Table 2 Pedagogical considerations expressed in the interviews of the facilitators before the training (CRM, crew resource management)
Phases | Themes | Citations |
|---|---|---|
Development of training | Consider all team members’ learning needs | Ask all crew members what they think should be included |
Include both medical aspects and technical aspects to involve the pilot and the assistant | ||
Include CRM aspects, which can contribute to shared situational awareness | ||
Develop good scenarios | ||
Development of scenarios | Involve the pilot in the development and assign them precise tasks, e.g. find medication, communicate with the relatives | |
Ask the crew members about engaging scenarios | ||
Motivation of the participants | If the crew see training as useful—they will learn from it | |
Make it voluntary and not mandatory to participate | ||
Involve the most engaged crew members and make them spread the enthusiasm | ||
Delivery of training | Level of difficulty | Start with easy scenarios to make crew members familiar with the concept |
Prepare yourself by identifying the individual crew members and think of what they can do | ||
Keep all crew members motivated by involving them | ||
Focus on CRM initially and thereafter on medical expertise and skills | ||
Focus on basic competences in the beginning | ||
Prepare the participants | Send the theme of the scenario and procedural guidelines in advance | |
Psychological safety | Establish a safe learning environment | |
What happens in the room stays in the room | ||
Focus on learning—it is not a test | ||
Making it safe for the participants will help in making training a part of regular work | ||
Frequency of training | Take into consideration the shift periods of the individual crew members | |
Plan the training at the end of a week, so that the crew know each other | ||
Consider training once a week except in the busiest periods | ||
It should be an exemption that training is not conducted | ||
Faculty training | Training is vital to be able to run the scenarios | |
Faculty have high ambitions | ||
Continuous improvement | Quality of the training | Crew members will lose interest if we do not secure the quality of the training |
High level of medical expertise to be sure the crew members bring something back | ||
Be sure that there is not too much repetition |