Volume 17 Supplement 3

Scandinavian Update on Trauma, Resuscitation and Emergency Medicine 2009

Open Access

Leadership is the essential human factor in the trauma team – results of a qualitative study

  • Magnus Hjortdahl1Email author,
  • Amund H Ringen1,
  • Anne-Cathrine Næss2 and
  • Torben Wisborg1
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine200917(Suppl 3):O24

DOI: 10.1186/1757-7241-17-S3-O24

Published: 28 August 2009

Introduction

Trauma is the leading cause of death for young people in Norway [1]. Studies indicate that several of these deaths are avoidable if the patient receives correct initial treatment [24]. The trauma team is responsible for initial hospital treatment of traumatized patients, and team members have previously reported that non-technical skills as communication, leadership and cooperation are the major challenges [5]. Better team function could improve patient outcome. The aim of this study was to obtain a deeper understanding of which human factors are important to members of the trauma team during initial examination and treatment of trauma patients.

Methods

Twelve semi-structured interviews were conducted at four different hospitals of various sizes and with different trauma load. At each hospital a nurse, an anaesthesiologist and a team leader (surgeon) were interviewed. The conversations were transcribed and analyzed using systematic text condensation according to the principals of Giorgi's phenomenological analysis as modified by Malterud [6].

Results and conclusion

Leadership was perceived as an essential component in trauma management. The ideal leader should be an experienced surgeon, have extensive knowledge of trauma care, communicate clearly and radiate confidence. Team leaders were reported to have little trauma experience, and the team leaders interviewed requested more guidance and supervision.

Norwegian trauma-patients will be met by trauma team members that find experienced leaders as one of the key factors to successful trauma treatment. The team might still be led by a junior resident who seeks experience in the team around him. Better qualified and more confident team leaders might enhance the teams' performance. The need for better training of trauma teams and especially team leaders requires further investigation and action.

Authors’ Affiliations

(1)
Dept. of Acute care, The BEST Foundation: Better & systematic trauma care, Hammerfest Hospital
(2)
Department of Ambulance Service, Division of Prehospital medicine, Oslo University Hospital

References

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Copyright

© Hjortdahl et al; licensee BioMed Central Ltd. 2009

This article is published under license to BioMed Central Ltd.

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