Lanny Orr, Lisa Stevens, Elizabeth McCotter, Alexa Peterson, Jeannine M Brant, Simon J Thompson
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引用次数: 0
Abstract
Background: Although existing trauma nurse courses provide basic education, advanced courses with simulation experiences that enhance team leadership, communication, and workflows are lacking.
Objective: To design and implement the Advanced Trauma Team Application Course (ATTAC) to promote advanced skills for nurses and respiratory therapists with varied experience and skill levels.
Methods: Trauma nurses and respiratory therapists were selected to participate based on years of experience and the novice to expert nurse model. Two nurses from each level (excluding novice) participated, ensuring a diverse cohort to promote development and mentorship. The 11-module course was presented over 12 months. A five-question survey was employed at the end of each module to self-evaluate assessment skills, communication skills, and comfort for trauma patient care. Participants rated skills and comfort on a "0-10" scale, with 0 being "not at all" to 10 being "extensively."
Results: The pilot course was conducted from May 2019 to May 2020 at a Level II trauma center in the Northwest United States. Nurses reported ATTAC improved assessment skills, team communication, and comfort in caring for trauma patients (mean = 9.4; 95% CI [9.0, 9.8]; scale of 0-10). Participants indicated scenarios closely mimicked real-world situations; concept application commenced directly following each session.
Conclusion: This novel approach to advanced trauma education promotes development of advanced skills that enable nurses to anticipate needs rather than being reactive, engage in critical thinking, and adapt to rapidly changing patient conditions.
背景:虽然现有的创伤护理课程提供基础教育，但缺乏具有模拟经验的高级课程，以提高团队领导能力，沟通能力和工作流程。目的:设计和实施创伤高级小组应用课程(ATTAC)，以提高不同经验和技能水平的护士和呼吸治疗师的高级技能。方法:采用经验丰富的创伤护士和呼吸治疗师参与，采用新手到专家的护理模式。每个级别的两名护士(不包括新手)参加，确保了多样化的队列，以促进发展和指导。11个模块的课程在12个月内完成。在每个模块结束时，采用五个问题的调查来自我评估创伤患者护理的评估技能，沟通技巧和舒适度。参与者对技能和舒适度的评分为“0-10”，0代表“一点也不”，10代表“非常”。结果:该试点课程于2019年5月至2020年5月在美国西北部的一个二级创伤中心进行。护士报告说，ATTAC改善了护理创伤患者的评估技能、团队沟通和舒适度(平均= 9.4;95% ci [9.0, 9.8];0-10分)。参与者指出了与现实世界非常相似的场景;概念应用程序在每次会话后直接开始。结论:这种新颖的高级创伤教育方法促进了高级技能的发展，使护士能够预测需求，而不是被动反应，从事批判性思维，并适应快速变化的患者情况。
期刊介绍：
Journal of Trauma Nursing (JTN) is the official journal of the Society of Trauma Nurses.
The Society of Trauma Nurses believes that trauma is a disease impacting patients through the continuum of care. The mission of STN is to ensure optimal trauma care through education, collaboration, leadership and membership engagement. As the official publication of the Society of Trauma Nurses, the Journal of Trauma Nursing supports the STN’s strategic goals of effective communication, education and patient advocacy with original, peer-reviewed, research and evidence-based articles and information that reflect the highest standard of collaborative care for trauma patients.
The Journal of Trauma Nursing, through a commitment to editorial excellence, implements STN’s vision to improve practice and patient outcomes and to become the premiere global nursing organization across the trauma continuum.
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