Utsi Risten, Brandstorp Helen, Johansen Kenneth, Wisborg Torben
Program for fagutvikling og forskning, i Nord-Norge, Institutt for samfunnsmedisin, Universitetet i Tromsø.
Tidsskr Nor Laegeforen. 2008 May 1;128(9):1057-9.
Most Norwegian hospitals have systematically trained trauma teams in cooperation with the BEST Foundation: Better & systematic trauma care. A group of general practitioners, ambulance personnel and primary care nurses have modified this training concept for use in general practise, with the aim to strengthen acute medical competence within Norwegian primary health care. This study describes experience gained with a training method for dealing with receival and stabilisation of victims of injury in multiprofessional teams in primary health care.
Multiprofessional training courses were held in 10 municipalities in Finnmark county in northern Norway. The course consisted of two hours of lectures on handling of critically injured patients in the primary care setting, followed by practical training with simulated patients. Communication, leadership and cooperation was emphasised during the training. The simulation sessions with dolls were video recorded and evaluated after each session. Individual questionnaires were distributed before and after training.
Most municipalities that we contacted responded positively. Training was arranged for 22 teams and 145 participants completed questionnaires. The participants reported a significantly improved confidence in their own role and the correct order of necessary procedures. 91% would recommend the course to a colleague.
This group of different health professionals reported a great need for training and a high outcome after the intervention. The findings support further dissemination of this training method in Norwegian primary health care.
大多数挪威医院与“更好、更系统的创伤护理”（BEST）基金会合作，对创伤团队进行了系统培训。一群全科医生、救护人员和初级保健护士对这一培训理念进行了调整，以便在全科医疗中使用，目的是增强挪威初级卫生保健机构内的急性医疗能力。本研究描述了一种针对初级卫生保健多专业团队中受伤患者的接收和稳定处理的培训方法所取得的经验。
在挪威北部芬马克郡的10个市镇举办了多专业培训课程。该课程包括两小时关于在初级保健环境中处理重伤患者的讲座，随后是对模拟患者的实践培训。培训过程中强调了沟通、领导能力和合作。使用玩偶进行的模拟环节在每次课程结束后进行录像并评估。在培训前后发放了个人问卷。
我们联系的大多数市镇都给予了积极回应。为22个团队安排了培训，145名参与者完成了问卷。参与者报告称，他们对自己的角色和必要程序的正确顺序的信心显著增强。91%的人会向同事推荐该课程。
这群不同的卫生专业人员表示非常需要培训，且干预后效果良好。这些结果支持在挪威初级卫生保健机构中进一步推广这种培训方法。
