Clinical Skills Development Service, Royal Brisbane and Women's Hospital, Herston, Brisbane, Qld 4029, Australia.
Emergency and Trauma Centre, Royal Brisbane and Women's Hospital, Herston, Brisbane, Qld 4029, Australia.
Rural Remote Health. 2024 Jun;24(2):8851. doi: 10.22605/RRH8851. Epub 2024 Jun 21.
Effective trauma care requires the rapid management of injuries. Rural and remote areas face inequity in trauma care due to time, distance and resource constraints, and experience higher morbidity and mortality rates than urban settings. A training needs analysis (TNA) conducted with stakeholders across Queensland, Australia, revealed a lack of contextual, accessible and interprofessional trauma education for clinicians. The Clinical Skills Development Service and Jamieson Trauma Institute developed the Queensland Trauma Education (QTE) program to address these concerns. QTE comprises a face-to-face training course and open access to online training resources created and reviewed by trauma experts. QTE also supports local training through a statewide simulation network and free access to simulation training equipment. The aim of this article is to review the QTE program and assess the benefits to clinicians in both the delivery of education and the provision of trauma care.
To evaluate the QTE program, a desktop review was conducted. This included analyses of website data, course and website content, and facilitator, stakeholder, participant and user feedback. The data were evaluated using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, and the program's alignment with the original TNA outcomes was assessed.
The results showed that QTE aligns with the identified training needs. Specifically, QTE provides trauma education that is relevant, sustainable, employs best practice, is locally delivered, provides continuous support, is multidisciplinary, multi-platformed, physically accessible and accredited by the Australasian College for Emergency Medicine. The review also highlights how QTE has effectively been reaching its target population, improves knowledge and skills, has become widely adopted, and been implemented and maintained with relative success.
The innovative QTE program addresses the previous deficits in trauma education and meets the needs identified in the TNA. The review also reveals further opportunities for continuous improvement and program sustainability.
有效的创伤护理需要快速处理伤害。由于时间、距离和资源限制，农村和偏远地区的创伤护理存在不平等现象，其发病率和死亡率高于城市环境。澳大利亚昆士兰州的利益相关者进行的一项培训需求分析（TNA）显示，临床医生缺乏针对具体情况的、可及的和跨专业的创伤教育。临床技能发展服务和杰米森创伤研究所开发了昆士兰创伤教育（QTE）计划，以解决这些问题。QTE 包括面对面培训课程和开放访问在线培训资源，这些资源由创伤专家创建和审查。QTE 还通过全州范围的模拟网络和免费获得模拟培训设备为当地培训提供支持。本文的目的是审查 QTE 计划，并评估其对教育交付和创伤护理的临床医生的益处。
为了评估 QTE 计划，进行了桌面审查。这包括对网站数据、课程和网站内容以及培训师、利益相关者、参与者和用户反馈的分析。数据使用 RE-AIM（覆盖范围、有效性、采用、实施和维持）框架进行评估，并评估了该计划与原始 TNA 结果的一致性。
结果表明，QTE 符合确定的培训需求。具体而言，QTE 提供了相关、可持续、采用最佳实践、在当地提供、提供持续支持、多学科、多平台、身体可及和澳大利亚急诊医学院认证的创伤教育。审查还强调了 QTE 如何有效地覆盖其目标人群、提高知识和技能、广泛采用以及相对成功地实施和维持。
创新的 QTE 计划解决了以前创伤教育中的缺陷，并满足了 TNA 中确定的需求。审查还揭示了进一步改进和计划可持续性的机会。
