Effectiveness of the Rural Trauma Team Development Course for Educating Nurses and Other Health Care Providers at Rural Community Hospitals

Zhu, Thein Hlaing; Hollister, Lisa; Scheumann, Christopher; Konger, Jennifer; Opoku, Dazar

doi:10.1097/jtn.0000000000000176

Cited by 11 publications

(23 citation statements)

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“…Nine studies [7,23,24,25,26,27,28,29,30] comprising 5683 patients, were included in the final qualitative synthesis (Table 1). Studies were published between 2010 and 2018.…”

Section: Resultsmentioning

confidence: 99%

What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-Analysis

et al. 2019

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Background and Objectives: Major trauma centres manage severely injured patients using multi-disciplinary teams but the evidence-base that targeted Trauma Team Training (TTT) improves patients’ outcomes is unclear. This systematic review aimed to identify the association between the implementation of TTT programs and patient outcomes. Materials and Methods: We searched OVID Medline, PubMed and The Cochrane Library (CENTRAL) from the date of the database commencement until 10 of April 2019 for a combination of Medical Subject Headings (MeSH) terms and keywords relating to TTT and clinical outcomes. Reference lists of appraised studies were also screened for relevant articles. We extracted data on the study setting, type and details about the learners, as well as clinical outcomes of mortality and/or time to critical interventions. A meta-analysis of the association between TTT and mortality was conducted using a random effects model. Results: The search yielded 1136 unique records and abstracts, of which 18 full texts were reviewed. Nine studies met final inclusion, of which seven were included in a meta-analysis of the primary outcome. There were no randomised controlled trials. TTT was not associated with mortality (Pooled overall odds ratio (OR) 0.83; 95% Confidence Interval; 0.64–1.09). TTT was associated with improvements in time to operating theatre and time to first computerized tomography (CT) scanning. Conclusions: Despite few publications related to TTT, its introduction was associated with improvements in time to critical interventions. Whether such improvements can translate to improvements in patient outcomes remains unknown. Further research focusing on the translation of standardised trauma team reception “actions” into TTT is required to assess the association between TTT and patient outcome.

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“…Nine studies [7,23,24,25,26,27,28,29,30] comprising 5683 patients, were included in the final qualitative synthesis (Table 1). Studies were published between 2010 and 2018.…”

Section: Resultsmentioning

confidence: 99%

What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-Analysis

et al. 2019

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“…The efficacy of course content was evaluated using a five-point Likert scale for feedback from participants. 14,15 In a previous study on the efficacy of the content of the RTTDC course, more than 94% of participants strongly agreed or agreed that the course content had a positive impact on them. 15 In a study on RTTDC course, 100% of participants who were training to be RTTDC providers and 80%e95% participants training to be RTTDC instructors perceived that course content was highly effective.…”

Section: Comparison With Other Courses and Studiesmentioning

confidence: 99%

“…14e21 The gain in cognitive knowledge was evaluated using pre-training and post-training MCQs. 14,15,17,18,20,21 In our study cognitive knowledge was tested using MCQ having 30 items whereas other previously published studies had MCQs consisting of 18e20 items. 14,15,17,18,20,21 In previously published studies, the improvement in cognitive knowledge has been 11.5%e34.4%.…”

Section: Comparison With Other Courses and Studiesmentioning

confidence: 99%

“…14,15,17,18,20,21 In our study cognitive knowledge was tested using MCQ having 30 items whereas other previously published studies had MCQs consisting of 18e20 items. 14,15,17,18,20,21 In previously published studies, the improvement in cognitive knowledge has been 11.5%e34.4%. 14,15,17,18,20e22 The improvement in cognitive knowledge in our study was 23.7% and this is comparable to that of published work.…”

Section: Comparison With Other Courses and Studiesmentioning

confidence: 99%

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Participants’ perception of the AIIMS Trauma Assessment and Management (ATAM) course for management of polytrauma: A multi-institutional experience from India

Babu

Vishwanathan

Ramesh

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background: In India, the mortality due to polytrauma after road traffic injuries is high and there is a need to train medical and paramedical personnel. The AIIMS Trauma Assessment and Management (ATAM) course was developed at the Apex Trauma Centre of All India Institute of Medical Sciences, New Delhi to sensitize medical personnel with initial assessment and management of polytrauma victims. The aim of this study was to evaluate the impact on knowledge and skills and also evaluate the feedback and the perception of the participants of the ATAM course. Methods: The course was conducted for doctors, nurses and other paramedical/allied professionals in five tertiary level centres associated to medical colleges from geographically diverse locations (Anand, Bengaluru, Delhi, Lucknow and Thrissur). Cognitive knowledge was assessed using pre-training and posttraining multiple choice question (MCQ) tests. The participants also self-rated their level of knowledge, skill, confidence and capability (Numerical rating scale of 1e10). Post-training feedback was obtained from the participants using a five-point Likert scale response. Results: 26 ATAM courses were conducted by 68 course instructors and attended by 780 participants. These participants include 40.4% doctors, 44.2% nurses, 4.7% paramedical technicians, 4.2% medical students and 6.4% paramedical and allied health professionals. There was significant improvement (p < 0.0001) in the cognitive knowledge, skill, confidence and capability of the participants. 85%e86% of the participants strongly agreed or agreed that the course content was effective and 85% of participants perceived that the course was excellent or very good. Conclusion:The ATAM course had a positive impact on the knowledge, skills, confidence and capability of health caregivers attending the course. The ATAM course is an effective, practical and favourable option that is tailored to the polytrauma training needs of India. We recommend widespread dissemination of this course.

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“…For example, to date, over one million clinicians in 80 countries have received Advanced Trauma Life Support (ATLS) course trainings [ 9 ]. Based on models of care from high-income countries, standard ALS courses have not been adapted to low-resource clinical settings (with few exceptions) [ 6 , [10] , [11] , [12] , [13] , [14] ].…”

Section: Introductionmentioning

confidence: 99%

Advanced life support courses in Africa: Certification, availability and perceptions

Friedman

Werner

Geduld

et al. 2020

African Journal of Emergency Medicine

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Background Advanced life support (ALS) short training courses are in demand across Africa, though overwhelmingly designed and priced for non-African contexts. The continental expansion of emergency care is driving wider penetration of these courses, but their relevance and accessibility is not known. We surveyed clinicians within emergency settings to describe ALS courses' prevalence and perceived value in Africa. Methods We conducted a cross-sectional quantitative analysis of 235 clinicians' responses to the African Federation for Emergency Medicine's online needs assessment for an open-access ALS course in Africa. Participants responded to multiple-choice and open answer questions assessing demographics, ALS course certification and availability, perceptions of ALS courses, and barriers and facilitators to undertaking such courses. Results 235 clinicians working in 23 African nations responded. Most clinicians reported ALS course completion within the past three years (73%) and in-country access to ALS courses (76%). Most believed the content adequately met their region's needs (60%). Price and course availability were the most common barriers to taking an ALS course. The most common courses were cardiac and paediatric-focused, and the most common reasons to take a course included general career development, personal interest, and departmental requirements. Conclusion One-quarter of emergency care clinicians lack access to ALS courses in twenty-three African nations. Most clinicians believe that ALS courses have value in their clinical settings and meet the needs of their region. Our findings illustrate the need for an affordable, widely available ALS course tailored to lower-resource African settings that could reach rural and peri-urban clinicians.

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Effectiveness of the Rural Trauma Team Development Course for Educating Nurses and Other Health Care Providers at Rural Community Hospitals

Cited by 11 publications

References 0 publications

What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-Analysis

What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-Analysis

Participants’ perception of the AIIMS Trauma Assessment and Management (ATAM) course for management of polytrauma: A multi-institutional experience from India

Advanced life support courses in Africa: Certification, availability and perceptions

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