Ireland Sharyn, Cross Rachel, Decker Kelly, Mitra Biswadev
Clinical Nurse Educator, Emergency and Trauma Centre, Alfred Health, 55 Commercial Rd., Melbourne VIC, 3004, Australia; Senior Adjunct Lecturer, La Trobe University, School of Nursing and Midwifery, Melbourne, 3004, Victoria, Australia.
Lecturer, La Trobe University, School of Nursing and Midwifery, Melbourne, 3004, Victoria, Australia; Critical Care Registered Nurse, Emergency and Trauma Centre, Alfred Health, 55 Commercial Rd., Melbourne VIC 3004, Australia.
Australas Emerg Nurs J. 2017 Aug;20(3):131-138. doi: 10.1016/j.aenj.2017.05.002. Epub 2017 Jun 12.
Emergency nurses working in non-Major Trauma Service (non-MTS) facilities face the challenge of providing immediate care to seriously injured patients, despite infrequent presentations at their workplace. A one-day education programme endorsed by the Australian College of Nursing was developed to provide contemporary trauma education for nurses. The aim of this study was to report participants' perceptions of their experience of this programme.
Peer reviewed lesson plans were developed to guide educational activities. Of 32 participants, 24 consented to and completed pre and post-programme surveys. Thematic analysis and descriptive statistics were used to report study findings.
Most participants were nurses with greater than two years' experience in Emergency Nursing (92%). Trauma patient transfers each year from a non-MTS to a Major Trauma Service occurred infrequently; eight nurses (33.3%) reported greater than10 trauma transfers per year. Participant expectations of the programme included personal growth, knowledge acquisition, increased confidence and a focus on technical skills. Participants reported the day to be worthwhile and valuable; improved confidence, increased knowledge, and the opportunity to discuss current evidence based practice were highly regarded. Recommendations for future programmes included extending to two days and include burns and more complex pathophysiology.
With centralisation of trauma care to major trauma services, frequent and continuing education of nurses is essential. Nurses from non-Major Trauma Service facilities in Victoria found this programme worthwhile as they gained knowledge and skills and increased confidence to care for trauma patients.
在非重大创伤服务（non-MTS）机构工作的急诊护士面临着为重伤患者提供即时护理的挑战，尽管此类患者在其工作场所并不常见。澳大利亚护理学院认可的一项为期一天的教育计划旨在为护士提供当代创伤教育。本研究的目的是报告参与者对该计划体验的看法。
制定了经过同行评审的教案来指导教育活动。32名参与者中，24人同意并完成了计划前后的调查。采用主题分析和描述性统计来报告研究结果。
大多数参与者是有两年以上急诊护理经验的护士（92%）。每年从非MTS机构转至重大创伤服务机构的创伤患者很少；8名护士（33.3%）报告每年有超过10例创伤患者转诊。参与者对该计划的期望包括个人成长、知识获取、增强信心以及注重技术技能。参与者认为这一天很有价值；增强信心、增加知识以及有机会讨论当前循证实践受到高度评价。对未来计划的建议包括延长至两天，并涵盖烧伤和更复杂的病理生理学内容。
随着创伤护理集中到重大创伤服务机构，对护士进行频繁且持续的教育至关重要。维多利亚州非重大创伤服务机构的护士认为该计划很有价值，因为他们获得了知识和技能，并增强了护理创伤患者的信心。
