events: a cross-sectional retrospective survey. BJOG 2017; 124: 1264–71.CrossRefGoogle ScholarPubMed
Bourne, T, Shah, H, Falconieri, N et al. Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study. BMJ Open 2019;9: 2019030968.Google ScholarPubMed
Shanafelt, TD, Balch, CM, Bechamps, Gerald MD†§ et al. Burnout and medical errors among American surgeons. Annals of Surgery: 2010; Volume 25; Issue 6: 9951000.Google Scholar
Hall, LH, Johnson, J, Watt, I, Tsipa, A, O’Connor, DB. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS one 11(7): e0159015. https://doi.org/10.1371/journal.pone.0159015CrossRefGoogle Scholar
Bowen, J. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med 2006;355:2217–25.Google ScholarPubMed
Charlin, B, Boshuizen, HP, Custers, EJ, Feltovich, PJ. Scripts and clinical reasoning. Med Educ 2007;41:1178–84.CrossRefGoogle ScholarPubMed

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