Citation

Curtis K, Gabbe B, Vallmuur K, Martin K, Nahidi S, Shaban RZ, Pollard C, Christey G. Injury 2020; ePub(ePub): ePub.

Affiliation

Royal Australasian College of Surgeons, Trauma Quality Improvement Sub-Committee, Australia; Australasian Trauma Society, Australia; Australian Trauma Quality Improvement Program (AusTQIP), Australia; Waikato District Health Board, Hamilton, New Zealand; Waikato Clinical School, University of Auckland, New Zealand.

Copyright

(Copyright © 2020, Elsevier Publishing)

DOI

10.1016/j.injury.2020.01.003

PMID

31926611

Abstract

INTRODUCTION: The availability and implementation of evidence-based care is essential to achieving safe, quality trauma patient outcomes. Little is documented, however, about the challenges trauma clinicians face in their day-to day practice, or their views on the availability of evidence. This paper presents the most significant clinical practice challenges reported by multidisciplinary trauma care professionals in Australia and New Zealand, in particular those that may be resolved with focussed research or enhanced implementation activity.

METHODS: An exploratory survey of trauma professionals from relevant Australia and New Zealand professional organisations was conducted between September 2018 and February 2019 using the Snowballing Method. Participants were recruited via a non-random sampling technique to complete an online survey. Thematic analyses were conducted.

RESULTS: There were nine significant clinical practice challenge themes in trauma care, arising from 287 individual clinical practice challenges reported. The most reported being clinical management (bleeding, spinal, older patients) and operationalisation of the trauma system. There was no consensus as to the availability of evidence to guide each theme.

CONCLUSION: Future research should seek to address the clinical practice challenge of Australian and New Zealand trauma community to enable safe, quality trauma patient outcomes.

Crown Copyright © 2020. Published by Elsevier Ltd. All rights reserved.

Language: en

Keywords

Clinical practice; Emergency; Implementation; Injury; Nursing; Quality Improvement; Research; Translation; Trauma; Trauma systems and management