Qualitative assessment of simulation-based training for pediatric trauma resuscitation
Qualitative assessment of simulation-based training for pediatric trauma resuscitation
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DOI：
10.1016/j.surg.2016.09.023
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发表时间：
2017-05-01
期刊：
影响因子：
3.8
通讯作者：
Jensen, Aaron R.
中科院分区：
文献类型：
--
作者：
Burke, Rita V.;Demeter, Natalie E.;Jensen, Aaron R.
背景资料。有效的团队合作在创伤舱是至关重要的，尽管在这些技能的最佳培训方面缺乏共识。我们实施了现场创伤模拟，并将汇报作为一种可能的培训方法，以提高以团队为导向的技能。焦点小组由对创伤激活做出反应的多学科临床医生进行。焦点小组的问题旨在引发临床医生在创伤激活和模拟过程中的经验的讨论，重点是信心、领导力、合作、沟通和改善的机会。采用Atlas.ti分析软件进行主题内容分析。共有55名临床医生参加了10个焦点小组的研究。对焦点小组反馈的定性分析揭示了以下选定主题：创伤期间强势领导者的特征，影响创伤团队成员信心的因素，以及作为创伤应对过程中关键组成部分的有效沟通。参与者建议继续进行模拟，以增强创伤团队的信任和效率。对儿科创伤复苏作出反应的临床医生重视他们在创伤模拟期间接受的实践，并支持继续进行模拟以改善创伤激活、团队合作和沟通。这些发现将为未来基于模拟的培训计划的发展提供信息，以提高团队合作、信心和创伤团队成员之间的沟通。
Background. Effective teamwork is critical in the trauma bay, although there is a lack of consensus related to optimal training for these skills. We implemented in situ trauma simulations with debriefing as a possible training methodology to improve team-oriented skills.Methods. Focus groups were conducted with multidisciplinary clinicians who respond to trauma activations. The focus group questions were intended to elicit discussion on the clinicians' experiences during trauma activations and simulations with an emphasis on confidence, leadership, cooperation, communication, and opportunities for improvement. Thematic content analysis was conducted using Atlas.ti analytical software.Results. Ten focus groups were held with a total of 55 clinicians. Qualitative analysis of focus group feedback revealed the following selected themes: characteristics of a strong leader during a trauma, factors impacting trauma team members' confidence, and effective communication as a key component during trauma response. Participants recommended continued simulations to enhance trauma team trust and efficiency.Conclusion. Clinicians responding to pediatric trauma resuscitations valued the practice they received during trauma simulations and supported the continuation of the simulations to improve trauma activation teamwork and communication. Findings will inform the development of future simulation-based training programs to improve teamwork, confidence, and communication between trauma team members.