TRAUMA QUALITY IMPROVEMENT

Under the Lens: Team Perception of Trauma Video Review

Published on

May 30, 2023

Journal of Trauma Nursing

Marinda G Scrushy, Madhuri Nagaraj, Kristen Burke, Kali Kuhlenschmidt, Shannon Jeter, Della Johnson, Kristie Brown, Courtney Edwards, Alexander Marinica, Michael A Vella, Daniel N Holena, Caroline Park, Ryan P Dumas
Marinda G Scrushy, Madhuri Nagaraj, Kristen Burke, Kali Kuhlenschmidt, Shannon Jeter, Della Johnson, Kristie Brown, Courtney Edwards, Alexander Marinica, Michael A Vella, Daniel N Holena, Caroline Park, Ryan P Dumas
Marinda G Scrushy, Madhuri Nagaraj, Kristen Burke, Kali Kuhlenschmidt, Shannon Jeter, Della Johnson, Kristie Brown, Courtney Edwards, Alexander Marinica, Michael A Vella, Daniel N Holena, Caroline Park, Ryan P Dumas

Overview

Video-based assessment, particularly Trauma Video Review (TVR), is gaining traction as an effective tool for education, quality improvement, and research in trauma care. This study aimed to evaluate the perceptions of trauma team members regarding TVR, focusing on both positive and negative viewpoints. An anonymous electronic survey was conducted among nurses, trainees, and faculty after weekly TVR activities, measuring their perceptions of performance improvement and levels of anxiety.

Analysis of 146 completed surveys over eight months revealed that a significant majority found TVR to be educational rather than punitive, with 84% having prior experience with TVR conferences. Notably, trainees and nurses reported greater improvements in resuscitation education quality and personal leadership skills compared to faculty, who generally expressed lower positive perceptions. Additionally, trainees in earlier postgraduate years were more likely to agree with negative perceptions of TVR, while nurses showed the least apprehension. Overall, the findings indicate that TVR effectively enhances trauma education, particularly for trainees and nurses, fostering a supportive learning environment.

Results

Researchers analyzed 146 surveys over 8 months, with 100% completion rate. Respondents were trainees (58%), faculty (29%), and nurses (13%). Of the trainees, 73% were postgraduate year (PGY) 1-3 and 27% were PGY 4-9. Of all respondents, 84% had participated previously in a TVR conference. Respondents reported an improved perception of resuscitation education quality and personal leadership skills development. Participants found TVR to be more educational than punitive overall. Analysis of team member types showed lower scores for faculty for all positive stemmed questions. Trainees were more likely to agree with negative stemmed questions if they were a lower PGY, and nurses were least likely to agree with negative stemmed questions.