Mass Casualty Mini Drills on Trauma Surgery Department Staff Knowledge: An Educational Improvement Study.


Journal

Journal of trauma nursing : the official journal of the Society of Trauma Nurses
ISSN: 1078-7496
Titre abrégé: J Trauma Nurs
Pays: United States
ID NLM: 9512997

Informations de publication

Date de publication:
Historique:
entrez: 5 3 2021
pubmed: 6 3 2021
medline: 2 9 2021
Statut: ppublish

Résumé

Over the last decade, the United States has witnessed an increase in mass casualty incidents (MCIs). The outcome of an MCI depends upon hospital preparedness, yet many hospitals are unfamiliar with their facility MCI procedure. Educational training drills may be one method to improve staff knowledge of policy and procedure. This study aimed to improve knowledge gained through educational MCI mini drills of institutional mass casualty policy and procedure in surgery department staff at a level II trauma center. A pre-/posttest design was utilized. The hospital implemented MCI mini training drills as a quality improvement project using Plan-Do-Study-Act iterative cycles with prospective data collection. Knowledge scores were measured using a 12-item surgery department MCI policy and procedure questionnaire that was developed by the author and leadership. A one-way analysis of covariance analysis in participants that mini drilled more than once indicated significant effect on mean cycle score differences among three cycles F(2,21) = 12.96, p = .00. Multiple comparison using Games-Howell indicated the mean score for Cycle 4 (M = 96.15, SD = 6.54) was significantly different from Cycle 3 (M = 59.71, SD = 25.15). Gender, shift, and credentials of participants influenced knowledge improvement. Implementation of hospital MCI mini drills improved staff knowledge of institutional mass casualty policy and procedure in the surgery department and may be applied to surgery departments with similar policy, procedure, and participant characteristics. Hospital mass casualty response education and preparation is essential to saving lives.

Sections du résumé

BACKGROUND BACKGROUND
Over the last decade, the United States has witnessed an increase in mass casualty incidents (MCIs). The outcome of an MCI depends upon hospital preparedness, yet many hospitals are unfamiliar with their facility MCI procedure. Educational training drills may be one method to improve staff knowledge of policy and procedure.
OBJECTIVE OBJECTIVE
This study aimed to improve knowledge gained through educational MCI mini drills of institutional mass casualty policy and procedure in surgery department staff at a level II trauma center.
METHODS METHODS
A pre-/posttest design was utilized. The hospital implemented MCI mini training drills as a quality improvement project using Plan-Do-Study-Act iterative cycles with prospective data collection. Knowledge scores were measured using a 12-item surgery department MCI policy and procedure questionnaire that was developed by the author and leadership.
RESULTS RESULTS
A one-way analysis of covariance analysis in participants that mini drilled more than once indicated significant effect on mean cycle score differences among three cycles F(2,21) = 12.96, p = .00. Multiple comparison using Games-Howell indicated the mean score for Cycle 4 (M = 96.15, SD = 6.54) was significantly different from Cycle 3 (M = 59.71, SD = 25.15). Gender, shift, and credentials of participants influenced knowledge improvement.
CONCLUSION CONCLUSIONS
Implementation of hospital MCI mini drills improved staff knowledge of institutional mass casualty policy and procedure in the surgery department and may be applied to surgery departments with similar policy, procedure, and participant characteristics. Hospital mass casualty response education and preparation is essential to saving lives.

Identifiants

pubmed: 33667210
doi: 10.1097/JTN.0000000000000571
pii: 00043860-202103000-00012
doi:

Types de publication

Journal Article

Langues

eng

Pagination

135-141

Informations de copyright

Copyright © 2021 Society of Trauma Nurses.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

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Auteurs

Lisa M Hollister (LM)

Purdue University, West Lafayette, Indiana (Drs Hollister, Edwards, and Good); and Parkview Regional Medical Center, Fort Wayne, Indiana. (Drs Hollister and Zhu, and Ms Hoeppner).

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