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dc.contributor.authorMurphy, Margaret
dc.date.accessioned2019-07-30
dc.date.available2019-07-30
dc.date.issued2019-04-14
dc.identifier.urihttp://hdl.handle.net/2123/20820
dc.description.abstractIntroduction: In an emergency, trauma teams must form quickly and function effectively. Simulation is used to teach teamwork skills. It is not known about how training is used in clinical practice. Aim: (1) to evaluate the effects of a simulated multidisciplinary TTT program on patient outcomes and team members’ experiences of teamwork in real-world trauma resuscitations, and (2) to inform the future design of TTT programs and translate learnings to clinical practice. Methods: An embedded experimental mixed-method study was used. First, a retrospective review of 2,389 trauma patients was conducted, with 1,116 patients in the four years preceding TTT, and 1,273 patients in the subsequent four years. Second, 86 trauma team members who attended training completed a questionnaire to identify factors affecting teamwork in clinical practice. Third, interviews were used to explore team members’ experiences and perspectives of the effect of TTT on team performance. Results: Patient outcomes data showed a reduction in the time to critical operations in major trauma patients following TTT. The survey identified 16 facilitators and 12 barriers to teamwork in real-life resuscitations. The interviews illustrated that training should focus on developing teamwork skills specific to ‘flash teams’—that is, trauma teams with unstable membership, that form quickly. Integration of the quantitative and qualitative results demonstrated why training helped ‘flash teams’ in time-critical situations, and identified the content to be included in TTT programs. Conclusion: Educational efficiency and contextualised local implementation strategies were key to improving the training’s influence on multidisciplinary team performance in resuscitation events. Teaching teamwork within the context of a dynamically changing team is recommended.en_AU
dc.publisherUniversity of Sydneyen_AU
dc.publisherFaculty of Nursing and Midwiferyen_AU
dc.rightsThe author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.en_AU
dc.subjecttrauma teamsen_AU
dc.subjectsimulation trainingen_AU
dc.subjectimplementation scienceen_AU
dc.subjectflash resuscitation teamsen_AU
dc.subjecttrauma outcomesen_AU
dc.subject.otherincludes published articlesen_AU
dc.titleInvestigating the Redesign Implementation Strategy of Simulated Multidisciplinary Trauma Team Training (TTT) on Health Service and Patient Outcomes: An Embedded Experimental Mixed-methods Studyen_AU
dc.typePhD Doctorateen_AU
dc.type.pubtypeDoctor of Philosophy Ph.D.en_AU
dc.description.disclaimerAccess is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.en_AU


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