Table 4

The facilitator (F) uses the video as a starting point and then dramatises a possible scenario and summarises the need for information to encourage the participants to develop strategies to avoid similar problems in the future

TranscriptionAnnotationFacilitator behaviouranduPEA phase
1F: But say that we now, if we were to redo it from here on, right here.Embedded ImageThe facilitator puts his index finger on the TV monitor to emphasise which situation he is referring to.Uses video
2F: …and you look down.Embedded ImagePoints at the team leader (P7) on the screen to clarify who he is talking about.
And then makes a back and forth gesture moving between the team leader’s eyes and the infant’s head on the neonatal resuscitation table to emphasise what the team leader is looking at.
Uses video
3F: …and say this: ‘I will concentrate on the ventilation.’Embedded ImagePretends to be the team leader himself, puts out both hands as if holding the infant’s head, while turning his gaze towards the imagined infant in front of him and makes an imaginary quote to illustrate what could be said.Dramatises
4F: But you want to know this and that, for example what the ECG is saying and what the saturation is. What should you do in such a case? (.)Embedded ImageThe facilitator summarises the situation and the need for information in it. He still pretends to be the team leader and continues to look down at the imagined infant while pointing towards the ECG on the screen to exemplify. He then asks about possible actions.Summarises and uses video
5(.)Embedded ImageContinues to pretend to be the team leader holding one hand on the infant’s head and the index finger of the other hand moving up and down as if he were ventilating with the T-piece device and waits for suggestions from the participants.Dramatises
6P4: Ask somebody to… say… ‘What is the pulse?’, or?Suggests a possible question that the team leader could have asked.Alternative strategies/solutions (E->A)
7F: Yes! ‘P4, can you please tell me the numbers up there.’Embedded ImageMakes another imaginary quote in line with the suggestion accompanied by pointing towards the screen as if he were pointing in a real situation.Dramatises
8F: You could say that, couldn’t you? ‘Can you tell me what the cardio scope is saying, please?’Makes one more hypothetical quote still ventilating the imagined infant.Dramatises
9F: That’s an example. (.) Right?Embedded ImageLooks up to the participants and holds out his hands.
10P7: Mm but there… ‘cause I remember when we we’re taking the advanced-CPR [course]…
11F: Yes.
12P7: …it was sort of a rule that the person responsible in the room was not the person doing compressions. And similarly, you should be able to have a rule that the one responsible doesn’t ventilate.P7 makes a suggestion about a possible strategy in analogy to another context.Alternative strategies/solutions
13F: Yes, you got it!
  • CPR, cardiopulmonary resuscitation; uPEA, unawareness (u), problem identification (P), explanation (E) and alternative strategies/solutions (A).