Developing a core competency training curriculum system for emergency trauma nurses in China: a modified Delphi method study

Application of a dual-track teaching model combining CBL and TBL based on the BOPPPS model in trauma care nursing training

AIM

To compare the application effects of a dual-track teaching model combining Case-based Learning (CBL) and Team-based Learning (TBL) based on the BOPPPS model in trauma care nursing training, aiming to provide references for the continuous optimization of domestic trauma care nursing training courses.

BACKGROUND

Planned and targeted standardized training for trauma-related nursing staff is necessary. Trauma care training started earlier abroad than in China, highlighting a critical need to enhance the quality of trauma training.

METHODS

A quasi-experimental research design was used. The control group consisted of 1267 trainees who participated in 12 sessions of CTCT®-N 1.0 training from April 2021 to May 2023, using a teaching method that combined BOPPPS-based classroom lectures with workshop demonstrations. The experimental group consisted of 1212 trainees who participated in 12 sessions of CTCT®-N 2.0 training from June to October 2023, using a dual-track teaching model based on BOPPPS, which integrated case-based classroom lectures with group team-based training.

RESULTS

Post-training assessment scores for the experimental group (86.42 ± 12.27) were higher than those for the control group (74.65 ± 19.56) (t = -4.213, p < 0.001). The experimental group scored an average of 83.36 ± 9.37 in the comprehensive assessment of trauma treatment, with satisfaction ratings above 4 points.

CONCLUSION

The dual-track teaching model combining CBL and TBL based on the BOPPPS framework can enhance the educational effectiveness and satisfaction of trauma care nursing training.

Continuing Education Certificate in Trauma Skills Among Emergency Nurses: A National Sample Survey Analysis

BACKGROUND

Trauma population health indicators are worsening in the United States. Nurses working in trauma care settings require specialized training for patient care. Little is known about national enumeration of nurses who hold skill-based trauma certificates.

OBJECTIVE

The purpose of this project was to estimate (1) skill-based certificate status among U.S. nurses who primarily work with emergency or trauma patients, (2) demographic and work characteristic differences between those who report skill-based trauma certificates and those who do not, and (3) continuing education learning needs among nurses who hold skill-based trauma certificates.

METHODS

This was an applied epidemiologic analysis of the 2022 National Sample Survey of Registered Nurses.

RESULTS

The weighted analysis of 239,893 emergency nurses indicated 57% held skill-based trauma certificates with disparities by rural practice, racial identity, age, and marital status. Among those who held skill-based trauma certificates, the greatest need for continuing education was on topics of mental health, quality improvement, and substance use disorders. Approximately 87% of emergency nurses with trauma skill-based certificates only spoke English fluently.

CONCLUSIONS

Population health management interventions are needed to enhance workforce equity and continuing education opportunities for trauma nurses. Professional nursing organizations, emergency nursing employers, and academic settings should offer continuing education in mental health and quality improvement. These findings also support the need for ongoing activities to enhance language accessibility for non-English speaking patients in the trauma care system.

Translating training to medical practice in trauma care, a literature review

Trauma, a global health challenge, remains a significant cause of mortality despite advances in trauma management. The establishment of trauma teams has revolutionized care in trauma resuscitation. The training of these teams is designed to promote self-trust and empower trainees in trauma care, enhance performance, and improve patient outcomes. Various training curricula have been developed, utilizing a plethora of teaching methods such as lectures, simulations, debriefings, skill workshops, and demonstrations. However, a universally accepted gold standard curriculum in trauma training is yet to be defined, and there is no standard method for delivering education in injury care teaching. In this review, we have examined relevant literature data on standard teaching programs, the educational delivery methods used, and their impact on adult trauma patients' outcomes and trained team-related outcomes. While most studies indicate improved trained team performance, they consistently show no improvement in patient-specific outcomes such as mortality, morbidity, and length of stay. However, data hints at optimal educational delivery and the role that technology may play in the future of trauma training development.

Construction and Analysis of the Physical Fitness Evaluation Index System for Elite Male Singles Badminton Players: Based on Delphi and AHP Methods

OBJECTIVE

To construct and validate a physical fitness evaluation index system for elite male singles badminton players.

METHODS

Utilizing the Delphi method to establish a comprehensive evaluation system, the analytic hierarchy process (AHP) was employed to calculate the influence weights of various indicators. The validity of the comprehensive evaluation system was verified using testing methods.

RESULTS

After three rounds of expert selection, the physical fitness evaluation index system for elite male singles badminton players includes three primary indicators, nine secondary indicators, and twenty-one tertiary indicators. Among the primary indicators, specialized physical fitness holds a significant weight in the evaluation with a value of 0.651, whereas body morphology has a smaller weight of 0.077. Among the secondary indicators, specialized agility, strength, and endurance have higher weights of 0.223, 0.217, and 0.210, respectively. Among the tertiary indicators, four-corner ball touch, 400 m × 5 shuttle run, smash-and-rush, and vertical jump height hold higher weights of 0.119, 0.114, 0.104, and 0.096, respectively. The results after randomly selecting ten elite male singles badminton players and applying the evaluation index system demonstrated that this system has high feasibility and validity. It can not only comprehensively assess the physical fitness of athletes but also provide significant practical guidance for enhancing their competitive performance.

CONCLUSIONS

The evaluation system and weight assignments constructed in this study can scientifically and comprehensively reflect the physical fitness status of athletes. It can guide coaches in formulating targeted training plans and optimizing training outcomes.

Psychological resilience in the relationship between family function and illness uncertainty among family members of trauma patients in the intensive care unit

BACKGROUND

Severe trauma accounts for a main factor inducing mortality for individuals aged < 45 years in China, which requires admission to intensive care unit (ICU) to receive comprehensive treatment. Family members of patients with unanticipated and life-threatening trauma during their ICU stays often experience psychosocial distress due to illness uncertainty. Previous research has shown that family function and psychological resilience are associated with illness uncertainty, respectively. However, little is known about the current situation and interacting mechanism between family function, psychological resilience, and illness uncertainty of family members for ICU trauma patients. Therefore, this study focused on exploring the current situation and relationships between these three factors in family members for ICU trauma patients.

METHODS

The convenience sampling approach was adopted in the present cross-sectional survey, which involved 230 family members for ICU trauma patients from 34 hospitals in Chongqing, China. Related data were extracted with self-reporting questionnaires, which included sociodemographic characteristic questionnaire, the Family Adaptability, Partnership, Growth, Affection and Resolve Scale (APGAR), the 10-item Connor-Davidson Resilience Scale (10-CD-RISC) and the Mishel's Illness Uncertainty Scale for Family Members (MUIS-FM). Pearson correlation analysis was conducted to examine the correlations between various variables. Additionally, a structural equation model was adopted to assess the mediating effect of psychological resilience on family function and illness uncertainty.

RESULTS

According to our results, family members for ICU trauma patients experienced high illness uncertainty with moderate family dysfunction and low psychological resilience. Family function directly affected illness uncertainty and indirectly affected illness uncertainty through psychological resilience in family members of ICU trauma patients.

CONCLUSIONS

Family function and psychological resilience are the protective factors for reducing illness uncertainty. Healthcare providers should take effective measures, including family-functioning improvement and resilience-focused interventions, for alleviating illness uncertainty in family members of ICU trauma patients.

Perceived trauma nursing core competency, interprofessional collaborative competency, and associated barriers among regional trauma center nurses

INTRODUCTION

As key members of interprofessional teams working in complex settings, nurses in trauma centers require trauma nursing core competency.

PURPOSE

This study sought to determine the levels and relationships of the perceived importance and performance of trauma nursing core competency, as well as the interprofessional collaborative competency and associated barriers among Korean regional trauma center nurses.

METHODS

This cross-sectional, descriptive, and correlational survey involved a convenience sample of 190 Korean trauma center nurses. Data were collected using a web-based self-reporting questionnaire about the perceived importance and performance of trauma nursing core competency, as well as the interprofessional collaborative competency and associated barriers. Data were analyzed using descriptive statistics, Pearson's correlation, and multiple regression (Enter method) analyses.

RESULTS

The perceived performance and importance of interprofessional collaborative competency, the perceived importance of trauma nursing core competency, and the perceived barriers to resources, training, competency, and interest significantly affected trauma nursing core competency performance, accounting for 64.5 % of the variance.

CONCLUSIONS

Training programs are needed to improve the core and interprofessional collaborative competencies of trauma nurses. Individual, team, and organizational approaches are essential to addressing the perceived barriers. The effects of training programs on the core competency of trauma nurses should be validated.