Department of Acute Care, The BEST Foundation, Better & Systematic Trauma Care, Hammerfest Hospital, Hammerfest, Norway.
Scand J Trauma Resusc Emerg Med. 2009 Sep 26;17:48. doi: 10.1186/1757-7241-17-48.
Trauma is the leading cause of death for young people in Norway. Studies indicate that several of these deaths are avoidable if the patient receives correct initial treatment. The trauma team is responsible for initial hospital treatment of traumatized patients, and team members have previously reported that non-technical skills as communication, leadership and cooperation are the major challenges. Better team function could improve patient outcome. The aim of this study was to obtain a deeper understanding of which non-technical skills are important to members of the trauma team during initial examination and treatment of trauma patients.
Twelve semi-structured interviews were conducted at four different hospitals of various sizes and with different trauma load. At each hospital a nurse, an anaesthesiologist and a team leader (surgeon) were interviewed. The conversations were transcribed and analyzed using systematic text condensation according to the principles of Giorgi's phenomenological analysis as modified by Malterud.
Leadership was perceived as an essential component in trauma management. The ideal leader should be an experienced surgeon, have extensive knowledge of trauma care, communicate clearly and radiate confidence. Team leaders were reported to have little trauma experience, and the team leaders interviewed requested more guidance and supervision. The need for better training of trauma teams and especially team leaders requires further investigation and action.
创伤是挪威年轻人死亡的主要原因。研究表明，如果患者接受正确的初步治疗，其中一些死亡是可以避免的。创伤小组负责创伤患者的初步医院治疗，小组成员此前报告称，沟通、领导和合作等非技术技能是主要挑战。更好的团队功能可以改善患者的预后。本研究旨在更深入地了解创伤团队成员在创伤患者的初步检查和治疗过程中哪些非技术技能是重要的。
在四家不同规模和创伤负荷的医院进行了 12 次半结构化访谈。在每家医院，采访了一名护士、一名麻醉师和一名团队领导（外科医生）。根据 Giorgi 现象学分析原则和 Malterud 的修改，对谈话进行了转录和分析，采用系统文本浓缩法。
领导力被认为是创伤管理的一个重要组成部分。理想的领导者应该是一位经验丰富的外科医生，具有广泛的创伤护理知识，能够清晰地沟通并表现出自信。据报道，团队领导创伤经验有限，接受采访的团队领导请求更多的指导和监督。需要进一步调查和采取行动，以更好地培训创伤团队，特别是团队领导。
