What attributes define excellence in a trauma team? A qualitative study

Kassam, Faazil; Cheong, Alexander; Evans, David C.; Singhal, Ash

doi:10.1503/cjs.013418

Cited by 6 publications

(5 citation statements)

References 11 publications

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“…Hospital trauma teams are made up of a wide range of healthcare practitioners who collaborate to provide high-quality care. While many scholars agree that a good trauma team’s qualities are self-evident, there is little quantitative evidence on the most desirable attributes associated with good trauma care [ 1 , 2 ]. Moreover, team dynamics in trauma and emergency settings are crucial.…”

Section: Introductionmentioning

confidence: 99%

Team dynamics in emergency surgery teams: results from a first international survey

et al. 2021

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Background Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma’s causes or the patient’s personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. Methods An online survey was conducted among the World Society of Emergency Surgery members in early 2021. 402 fully filled questionnaires on the topics of knowledge translation dynamics and tools, non-technical skills, and difficulties in teamwork were collected. Data were analyzed using the software R, and reported following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Results Findings highlight how several surgeons are still unsure about the meaning and potential of knowledge translation and its mechanisms. Tools like training, clinical guidelines, and non-technical skills are recognized and used in clinical practice. Others, like patients’ and stakeholders’ engagement, are hardly implemented, despite their increasing importance in the modern healthcare scenario. Several difficulties in working as a team are described, including the lack of time, communication, training, trust, and ego. Discussion Scientific societies should take the lead in offering training and support about the abovementioned topics. Dedicated educational initiatives, practical cases and experiences, workshops and symposia may allow mitigating the difficulties highlighted by the survey’s participants, boosting the performance of emergency teams. Additional investigation of the survey results and its characteristics may lead to more further specific suggestions and potential solutions.

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Section: Introductionmentioning

confidence: 99%

Team dynamics in emergency surgery teams: results from a first international survey

et al. 2021

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“…Communication during trauma care has been found to be unsatisfactory (Abdalghafoor et al, 2022). Communication and role clarity are key components for a positive experience in the trauma bay (Kassam et al, 2019). To reduce crowding, improve workflow, and increase care effectiveness, a well-organized layout of the physical environment can greatly improve the trauma care experience (Bayramzadeh & Chiu, 2022).…”

Section: Discussionmentioning

confidence: 99%

Stress and Coping in Emergency Nurses Following Trauma Patient Care: A Qualitative Grounded Theory Approach

Gillespie,

Meyer,

Daugherty

et al. 2024

Journal of Trauma Nursing

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BACKGROUND: Experiencing symptoms of traumatic stress may be the cost of caring for trauma patients. Emergency nurses caring for trauma patients are at risk for traumatic stress reactions. OBJECTIVE: This study explored the stress and coping behaviors experienced by emergency nurses who provide trauma care. METHODS: Focus groups were held at three urban trauma centers in the Midwestern United States: a Level I pediatric trauma center, a Level I adult trauma center, and a Level III adult trauma center. Data were collected between December 2009 and March 2010. Data analysis was guided by the principles of grounded theory. Line-by-line coding and constant comparative analysis techniques were used to identify recurring constructs. RESULTS: A total of 48 emergency nurses participated. Recurring constructs emerged in the data analysis and coding, revealing four major themes: care of the trauma patient, professional practice, personal life, and support. CONCLUSIONS: Nurse job engagement, burnout, and professional and personal relationships are influenced by trauma patient care. The study’s resulting themes of care of the trauma patient, professional practice, personal life, and support resulted in the development of the “trauma nursing is a continual experience theory” that can be used as a framework to address these effects. Intentional support and timely interventions based on this new theory can help mitigate the effects of traumatic stress experienced by trauma nurses.

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“…The trauma team comprises a multidisciplinary team lead by the trauma team leader (TTL). 29,30 Composition is variable, but typically, general surgery and anesthesia are core members. Orthopaedics is part of the trauma team in some institutions.…”

Section: Overviewmentioning

confidence: 99%

Rehabilitation after musculoskeletal injury: an overview of systems in the United States and Canada

Miclau,

Pascual,

Ndoja

et al. 2024

OTA International

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As North America is largely industrialized with a variety of available private transportation options, trauma is a common occurrence, resulting in significant burdens of disability and costs to the health care system. To meet increasing trauma care needs, there is a robust organization of trauma and rehabilitation systems, particularly within the United States and Canada. The American and Canadian health care systems share multiple similarities, including well-equipped Level I trauma centers, specialized inpatient rehabilitation units for polytrauma patients, and thorough evaluations for recovery and post-discharge placement. However, they also have several key differences. In Canada, the criteria for admission to inpatient rehabilitation vary by location, and inpatient rehabilitation is universally accessible, whereas outpatient rehabilitation services are generally not covered by insurance. In the United States, these admission criteria for post-acute inpatient rehabilitation are standardized, and both inpatient and outpatient services are covered by private and government-funded insurance with varying durations. Overall, both health care systems face challenges in post-acute rehabilitation, including benefit limitations and limited provider access in rural areas, and must continue to evolve to meet the rehabilitation needs of injured patients as they reintegrate into their communities.

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What attributes define excellence in a trauma team? A qualitative study

Cited by 6 publications

References 11 publications

Team dynamics in emergency surgery teams: results from a first international survey

Team dynamics in emergency surgery teams: results from a first international survey

Stress and Coping in Emergency Nurses Following Trauma Patient Care: A Qualitative Grounded Theory Approach

Rehabilitation after musculoskeletal injury: an overview of systems in the United States and Canada

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