Awwad Khalaf, Ng Yee Guan, Lee Khuan, Lim Poh Ying, Rawajbeh Belal
Department of Nursing and Rehabilitation, Faculty Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Malaysia.
Department of Environmental and Occupational Health, Faculty Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor, Malaysia.
Int Emerg Nurs. 2021 May;56:100994. doi: 10.1016/j.ienj.2021.100994. Epub 2021 Mar 31.
In the trauma triage procedure, nurses with good knowledge and skills can start initial treatment immediately pending doctors availability, and before a final diagnosis is made. The Advanced Trauma Life Support/ Advanced Trauma Care for Nurses is one of the most important trauma education programmes to enhance the knowledge and skills of emergency nurses. This systematic review of the literature attempts to investigate the implications of introducing an Advanced Trauma Life Support/Advanced Trauma Care for Nurses' knowledge and skills related to trauma triage.
A systematic review was carried out using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The included sites and databases are Web of Science, Scopus, PubMed, ScienceDirect, Cochrane Library, and Bielefeld Academic Search Engine (BASE) from 1994 to 2019. The quality of the selected studies was evaluated using a standard quality rating tool (SQRT). The quality of the criteria for inclusion and exclusion was independently reviewed by three researchers.
This study evaluated 5266 records in the identification stage. In the included stage, only four studies were included in this review. In the standard quality assessment, none of the included studies were evaluated as being a strong study, none used an experimental design at three points in time (pre, post and follow-up), and all showed a moderate to high risk of bias. There is a lack of knowledge and skills related to trauma triage among emergency nurses in the included studies.
A lack of knowledge and skills concerning trauma triage among emergency nurses could potentially have an adverse effect on the outcomes of the patients in trauma cases.
在创伤分诊程序中，具备丰富知识和技能的护士可以在医生到达之前、最终诊断做出之前立即开始初步治疗。高级创伤生命支持/护士高级创伤护理是提高急诊护士知识和技能的最重要的创伤教育项目之一。本系统文献综述旨在调查引入高级创伤生命支持/护士高级创伤护理对与创伤分诊相关的知识和技能的影响。
使用系统评价和Meta分析的首选报告项目（PRISMA）进行系统评价。纳入的网站和数据库为1994年至2019年的Web of Science、Scopus、PubMed、ScienceDirect、Cochrane图书馆和比勒费尔德学术搜索引擎（BASE）。使用标准质量评级工具（SQRT）评估所选研究的质量。纳入和排除标准的质量由三位研究人员独立审查。
本研究在识别阶段评估了5266条记录。在纳入阶段，本综述仅纳入了四项研究。在标准质量评估中，纳入的研究均未被评估为强有力的研究，均未在三个时间点（术前、术后和随访）采用实验设计，且均显示出中度至高偏倚风险。纳入研究中的急诊护士缺乏与创伤分诊相关的知识和技能。
急诊护士缺乏创伤分诊方面的知识和技能可能会对创伤病例患者的治疗结果产生不利影响。
