Development of a behaviour rating system for rural/remote pre-hospital settings

Deirdre Holly (Lead / Corresponding author), Vivien Swanson, Philip Cachia, Beverley Beasant, Colville Laird

    Research output: Contribution to journalArticlepeer-review

    9 Citations (Scopus)


    Background: Remote and Rural pre-hospital care practitioners manage serious illness and injury on an unplanned basis, necessitating technical and non-technical skills (NTS). However, no behaviour rating systems currently address NTS within these settings. Informed by health psychology theory, a NTS-specific behaviour rating system was developed for use within pre-hospital care training for remote and rural practitioners. 

    Method: The Immediate Medical Care Behaviour Rating System (IMCBRS), was informed by literature, expert advice and review and observation of an Immediate Medical Care (IMC) course. Once developed, the usability and appropriateness of the rating system was tested through observation of candidates' behaviour at IMC courses during simulated scenarios and rating their use of NTS using the IMCBRS. 

    Results and conclusion: Observation of training confirmed rating system items were demonstrated in 28–62% of scenarios, depending on context. The IMCBRS may thus be a useful addition to training for rural and practitioners.

    Original languageEnglish
    Pages (from-to)405-413
    Number of pages9
    JournalApplied Ergonomics
    Early online date11 Aug 2016
    Publication statusPublished - Jan 2017


    • Non-technical skills
    • Pre-hospital emergency care
    • Rural and remote

    ASJC Scopus subject areas

    • Human Factors and Ergonomics
    • General Medicine
    • Physical Therapy, Sports Therapy and Rehabilitation


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