PROBLEM:Nurses are crucial members of the team caring for the acutely injured trauma patient. Until recently, nurses and physicians gained an understanding of leadership and supportive roles separately. With the advent of a multidisciplinary team approach to trauma care, formal team training and simulation has transpired. METHODS:Since 2007, our Level I trauma system has integrated TeamSTEPPS (Team Strategies & Tools to Enhance Performance & Patient Safety; Agency for Healthcare Research and Quality, Rockville, MD) into our clinical care, joint training of nurses and physicians, using simulations with participation of all health care providers. With the increased expectations of a well-orchestrated team and larger number of emergency nurses, our program created the Trauma Nurse Academy. This academy provides a core of experienced nurses with an advanced level of training while decreasing the variability of personnel in the trauma bay. Components of the academy include multidisciplinary didactic education, the Essentials of TeamSTEPPS, and interactive trauma bay learning, to include both equipment and drug use. Once completed, academy graduates participate in the orientation and training of General Surgery and Emergency Medicine residents' trauma bay experience and injury prevention activities. RESULTS:Internal and published data have demonstrated growing evidence linking trauma teamwork training to knowledge and self-confidence in clinical judgment to team performance, patient outcomes, and quality of care. IMPLICATIONS FOR PRACTICE:Although trauma resuscitations are stressful, high risk, dynamic, and a prime environment for error, new methods of teamwork training and collaboration among trauma team members have become essential.

译文

问题:护士是护理严重受伤的创伤患者的团队的关键成员。直到最近,护士和医师还分别了解领导和支持角色。随着多学科团队创伤治疗方法的问世,正式的团队培训和模拟已经出现。
方法:自2007年以来,我们的I级创伤系统已将TeamSTEPPS(提高绩效和患者安全的团队策略和工具;医疗研究与质量局,马里兰州罗克维尔)集成到我们的临床护理中,使用模拟对护士和医生进行联合培训在所有医疗保健提供者的参与下。随着团队的精心安排和急诊护士人数的增加,我们的计划创建了创伤护士学院。该学院为经验丰富的护士提供了高级培训,同时又减少了外伤部位人员的变异性。该学院的组成部分包括多学科的教学教育,TeamSTEPPS的基础知识以及交互式创伤学,包括设备和药物使用。完成后,学院的毕业生将参加普通外科和急诊科住院医师的创伤湾经验和伤害预防活动的指导和培训。
结果:内部和公开的数据表明,越来越多的证据将创伤团队合作训练与临床判断的知识和自信心与团队绩效,患者结果和护理质量联系起来。
实践的意义:尽管创伤复苏具有压力,高风险,动态且是错误的主要环境,但创伤团队成员之间进行团队合作培训和协作的新方法已变得至关重要。

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