Qualitative assessment of simulation-based training for pediatric trauma resuscitation. Surgery 2017 May;161(5):1357-1366
Date
11/16/2016Pubmed ID
27842918DOI
10.1016/j.surg.2016.09.023Scopus ID
2-s2.0-85006504166 (requires institutional sign-in at Scopus site) 15 CitationsAbstract
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.
Author List
Burke RV, Demeter NE, Goodhue CJ, Roesly H, Rake A, Young LC, Chang TP, Cleek E, Morton I, Upperman JS, Jensen ARAuthors
Elizabeth Cleek in the CTSI department at Medical College of Wisconsin - CTSIElizabeth Cleek PhD Assistant Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultAttitude of Health Personnel
Child
Communication
Female
Focus Groups
Humans
Male
Middle Aged
Patient Care Team
Patient Simulation
Pediatrics
Resuscitation
Trauma Centers
Wounds and Injuries
