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Published on: February 16, 2011
Practitioner perceptions of trauma video review.
Leah Davis1, Lynne Johnson, Steven R Allen
1Department of Nursing, Hospital of the University of Pennsylvania, Philadelphia, USA.
Trauma video review (TVR) offers significant educational benefits for trauma teams, but it also induces anxiety, particularly among attending surgeons. Understanding these perceptions is key to optimizing TVR for performance improvement.
Area of Science:
- Medical Education
- Trauma Care
- Performance Improvement
Background:
- Trauma video review (TVR) is a valuable tool for multidisciplinary trauma team education and performance enhancement.
- However, the process of recording resuscitations for TVR may induce anxiety among healthcare providers.
Purpose of the Study:
- To evaluate the perceived educational value of TVR.
- To assess the level of anxiety experienced by trauma team members during TVR.
- To explore differences in perceptions based on professional roles.
Main Methods:
- An anonymous online survey was administered to trauma team members.
- Educational scores (E scores) and anxiety scores (A scores) were calculated.
- Respondents were categorized into trainees (T), attending surgeons (A), and nurses (N).
- Statistical analysis was performed using the Kruskal-Wallis test.
Main Results:
- 39 subjects completed the survey: 17 trainees, 8 attending surgeons, and 14 nurses.
- TVR demonstrated high educational value (median E score 90).
- Moderate anxiety was reported (median A score 27).
- Anxiety scores were significantly higher in attending surgeons compared to nurses (P = .04).
Conclusions:
- TVR is perceived as highly educational but is associated with provider anxiety.
- Anxiety levels differ among professional groups, with attending surgeons reporting higher anxiety.
- Further assessment and potential modifications of TVR are recommended to balance educational benefits with provider comfort.
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