摘要：Background: To enhance the non-technical skills (NTS) assessment literature by developing a reliable and valid peer
and self-assessment tool for NTS in a simulated ward setting to include emotional reactions: the Temporal Rating of
Emergency Non-Technical skills (TRENT) Index. The paper aims to document (1) the psychometric properties of the
TRENT index (e.g., reliability, idiosyncrasy biases) and (2) its validity in terms of performance-emotional associations in
the high fidelity simulated ward environment.
Methods: Two samples of doctors (Ns =150 & 90) taking part in emergency simulations provided both self and
peer-assessment of NTS, with the second sample also providing self-assessments of mood. The psychometric
properties of the TRENT were explored for self- and peer-assessment, and pre- and post-simulation environment
mood was used to assess validity.
Results: A psychometrically reliable and valid 5-factor assessment of NTS was developed. While there was evidence for
both intra-rater and inter-rater reliability, inter-rater idiosyncrasy was also observed. Self-rated, but not peer-rated,
negative performance was positively associated with post simulation negative mood.
Conclusion: These are the first results that pertain to inter-, intra-rater reliability as well as idiosyncratic biases in NTS
assessment and the first to show that simulator performance can influence mood after assessment. Potential clinical
carry-over effects of mood are discussed.
