Under the Lens: Team Perception of Trauma Video Review.

IF 0.7 4区 医学 Q4 CRITICAL CARE MEDICINE
Marinda G Scrushy, Madhuri Nagaraj, Kristen Burke, Kali Kuhlenschmidt, Shannon Jeter, Della Johnson, Kristie Brown, Courtney Edwards, Alexander Marinica, Michael A Vella, Daniel N Holena, Caroline Park, Ryan P Dumas
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引用次数: 0

Abstract

Background: Video-based assessment and review are becoming increasingly common, and trauma video review (TVR) has been shown to be an effective educational, quality improvement, and research tool. Yet, trauma team perception of TVR remains incompletely understood.

Objective: We evaluated positive and negative perceptions of TVR across multiple team member groups. We hypothesized that members of the trauma team would find TVR educational and that anxiety would be low across all groups.

Methods: An anonymous electronic survey was provided to nurses, trainees, and faculty during weekly multidisciplinary trauma performance improvement conference following each TVR activity. Surveys assessed perception of performance improvement and anxiety or apprehension (Likert scale: 1 "strongly disagree" to 5 "strongly agree"). We report individual and normalized cumulative scores (average of responses for each positive [n = 6] and negative [n = 4] question stem).

Results: We analyzed 146 surveys over 8 months, with 100% completion rate. Respondents were trainees (58%), faculty (29%), and nurses (13%). Of the trainees, 73% were postgraduate year (PGY) 1-3 and 27% were PGY 4-9. Of all respondents, 84% had participated previously in a TVR conference. Respondents reported an improved perception of resuscitation education quality and personal leadership skills development. Participants found TVR to be more educational than punitive overall. Analysis of team member types showed lower scores for faculty for all positive stemmed questions. Trainees were more likely to agree with negative stemmed questions if they were a lower PGY, and nurses were least likely to agree with negative stemmed questions.

Conclusions: TVR improves trauma resuscitation education in a conference setting, with trainees and nurses reporting the greatest benefit. Nurses were noted to be the least apprehensive about TVR.

镜头下:创伤视频回顾的团队感知。
背景:基于视频的评估和复习正变得越来越普遍,创伤视频复习(TVR)已被证明是一种有效的教育、质量改进和研究工具。然而,创伤小组对TVR的看法仍不完全清楚。目的:我们评估了多个团队成员群体对TVR的积极和消极看法。我们假设创伤小组的成员会发现TVR具有教育意义,所有小组的焦虑程度都很低。方法:在每次TVR活动后的每周多学科创伤表现改善会议上,向护士、受训人员和教师提供匿名电子调查。调查评估了绩效改善和焦虑或忧虑的感知(李克特量表:1“非常不同意”到5“非常同意”)。我们报告了个人和标准化的累积分数(每个积极[n = 6]和消极[n = 4]问题的平均回答)。结果:8个月共分析146份问卷,完成率100%。受访者为受训人员(58%)、教师(29%)和护士(13%)。其中研究生1-3年级占73%,研究生4-9年级占27%。在所有受访者中,84%曾参加过TVR会议。受访者报告复苏教育质量和个人领导技能发展的看法有所改善。参与者发现TVR总体上更具教育性而非惩罚性。对团队成员类型的分析显示,教师在所有积极问题上的得分都较低。如果受训者的PGY较低,他们更有可能同意消极的问题,而护士最不可能同意消极的问题。结论:TVR改善了会议环境下的创伤复苏教育,学员和护士报告获益最大。护士对TVR最不担心。
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来源期刊
Journal of Trauma Nursing
Journal of Trauma Nursing CRITICAL CARE MEDICINENURSING&-NURSING
CiteScore
1.20
自引率
10.00%
发文量
106
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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