Sawe Hendry R, Sirili Nathanael, Weber Ellen, Coats Timothy J, Reynolds Teri A, Wallis Lee A
Department of Emergency Medicine, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania.
Division of Emergency Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Inj Epidemiol. 2020 May 1;7(1):15. doi: 10.1186/s40621-020-00244-3.
Trauma registries (TRs) are essential to informing the quality of trauma care within health systems. Lack of standardised trauma documentation is a major cause of inconsistent and poor availability of trauma data in most low- and middle-income countries (LMICs), hindering the development of TRs in these regions. We explored health providers' perceptions on the use of a standardised trauma form to record trauma patient information in Tanzania.
An exploratory qualitative research using a semi-structured interview guide was carried out to purposefully selected key informants comprising of healthcare providers working in Emergency Units and surgical disciplines in five regional hospitals in Tanzania. Data were analysed using a thematic analysis approach to identify key themes surrounding potential implementation of the standardised trauma form.
Thirty-three healthcare providers participated, the majority of whom had no experience in the use of standardised charting. Only five respondents had prior experience with trauma forms. Responses fell into three themes: perspectives on the concept of a standardised trauma form, potential benefits of a trauma form, and concerns regarding successful and sustainable implementation.
Findings of this study revealed wide healthcare provider acceptance of moving towards standardised clinical documentation for trauma patients. Successful implementation likely depends on the perceived benefits of using a trauma form as a tool to guide clinical management, standardise care and standardise data reporting; however, it will be important moving forward to factor concerns brought up in this study. Potential barriers to successful and sustainable implementation of the form, including the need for training and tailoring of form to match existing resources and knowledge of providers, must be considered.
创伤登记系统对于了解卫生系统内创伤护理的质量至关重要。在大多数低收入和中等收入国家（LMICs），缺乏标准化的创伤记录是创伤数据不一致且难以获取的主要原因，这阻碍了这些地区创伤登记系统的发展。我们探讨了坦桑尼亚卫生服务提供者对使用标准化创伤表格记录创伤患者信息的看法。
采用半结构化访谈指南进行探索性定性研究，目的是选取坦桑尼亚五家地区医院急诊科和外科的医护人员作为关键信息提供者。采用主题分析法对数据进行分析，以确定围绕标准化创伤表格潜在实施的关键主题。
33名医护人员参与了研究，其中大多数人没有使用标准化图表的经验。只有5名受访者有使用创伤表格的经验。回答分为三个主题：对标准化创伤表格概念的看法、创伤表格的潜在益处以及对成功和可持续实施的担忧。
本研究结果表明，医护人员广泛接受为创伤患者采用标准化临床记录。成功实施可能取决于将创伤表格视为指导临床管理、规范护理和规范数据报告的工具所带来的益处；然而，考虑本研究中提出的担忧将很重要。必须考虑成功和可持续实施该表格的潜在障碍，包括培训需求以及使表格符合现有资源和提供者知识的调整。
