Lomas G A, Goodall O
Accid Emerg Nurs. 1994 Oct;2(4):205-10. doi: 10.1016/0965-2302(94)90024-8.
This paper gives an overview of research which analysed the nurse's role in the UK trauma team. A prospective study was carried out of 100 trauma patients in 6 UK Accident and Emergency (A & E) departments. The patients were observed throughout their time in the department and the time taken to assess and resuscitate them was monitored along with the structure and organisation of the team. The results revealed that in departments where no trauma teams were present 25% of the patients did not have a secure airway during their stay in the A & E department, and 18% of patients did not have any intravenous access. In comparison, departments with teams secured the airway and obtained intravenous access in 100% of the cases observed. The results highlighted that a structured organised team, with predetermined roles and responsibilities for both nursing and medical staff, has a direct bearing on patient outcome.
本文概述了一项分析护士在英国创伤团队中作用的研究。对英国6个事故与急救(A&E)部门的100名创伤患者进行了一项前瞻性研究。在患者于该部门就诊的整个过程中对其进行观察,并监测评估和抢救他们所需的时间以及团队的结构和组织情况。结果显示,在没有创伤团队的部门,25%的患者在A&E部门就诊期间气道未得到妥善保护,18%的患者没有任何静脉通路。相比之下,有团队的部门在观察到的所有病例中均确保了气道通畅并建立了静脉通路。结果突出表明,一个结构有序、对医护人员的角色和职责有预先规定的团队,对患者的治疗结果有直接影响。