Clinical Education & Medical Simulation.

Clin Edu Med Sim
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Clinical Education & Medical Simulation

2020, vol. 3, nr 1, January-June, p. 5–14

doi: 10.17219/cems/131257

Publication type: original article

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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Education and training of the perioperative nurses in trauma care: Role of the DPNTC course

Liliana Lourenço1,A,B,C,D,E,F, Ana Pereira1,A,B,C,D,E,F, Henrique Alexandrino2,3,A,E,F, Sérgio Baptista4,E,F, Carlos Mesquita3,E,F

1 Operating Room Nurse, Coimbra Hospital and Universitary Center, Portugal

2 Faculty of Medicine, University of Coimbra, Portugal

3 Department of Surgery, Coimbra Hospital and Universitary Center, Portugal

4 Department of Anesthesiology, Médio Tejo Hospital Center, E.P.E., Tomar, Portugal

Abstract

Background. Caring for the critically ill patient requires specialized healthcare teams. The attendance of practical training courses enables participants to consolidate concepts and improve performance, helping them avoid errors and thus enhance the quality of care. Managing a polytraumatized patient in the operating room is substantially different from performing an elective surgery. Ideally, the whole team should have appropriate formal surgical trauma education. Courses such as the Definitive Perioperative Nurses Trauma Care (DPNTC), organized in parallel with the Definitive Surgical Trauma Care (DSTC) and Definitive Anesthesia Trauma Care (DATC) courses, aim to respond to this need and enhance quality of nursing care in trauma surgery by re-creating a multidisciplinary team experience.
Objectives. This article reviews the evolution of trauma care, focusing on the perioperative nurses’ approach, identifying concerns and key challenges. We present the DPNTC course, describe our experience and report on the educational impact of training on learners.
Material and Methods. A post-course survey was presented after the last 3 DPNTC courses to 34 participants. Candidates were asked to answer on five‑point Likert scales addressing level of knowledge, technical skills and confidence (descriptive study with a retrospective analysis and Wilcoxon signed rank test; statistical significance when p < 0.05).
Results. A significant increase in the level of knowledge (p < 0.001), technical skills (p < 0.001) and confidence (p < 0.001) was reported.
Conclusion. Survey results highlight the importance of DPNTC to develop trauma management skills in the operative treatment of seriously injured patients. The uniqueness of the training program, which lies in the complementarity of the 3 joint courses (DSTC, DATC and DPNTC), could easily explain the results obtained in the survey.

Key words

Definitive Perioperative Nurses Trauma Care course, trauma surgery, damage control surgery, teamwork, nursing education/simulation

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