Table 3 Behaviour change techniques (BCTs), modes and content of delivery to implement the seven prioritised interventions for multidisciplinary trauma team training
Interventions functions | Which BCTs could overcome the modifiable barriers and enhance the enablers. | Proposed intervention components (how the techniques will be delivered and what content will be delivered) |
|---|---|---|
Facilitators and barriers relating to educational strategies for training a ‘flash’ trauma resuscitation team | ||
Education Environmental restructuring Persuasion Modelling Enablement | Information about consequences Instructions on performing the behaviour Feedback on behaviour Problem-solving Action planning Social support Demonstration of the behaviour Social influences | Trauma Team Training programme will be modified to include: 1. Train ‘flash teams’ in ‘teaming’ which is teamwork on the flya 2. Contextualised simulated team trainingb 3. Spaced learningb 4. Rapid cycle deliberate practice of non-technical skillsc |
Facilitators and barriers relating to moving from the concept of a ‘Team’ to ‘Teaming’ | ||
Education Training Persuasion Enablement | Policy category Regulation Guidelines Service Provision Communication/marketing | 1. Regulations: Trauma governance committee 2. Guidelines: Trauma algorithms (treatment protocols) 3. Communication plan: TTT multi-media campaign 4. Service Provision: All trauma team members complete TTT |
Facilitators and barriers relating to team culture in a ‘flash’ trauma resuscitation team | ||
Modelling Enablement Incentivisation Environmental restructuring | Credible source Information about others approval Demonstration of the behaviour Salience of consequences Commitment Verbal persuasion about capacity Social support Social reward Goal setting Review behaviour goals | 1. Sponsorship from senior leaders and managers 2. Team leader buddy system |
Facilitators and barriers to standardising operational procedures to enable co-ordination in ‘flash’ trauma resuscitation teams | ||
Environmental restructuring Modelling Enablement Persuasion Incentivisation | Adding objects to the environment Prompts/cues Restructuring the physical environment Demonstration of the behaviour Salience of consequences Information about consequences Commitment Feedback on outcomes of the behaviour Goal setting Social rewards Social support | 1. Checklist and cognitive aids 2. Revision of equipment organisation and ergonomics 3. A stop clock to time-critical events/processes 4. Structure teamwork prompts, e.g. Zero-point surveyd 5. Structured debriefing toole |