TEAM COMMUNICATION Figure 1. Flow Diagram of Literature Search Results
Nontechnical skills, including situational awareness,
decision making, leadership, communication, and team- work, may affect team communications. Nontechnical skills have been extensively studied in aviation and have been added to training programs for pilots. Although tools for observing nontechnical skills have been validated for other professional roles in the perioperative setting, a standard- ized tool has not been developed for observing nontechnical skills in the perioperative registered nurse (RN) role. Vali- dated tools for observing nontechnical skills in the perioper- ative environment include Observational Teamwork Assess- ment for Surgery (OATS),67,68 (ANTS),69
Nontechnical Skills for Surgeons (NOTSS),14,70-72
Anesthetist Non-Technical Skills and
Scrub Practitioners’ List of Intraoperative Nontechnical Skills (SPLINTS).69 The following topics are outside the scope of this doc-
ument: workplace violence, bullying, incivility, and work- place safety. Although disruptive behavior is mentioned
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in the description of the literature, guidance for address- ing disruptive behavior is also outside the scope of this document.
Evidence Review
A medical librarian conducted a systematic search of the databases Ovid MEDLINE®, EBSCO CINAHL®, Scopus®, and the Cochrane Database of Systematic Reviews. The search was limited to literature published in English from 2011 through April 2017. At the time of the initial search, weekly alerts were created on the topics included in that search. Results from these alerts were provided to the lead author until July 2017. The lead author requested additional articles that either did not fit the original search criteria or were discov- ered during the evidence appraisal process. The lead author and the medical librarian also identified relevant guidelines
