Israel National Center for Trauma and Emergency Medicine Research, Sheba Medical Center, The Gertner Institute for Epidemiology and Health Policy Research, Ramat-Gan, Israel.
Department of Emergency and Disaster Management, Faculty of Medicine, School of Public Health, Sackler Tel Aviv University, Tel Aviv, Israel.
Front Public Health. 2023 Apr 12;11:1150030. doi: 10.3389/fpubh.2023.1150030. eCollection 2023.
In the aftermath of disasters, Emergency Medical Teams (EMTs) are dispatched to help local rescue efforts. Although EMTs are recognized to be a critical component of the global health workforce, concerns have emerged over their functioning and effectiveness. For example, lack of cooperation and coordination between different EMTs has been a longstanding issue, resulting in fragmented disaster management.
To enhance the provision of EMT's field teamwork, the Training for Emergency Medical Teams and European Medical Corps (TEAMS) project was established, and later further updated with novel scenarios and exercises (i.e., adapting EMT operations to a sudden disaster; becoming a modular team; reflecting on ethical dilemmas) in the complementary "TEAMS 3.0" project where a more comprehensive training package was developed. The aim of this study was to assess the effectiveness and quality of the TEAMS 3.0 training package in four training programs in Portugal, Germany, Norway, and Turkey. Participants completed a set of questionnaires designed to assess self-efficacy, teamwork, and quality of training.
The results from all the trainings suggest an improvement for both teams' self-efficacy and teamwork. The mean score among all the participants ( = 100) for both the self-efficacy scale and teamwork scale was 3.217 (±0.223) prior to training and 3.484 (±0.217) following the training, and 2.512 (±1.313) prior to training and 3.281 (±0.864), respectfully, with statistically significant differences according to Wilcoxon paired samples test ( < 0.05). The quality of training is regarded as high and deemed as an appropriate tool package for addressing the objectives of the project and the perceived needs of EMT disaster deployment.
Thus far, the TEAMS 3.0 project has demonstrated to be effective in promoting EMT teamwork capacities.
在灾难发生后，紧急医疗小组（EMT）被派往现场协助当地的救援工作。虽然 EMT 被认为是全球卫生工作者的重要组成部分，但人们对其功能和效果的担忧也随之出现。例如，不同 EMT 之间缺乏合作和协调一直是一个长期存在的问题，导致灾害管理工作支离破碎。
为了提高 EMT 现场团队合作能力，开展了紧急医疗小组培训和欧洲医疗队（TEAMS）项目，后来在补充的“TEAMS 3.0”项目中进一步更新了新的场景和演习（即，使 EMT 行动适应突发灾害；成为一个模块化团队；反思道德困境），开发了更全面的培训包。本研究旨在评估 TEAMS 3.0 培训包在葡萄牙、德国、挪威和土耳其的四个培训项目中的有效性和质量。参与者完成了一套旨在评估自我效能感、团队合作和培训质量的问卷。
所有培训的结果都表明团队的自我效能感和团队合作能力都有所提高。所有参与者（n=100）的自我效能感量表和团队合作量表的平均得分在培训前分别为 3.217（±0.223）和 2.512（±1.313），培训后分别为 3.484（±0.217）和 3.281（±0.864），根据 Wilcoxon 配对样本检验，差异均有统计学意义（ < 0.05）。培训质量被认为很高，是解决 EMT 灾害部署目标和感知需求的适当工具包。
到目前为止，TEAMS 3.0 项目已被证明能有效提高 EMT 的团队合作能力。
