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Leadership is the essential human factor in the trauma team – results of a qualitative study
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine volume 17, Article number: O24 (2009)
Trauma is the leading cause of death for young people in Norway . Studies indicate that several of these deaths are avoidable if the patient receives correct initial treatment [2–4]. 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 . 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.
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 .
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.
Statistisk sentralbyrå: Tabell 2 Dødsfall etter kjønn, alder og underliggende dødsårsak. Hele landet. 2003, [http://www.ssb.no/emner/03/01/10/dodsarsak/arkiv/tab-2005-03-30-02.html]
Esposito TJ, Sanddal ND, Hansen JD, Reynolds S: Analysis of preventable trauma deaths and inappropriate trauma care in rural state. J Trauma. 1995, 39: 955-962. 10.1097/00005373-199511000-00022.
Chiara O, Scott JD, Cimbanassi S, Marini A, Zoia R, Rodriguez A, Scalea T, Milan Trauma Care Study Group: Trauma deaths in an Italian urban area: an audit of pre-hospital and in-hospital trauma care. Injury. 2002, 33: 553-562. 10.1016/S0020-1383(02)00123-7.
Esposito TJ, Sanddal TL, Reynolds SA, Sanddal ND: Effect of a voluntary trauma system on preventable death and inappropriate care in a rural state. J Trauma. 2003, 54: 663-670. 10.1097/01.TA.0000058124.78958.6B.
Wisborg T, Bratteboe G, Brinchmann-Hansen A, Uggen PE, Schrøder Hansen K: Effects of nationwide training of multiprofessional Trauma Teams in Norwegian hospitals. J Trauma. 2008, 64: 1613-8. 10.1097/TA.0b013e31812eed68.
Malterud K: Qualitative reasearch: standards, challenges, and guidelines. Lancet. 2001, 358: 483-488. 10.1016/S0140-6736(01)05627-6.
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Cite this article
Hjortdahl, M., Ringen, A.H., Næss, AC. et al. Leadership is the essential human factor in the trauma team – results of a qualitative study. Scand J Trauma Resusc Emerg Med 17, O24 (2009). https://doi.org/10.1186/1757-7241-17-S3-O24
- Team Member
- Human Factor
- Team Leader
- Trauma Experience
- Trauma Care