期刊论文详细信息
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Norwegian trauma team leaders - training and experience: A national point prevalence study
Torben Wisborg1  Magnus Hjortdahl2  Amund Hovengen Ringen2 
[1] Anaesthesia and Critical Care Research Group, Faculty of Health Sciences, University of Tromsø, Norway;The BEST Foundation: Better & Systematic Team Training; Hammerfest Hospital, Department of Anaesthesiology and Intensive Care, Finnmark Health Trust, Hammerfest, Norway
关键词: leader experience;    non-technical skills;    training;    leadership;    Trauma team;   
Others  :  826949
DOI  :  10.1186/1757-7241-19-54
 received in 2011-04-20, accepted in 2011-10-05,  发布年份 2011
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【 摘 要 】

Background

The treatment of trauma victims is a complex multi-professional task in a stressful environment. We previously found that trauma team members perceive leadership as the most important human factor. The aim of the present study was to assess the experience and education of Norwegian trauma team leaders, and allow them to describe their perceived educational needs.

Methods

We conducted an anonymous descriptive study using a point prevalence methodology based on written questionnaires. All 45 hospitals in Norway receiving severely injured trauma victims were contacted on a randomly selected weeknight during November 2009. Team leaders were asked to specify what trauma related training programs they had participated in, how much experience they had, and what further training they wished, if any.

Results

Response rate was 82%. Slightly more than half of the team leaders were residents. The median working experience as a surgeon among team leaders was 7.5 years. Sixty-eight percent had participated in multi-professional training in non-technical skills, while 54% had passed the advanced trauma life support(ATLS) course. Fifty-one percent were trained in damage control surgery. A median of one course per team leader was needed to comply with the new proposed national standards. Team leaders considered training in damage control surgery the most needed educational objective.

Conclusions

Level of experience among team leaders was highly variable and their educational background insufficient according to international and proposed national standards. Proposed national standards should be urgently implemented to ensure equal access to high quality trauma care.

【 授权许可】

   
2011 Hovengen et al; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Statistics Norway: Deaths, by sex, age and underlying cause of death. The whole country. 2009. [http:/ / www.ssb.no/ english/ subjects/ 03/ 01/ 10/ dodsarsak_en/ tab-2010-12-03-02-en.html] webcite (accessed 24th March 2011)
  • [2]Esposito TJ, Sanddal ND, Hansen JD, Reynolds S: Analysis of preventable trauma deaths and inappropriate trauma care in rural state. J Trauma 1995, 39:955-962.
  • [3]Esposito T, Sanddal T, Reynolds S, Sanddal N: Effect of a voluntary trauma system on preventable death and inappropriate care in a rural state. J Trauma 2003, 54:663-9.
  • [4]Chiara O, Scott JD, Cimbanassi S, Marini A, Zoia R, Rodriguez A, Scalea T, Milan Trauma Care Study Group: Trauma deaths in an Italian urban area: an audit of pre-hospital and in-hospital trauma care. Injury 2002, 33:553-562.
  • [5]Chua WC, D'Amours SK, Sugrue M, Caldwell E, Brown K: Performance and consistency of care in admitted trauma patients: our next great opportunity in trauma care? ANZ J Surg 2009, 79:443-8.
  • [6]Brooks A, Burton B, Williams J, Mahoney P: Trauma teams. Trauma 2001, 3:211-5.
  • [7]Manser T: Teamwork and patient safety in dynamic domains of healtcare: a review of the literature. ActaAnaesthesiologica Scandinavia 2009, 53:143-151.
  • [8]Hjortdahl M, Ringen AH, Naess AC, Wisborg T: Leadership is the essential nontechnical skill in the trauma team-results of a qualitative study. Scand J Trauma ResuscEmerg Med 2009, 17:48. BioMed Central Full Text
  • [9]Kristiansen T, Lossius HM, Søreide K, Steen PA, Gaarder C, Næss PA: Patients Referred to a Norwegian Trauma Centre: effect of transfer distance on injury patterns, use of resources and outcomes. J Trauma Manag Outcomes 2011, 16:5-9.
  • [10]Haug B, Avall A, Monsen SA: Reliability of air ambulances--a survey in three municipalities in Helgeland. In Tidsskr Nor Laegeforen. Volume 129. Norwegian; 2009::1089-93.
  • [11]Kristiansen T, Søreide K, Ringdal KG, Rehn M, Krüger AJ, Reite A, Meling T, Naess PA, Lossius HM: Trauma systems and early management of severe injuries in Scandinavia: review of the current state. Injury 2010, 41:444-52.
  • [12]Isaksen MI, Wisborg T, Brattebø G: Organisation of trauma services--major improvements over four years. In Tidsskr Nor Laegeforen. Volume 126. Norwegian; 2006::145-7.
  • [13]Larsen KT, Uleberg O, Skogvoll E: Differences in trauma team activation criteria among Norwegian hospitals. Scand J Trauma ResuscEmerg Med 2010, 18:21. BioMed Central Full Text
  • [14]National working group, Report on organization on treatment of seriously injured patients - Trauma system. [Organisering av behandlingen av alvorlig skadde pasienter - Traumesystem]. In Norwegian. Oslo, South-East Regional Health Trust, 2007 [http://old.helse-sorost.no/stream_file.asp?iEntityId=1567] webcite (accessed 24th March 2011)
  • [15]Fakhry SM, Watts DD, Michetti C, Hunt JP: The Resident Experience on Trauma: Declining Surgical Opportunities and Career Incentives? Analysis of Data from a Large Multi-institutional Study. J Trauma 2003, 54:1-8.
  • [16]American college of surgeons, Committee on Trauma. Resources for the optimal care of the injured patient. 2006. Chicago American College of Surgeons; 2006.
  • [17]Hansen K, Uggen PE, Brattebø G, Wisborg T: Training operating room teams in damage control surgery for trauma: A followup study of the Norwegian model. J Am CollSurg 2007, 205:712-716.
  • [18]Høyer C B, Christensen EF, Eika B: Junior physician skill and behaviour in resuscitation: A simulation study. Resuscitation 2009, 80:244-248.
  • [19]Cooper S, Wakelam A: Leadership of resuscitation teams: ''Lighthouse Leadership''. Resuscitation 1999, 42:27-45.
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