Alana Clements1, Kate Curtis2, Leanne Horvat3, Ramon Z Shaban4. 1. Trauma Service, St George Hospital, NSW, Australia. Electronic address: alana.clements@sesiahs.health.nsw.gov.au. 2. Trauma Service, St George Hospital, NSW, Australia; Sydney Nursing School, University of Sydney, Australia; The George Institute for Global Health, Australia; Faculty of Medicine, St George Clinical School, University of NSW, Australia. 3. South Eastern Sydney Local Health District, Australia. 4. Centre for Health Practice Innovation, School of Nursing and Midwifery, Griffith Health Institute, Griffith University, Australia.
Abstract
BACKGROUND: Effective assessment and resuscitation of trauma patients requires an organised, multidisciplinary team. Literature evaluating leadership roles of nurses in trauma resuscitation and their effect on team performance is scarce. AIM: To assess the effect of allocating the most senior nurse as team leader of trauma patient assessment and resuscitation on communication, documentation and perceptions of leadership within an Australian emergency department. METHODS: The study design was a pre-post-test survey of emergency nursing staff (working at resuscitation room level) perceptions of leadership, communication, and documentation before and after the implementation of a nurse leader role. Patient records were audited focussing on initial resuscitation assessment, treatment, and nursing clinical entry. Descriptive statistical analyses were performed. RESULTS: Communication trended towards improvement. All (100%) respondents post-test stated they had a good to excellent understanding of their role, compared to 93.2% pre-study. A decrease (58.1-12.5%) in 'intimidating personality' as a negative aspect of communication. Nursing leadership had a 6.7% increase in the proportion of those who reported nursing leadership to be good to excellent. Accuracy of clinical documentation improved (P = 0.025). CONCLUSION: Trauma nurse team leaders improve some aspects of communication and leadership. Development of trauma nurse leaders should be encouraged within trauma team training programmes. Crown
BACKGROUND: Effective assessment and resuscitation of traumapatients requires an organised, multidisciplinary team. Literature evaluating leadership roles of nurses in trauma resuscitation and their effect on team performance is scarce. AIM: To assess the effect of allocating the most senior nurse as team leader of traumapatient assessment and resuscitation on communication, documentation and perceptions of leadership within an Australian emergency department. METHODS: The study design was a pre-post-test survey of emergency nursing staff (working at resuscitation room level) perceptions of leadership, communication, and documentation before and after the implementation of a nurse leader role. Patient records were audited focussing on initial resuscitation assessment, treatment, and nursing clinical entry. Descriptive statistical analyses were performed. RESULTS: Communication trended towards improvement. All (100%) respondents post-test stated they had a good to excellent understanding of their role, compared to 93.2% pre-study. A decrease (58.1-12.5%) in 'intimidating personality' as a negative aspect of communication. Nursing leadership had a 6.7% increase in the proportion of those who reported nursing leadership to be good to excellent. Accuracy of clinical documentation improved (P = 0.025). CONCLUSION:Trauma nurse team leaders improve some aspects of communication and leadership. Development of trauma nurse leaders should be encouraged within trauma team training programmes. Crown
Authors: Harman S Gill; Phuong H Nguyen; Kayla A Fay; Frank DelGaudio; Matthew Roginski; Patricia Ruth Atchinson; Evie Marcolini Journal: Am J Emerg Med Date: 2021-10-24 Impact factor: 4.093
Authors: Vincenzo Restivo; Giuseppa Minutolo; Alberto Battaglini; Alberto Carli; Michele Capraro; Maddalena Gaeta; Anna Odone; Cecilia Trucchi; Carlo Favaretti; Francesco Vitale; Alessandra Casuccio Journal: Int J Environ Res Public Health Date: 2022-09-02 Impact factor: 4.614