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.
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Article info
Publication history
Published online: November 11, 2016
Accepted:
September 23,
2016
Footnotes
Supported by the 2014 Children's Hospital Los Angeles Barbara M. Korsch Award for Research in Medical Education.
None of the authors have any conflicts of interest to disclose.
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
