Kunskap och kommunikation är en ledares plattform. Tvärvetenskaplig studie av traumateamövningar visar betydelsen av verbal och icke-verbal kommunikation
Sammanfattning
Efficient communication is one of the key features of good teamwork. Call-outs (CO) and Closed-loop communication (CLC), as a component of secure and efficient communication, has been
extensively taught in the team training context. This paper reports results from a thesis exploring how trauma teams communicate while working. Eighteen in-situ trauma team training sessions
were documented with surveys, audio and video for later analysis. Discourse analysis, quantitative content analysis and quantitative methods were used. The use of CO and CLC in the teams was
low. CLC initiated by the team leader was associated with a higher likelihood of decision to go to surgery within the training session. CLC initiated by others than the team leaders was associated
with longer time taken until the decision to go to definitive care. Using discourse analysis the leaders’ way to position themselves using verbal communication could be described as dynamically
switched between coercive, educational, discussing and negotiating strategies to take control of the team. Leaders that took control of the teams also positioned themselves physically in the inner
circle, i.e. close to the patient’s head. When trauma teams work together, only a limited amount of communication occurs structured as CO and CLC. The importance of physically positioning
yourself at the right place in the room as well as to choose communication strategy to get things done might need to be discussed during leadership trainings. Deliberate practice in the use of
communication tools as CO and CLC and in switching between different communication strategies might benefit the team function and the care of patients when time is sparse.