title: Effectiveness of the Rural Trauma Team Development Course for Educating Nurses and Other Health Care Providers at Rural Community Hospitals.
abstract: The study evaluates (1) health care provider perception of the Rural Trauma Team Development Course (RTTDC); (2) improvement in acute trauma emergency care knowledge; and (3) early transfer of trauma patients from rural emergency departments (EDs) to a verified trauma center. A 1-day, 8-hour RTTDC was given to 101 nurses and other health care providers from nine rural community hospitals from 2011 to 2013. RTTDC participants completed questionnaires to address objectives (1) and (2). ED and trauma registry data were queried to achieve objective (3) for assessing reduction in ED time (EDT), from patient arrival to decision to transfer and ED length of stay (LOS). The RTTDC was positively perceived by health care providers (96.3% of them completed the program). Significant improvement in 13 of the 19 knowledge items was observed in nurses. Education intervention was an independent predictor in reducing EDT by 28 minutes and 95% confidence interval (CI) [-57, -0.1] at 6 months post-RTTDC, and 29 minutes and 95% CI [-53, -6] at 12 months post-RTTDC. Similar results were observed with ED LOS. The RTTDC is well-perceived as an education program. It improves acute trauma emergency care knowledge in rural health care providers. It promotes early transfer of severely injured patients to a higher level of care.
authors.affiliation: Parkview Adult and Pediatric Level 2 Trauma Center, Fort Wayne, Indiana.
authors.forename: Thein Hlaing
authors.initials: TH
authors.lastname: Zhu
authors.forename: Lisa
authors.initials: L
authors.lastname: Hollister
authors.forename: Christopher
authors.initials: C
authors.lastname: Scheumann
authors.forename: Jennifer
authors.initials: J
authors.lastname: Konger
authors.forename: Dazar
authors.initials: D
authors.lastname: Opoku
mesh_terms: D000328:Adult; D004636:Emergency Service, Hospital / Q000458:organization & administration; D005260:Female; D019538:Health Care Surveys; D006282:Health Personnel / Q000193:education*; D006764:Hospitals, Community / Q000458:organization & administration; D006780:Hospitals, Rural / Q000458:organization & administration; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D014194:Traumatology / Q000193:education*; D014481:United States; D014947:Wounds and Injuries / Q000628:therapy*