AIIMS Rishikesh, Rishikesh, Uttarakhand, India (Mss Kaur and Rao and Messrs Rattan, Kumar, and Kant); and ATLS India, Indian Society for Trauma and Acute Care, New Delhi, India (Mr Misra).
J Trauma Nurs. 2021;28(4):258-264. doi: 10.1097/JTN.0000000000000594.
Trauma is a global cause of death and disability, and trauma systems are not well developed in low- and middle-income countries. Training of nurses in trauma care is of utmost importance to improve the organization and delivery of trauma care.
This study aimed to identify common knowledge gaps and develop study aids to improve nurses' performance taking the Advanced Trauma Care for Nurses (ATCN) course.
This is a descriptive, single-center study of the multiple-choice final examinations of the ATCN course conducted over 1 year in the All India Institute of Medical Sciences, Rishikesh, Level I trauma center. The questions missed by candidates were compiled, and the wrong options were tabulated. The most commonly missed questions were identified, and the most commonly marked wrong option was analyzed vis-a-vis the correct answer. Each error was classified into either a theoretical error or a practice-based error.
Ninety-six nurses attended 6 courses from June 2019 to June 2020. Of the theoretical-based questions, the top 3 categories of most missed questions were geriatric trauma (n = 13; 81.2%), massive transfusion (n = 35; 72.9%), and traumatic brain injury (n = 35; 72.9%). Of the practice-based questions, the top 3 categories of most missed questions were dislocated extremity management (n = 54; 79.4%), basic airway (n = 31; 64.5%), and shock management (n = 30; 62.5%).
Periodic identification and categorization of the ATCN course examination's most frequent knowledge gaps allow instructors to develop teaching aids to enhance instructor teaching and improve trauma nurses' knowledge.
创伤是全球范围内导致死亡和残疾的主要原因，而中低收入国家的创伤系统并不完善。培训护士进行创伤护理对于改善创伤护理的组织和实施至关重要。
本研究旨在确定常见的知识差距，并制定学习辅助工具，以提高护士在参加高级创伤护理护士（ATCN）课程时的表现。
这是一项在印度全印医学科学院瑞诗凯诗一级创伤中心进行的为期一年的 ATCN 课程多项选择题期末考试的描述性单中心研究。编制了考生答错的题目，并列出了错误选项。确定最常答错的问题，并分析最常标记的错误选项与正确答案相比的情况。每个错误都分为理论错误或基于实践的错误。
96 名护士参加了 2019 年 6 月至 2020 年 6 月的 6 门课程。在理论题中，最常答错的前 3 个类别是老年创伤（n = 13；81.2%）、大量输血（n = 35；72.9%）和创伤性脑损伤（n = 35；72.9%）。在基于实践的问题中，最常答错的前 3 个类别是脱位肢体管理（n = 54；79.4%）、基本气道（n = 31；64.5%）和休克管理（n = 30；62.5%）。
定期确定和分类 ATCN 课程考试中最常见的知识差距，使教师能够开发教学辅助工具，提高教师的教学效果，并提高创伤护士的知识水平。
