Dissertations / Theses: 'Trauma teams'

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Härgestam, Maria. "Negotiated knowledge positions : communication in trauma teams." Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-108251.

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Background Within trauma teams, effective communication is necessary to ensure safe and secure care of the patient. Deficiencies in communication are one of the most important factors leading to patient harm. Time is an essential factor for rapid and efficient disposal of trauma teams to increase patients’ survival and prevent morbidity. Trauma team training plays an important role in improving the team’s performance, while the leader of the trauma team faces the challenge of coordinating and optimizing this performance. Aim The overall aim of this thesis was to analyse how members of trauma teams communicated verbally and non-verbally during trauma team training in emergency settings, and how the leaders were positioned or positioned themselves in relation to other team members. The aim was also to investigate the use of a communication tool, closed-loop communication, and the time taken to make a decision to go to surgery in relation to specific factors in the team as well as the leader’s position. Methods Eighteen trauma teams were audio and video recorded and analysed during regular in situ training in the emergency room at a hospital in northern Sweden. Each team consisted of six participants: two physicians, two nurses, and two enrolled nurses, giving a total of 108 participants. In Study I, the communication between the team members was analysed using a method inspired by discourse psychology and Strauss’ concept of “negotiated orders”. In Study II, the communication in the teams was categorized and quantified into “call-outs” and “closed-loop communication”. The analysis included the team members’ background data and results from Study I concerning the leader’s position in the team. Poisson regression analyses were performed to assess closed-loop communication (outcome variable) in relation to background data and leadership style (independent exploratory variables). In Study III, quantitative content analysis was used to categorize and organize the team members’ positions and the leaders’ non-verbal communication in the video-recorded material. Time sequences of leaders’ non-verbal communications in terms of gaze direction, speech time, and gestures were identified separately to the level of seconds and presented as proportions (%) of the total training time. The leaders’ vocal nuances were also categorized. The analysis in Study IV was based on the team members’ background data, the results from Study I concerning the leader’s position in the team, and the categorization and quantification of team communication from Study II. Cox proportional hazard regression was performed to assess the time taken to make a decision to go to surgery (outcome variable) in relation to background data, the leader’s position, and closed-loop communication (independent variables). Results The findings in Study I showed that team leaders used coercive, educational, discussing, and negotiating repertoires to convey knowledge and create common goals of priorities in work. The repertoires were used flexibly and changed depending on the urgency of the situation and the interaction between the team members. When using these repertoires, the team leaders were positioned or positioned themselves in either an authoritarian or an egalitarian position. Study II showed that closed-loop communication was used to a limited extent during the trauma team training. Call-out was more frequently used by team members with eleven or more years in the profession and experience of trauma within the past year, compared with team members with no such experience. Scandinavian origin, an egalitarian team leader and previous experience of two or more structured trauma courses were associated with more frequent use of closed-loop communication compared to those with no such origin, leader style, or experience. Study III showed that team leaders who gained control over the “inner circle” used gaze direction, vocal nuances, verbal commands, and gestures to solidify their verbal messages. Leaders who spoke in a hesitant voice or were silent expressed ambiguity in their non-verbal communication, and other team members took over the leader's tasks. Study IV showed that the team leader’s closed-loop communication was important for making the decision to go to surgery. In 8 of 16 teams, decisions on surgery were taken within the timeframe of the trauma team training. Call-outs and closed-loop communication initiated by the team members were significantly associated with a lack of decision to go to surgery. Conclusions The leaders used different repertoires to convey and gain knowledge in order to create common goal in the teams. These repertoires were both verbal and non-verbal, and flexible. They shifted depending on the urgency of the situation and the interaction within the team. Depending on the chosen repertoire, the leaders were positioned or positioned themselves as egalitarian and/or authoritarian leaders. In urgent situations, the leaders used closed-loop communication as part of a coercive repertoire, and called out commands and directed requests to specific team members. This repertoire was important for making the decision to go to surgery; the more closed-loop communication initiated by the leader, the more likely that the team would make a decision to go to surgery. Problems arose if the leaders were positioned or positioned themselves as either an authoritarian or an egalitarian leader. The leaders needed to be flexible and use different repertories in order to move the teamwork forward. It was notable that higher numbers of call-outs and closed-loop communication initiated by the team members decreased the probability of making the decision to go to surgery.

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Murphy, Margaret. "Investigating the Redesign Implementation Strategy of Simulated Multidisciplinary Trauma Team Training (TTT) on Health Service and Patient Outcomes: An Embedded Experimental Mixed-methods Study." Thesis, The University of Sydney, 2019. http://hdl.handle.net/2123/20820.

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Introduction: 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.

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Larson, Wanda J. "Team Member Characteristics Contributing to High Reliability in Emergency Response Teams Managing Critical Incidents." Diss., The University of Arizona, 2011. http://hdl.handle.net/10150/145418.

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Emergency response team (ERT) member characteristics that contribute to High Reliability performance during patient care resuscitation events or other Critical Incident Management Situations are poorly understood. Findings from this study describe individual characteristics that experienced interprofessional ERT members perceive as contributing to High Reliability performance within the critical incident management context. This study supports the need for interprofessional research about emergency response teams’ High Reliability in hospital-based settings. ERT High Reliability, or “better than expected” team performance has been linked to overall patient care and safety. The purpose of this study was to identify and describe individual team member characteristics that contribute to High Reliability performance of ERT members and the overall emergency response team in a naturalistic setting during Critical Incident Management Situations. Using a qualitative descriptive design, data collection included participant observations, field notes, and interviews. Narrative data were audio-taped, transcribed and coded using Ethnograph v6©. Data content were analyzed thematically using inductive interpretive methods. Two major domains derived from the data were Self-Regulation and Whole-Team Regulation. The overarching theme, Orchestrating High Reliability at the Edge of Chaos, encompassed characteristics contributing to High Reliability performance of the ERT during Critical Incident Management Situations.

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Prewett, Matthew S. "Training Teamwork in Medical Teams: An Active Approach with Role Play and Feedback." [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0003229.

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Sharif, Noor. "Investigating Severe Mental Illness, Trauma, PTSD, Substance Use, and Gender Differences in Clients Served by Assertive Community Treatment Teams: Testing the SMI-PTSD Model and Exploring Providers’ Perspectives." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42562.

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Research shows that people with severe mental illness (SMI) have extensive trauma histories and higher rates of post-traumatic stress disorder (PTSD) than the general population. However, research also shows that both the trauma history and PTSD in people with SMIs are vastly unrecognized and untreated. Additionally, the relationships between SMI, trauma, PTSD, substance use, and other psychosocial factors is still not well understood, as there has been limited experimental research examining these relationships despite an awareness of their connections. The SMI-PTSD descriptive model was originally proposed by Mueser et al. (2002) to better understand these variables, and is often referenced in the literature, yet there is very little empirical evidence and understanding of how this model may differ by gender in people with SMI. Assertive Community Treatment (ACT) is an evidence-based treatment for those with SMI, yet the extent to which trauma is addressed within the ACT model is not consistently known, nor how the team’s practitioners work with their clients on trauma-related issues and PTSD. By definition, all ACT clients have an SMI and represent a population with complex and intensive needs; therefore, a better understanding the population ACT serves, as well as how the teams work with the trauma present in their clients, will aid in providing better and more consistent treatment and care. This dissertation examines gender differences in the relationship between SMI, substance use, trauma, PTSD, psychosocial factors, the SMI-PTSD descriptive model, and attempts to ascertain the perspectives of ACT providers in working with trauma and PTSD in clients. In Study 1, I conducted retrospective chart reviews to extract information on trauma histories, PTSD, substance use, and psychosocial factors in 282 clients from four ACT teams (178 men, 104 women) to assess the gender differences in types of trauma, instances of PTSD, substances of choice, problematic substance use, and the SMI-PTSD model. Findings indicate that rates of sexual trauma, emotional abuse, serious suicide attempts, rates of trauma in adulthood, and PTSD are higher among women, whereas rates of alcohol, marijuana, and stimulant use as well as lifetime problematic substance use are higher among men. For the SMI-PTSD model, results suggest that the model better corresponds to the experiences and possible trajectory of men with SMI. In Study 2, I employed thematic analysis through interviewing ACT providers to better understand their perspectives on working with trauma and PTSD in clients. Five overarching themes with 21 sub-themes emerged. The five themes were the role and scope of ACT teams and model regarding trauma; discussions of trauma with clients; current treatment of trauma; barriers to working with trauma; and recommendations for enabling trauma discussions and treatment. These two studies have important implications for further research. Research should take gender identity into consideration when proposing and testing models, as Study 1 has demonstrated that two genders experience a well-accepted proposed model differently; this finding may be applicable to people of all genders, as well as other models. Further research could be done to gather perspectives from workers on the strengths and challenges of the ACT model. Future work should also include the views of ACT clients to get a fuller picture of their experience with receiving care for their trauma experiences. Clinically, health care providers should better recognize and treat PTSD and traumatic-stress symptoms of people with SMI. Doing so will ensure that health-care is moving towards trauma-informed practice on a systemic level.

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Bennett, Brock. "Knowledge Retention of the Rural Trauma Team Development Course." Thesis, The University of Arizona, 2017. http://hdl.handle.net/10150/623228.

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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
The Rural Trauma Team Development Course (RTTDC) is a one day course given to trauma personnel at various rural medical centers across the United States with the goal of improving care to injured patients in such areas. The purpose of this study is to determine the retention of RTTDC knowledge by those trained, as well as the migration rates of trainees out of these sites. The teaching of the RTTDC includes both pre‐test and post‐test assessments to ensure proper skills were learned. There was a statistically significant increase in score from the average course pre‐test score of 76.9% to the average course post‐test score of 92.1%. At this interim analysis, plotting the study post‐test scores over time since the course was given does reveal a pattern of decreased scores over time. The average study post‐test score of 88.8% is only slightly below the average initial post‐test score of 92.1%, though this was not significant. When assessed by individual questions, the participants scored significantly worse with questions addressing initial approach to the trauma patient and management of burn patients. There was no significant difference in scores between trauma team role. In this data set, the percentage of trainees remaining at course sites was 100%, though this was not expected based on previous studies. Our goal of 200 participants to achieve power has not been met at this time, but this could be established if more sites become involved, thus providing significant feedback for possible course revision.

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Fagelson, Marc A. "Tinnitus and Trauma." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1959.

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Fagelson, Marc A. "Tinnitus and Trauma." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1659.

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O'Neil, Molly O'Neil. "Evaluating an Organization's Response to Vicarious Trauma in Staff and Multidisciplinary Team Members." Antioch University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1463340871.

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Hult, Ulrika. "Anestesisjuksköterskans upplevelser av att delta vid akut omhändertagande av patient utanför operationssalens kontext." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-10838.

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Anestesisjuksköterskans arbete är medicintekniskt avancerat. I sitt arbete utsätts hon ständigt för nya situationer där hon får handskas med svåra etiska problem. Anestesisjuksköterskan ska se till att tillgodose patientens behov i olika tillstånd vilket kräver goda kunskaper inom sitt yrkesområde. Anestesisjuksköterskan träffar patienten under förhållandevis korta stunder. Syftet med studien är att belysa anestesisjuksköterskans upplevelser av att delta vid akut omhändertagande av patienter utanför operationssalens kontext. Tidigare forskning inom detta område är sparsamt. Studien är kvalitativ och datainsamlingen genomfördes med semistrukturerade intervjuer. Under intervjuprocessen fick anestesisjuksköterskorna som intervjuades svara enskilt på öppna intervjufrågor. Fyra stycken anestesisjuksköterskor deltog i studien. Anestesisjuksköterskorna som deltog i studien är anställda på en operationsavdelning på ett sjukhus i Västsverige. I analysen framkom det en huvudkategori och två kategorier med sex stycken tillhörande subkategorier. Kategorierna är: ”anestesisköterskans upplevda positiva känslor” och ”anestesisjuksköterskans upplevda negativa känslor”. Resultatet visar att anestesisjuksköterskorna upplevde att det är tryggare att arbeta på operationsavdelningen i förhållande mot att arbeta i annan kontext så som traumarum förlossningsavdelning eller liknande. Upplevelsen av att arbeta utanför operationssalen varierade. Informanternas erfarenhet av att arbeta under ett akut omhändertagande på olika platser på sjukhuset är att de känner sig trygga i sin arbetsroll förutsatt att det finns en erfaren, trygg och tydlig anestesiolog med som bestämmer om vad som ska göras under ett akut omhändertagande. Det upplevdes tryggare att arbeta på operationsavdelningen än i en annan miljö. På operationsavdelningen finns det gott om folk att ta hjälp av om det skulle behövas och det upplevdes även tryggt att veta vart alla sakerna finns. Utanför operationsavdelningen känner sig informanterna otrygga då det inte vet om akutvagnar är påfyllda eller om de kan få samma service av sina medarbetare på den ”nya” avdelningen.

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Fagelson, Marc A. "Tinnitus and Trauma." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1956.

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Trauma-provoked tinnitus challenges patients and clinicians. Effects of trauma may exacerbate tinnitus, and patients with both tinnitus and posttraumatic stress disorder rate distress levels as higher than patients who experience only one or the other. This presentation will highlight links between tinnitus and trauma histories relevant to clinical audiologists.

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Fagelson, Marc A. "Tinnitus and Trauma: Challenges for Patients and Providers." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/1954.

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Ovesdotter, Maria, and Nelson Alexandra Wrembicki. "Faktorer som påverkar ett traumateam i deras interprofessionella arbete vid ett akut patientomhändertagande : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4029.

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När en patient inkommer till akutmottagningen efter att blivit utsatt för yttre högenergivåld krävs ett snabbt omhändertagande i form av ett interprofessionellt traumateam. Att omhänderta traumapatienter kan upplevas som sårbart och tumultartat vilket medför att vårdpersonal behöver agera snabbt. Om kommunikation inom traumateamet utövades felaktigt kan detta riskera patientsäkerheten då detta kan medföra försämrade behandlingsresultat och utökad handläggningstid. Syftet med föreliggande studie var att beskriva faktorer som påverkade ett traumateam i deras interprofessionella arbete vid ett akut patientomhändertagande. Designen var en allmän litteraturstudie baserad på 18 vetenskapliga artiklar. Resultatet baseras på databasträffar genom CINAHL och PUBMED. En integrerad analys användes för att analysera insamlade data. Studiens resultat utgörs av tre huvudkategorier: Traumaledarens ansvar, Kommunikationsverktygens betydelse och Traumateamets gruppdynamik. Resultatet visade på traumaledaren har ett ansvar för helhetsperspektivet såväl över patienten som teamet. Beroende på vad situationen krävde hade traumaledaren olika ledarstilar. I traumateamet hade kommunikationsverktyg avgörande betydelse då bland annat closed-loop communication samt call-out, vilket kunde uppemot halvera patientens handläggningstid. Effektiv och tydlig kommunikationsväg inom traumateamet skapade en oproblematisk teamkommunikation. Traumateamets gruppdynamik utgjordes av tydlig struktur och positionering av medlemmarna i traumarummet. Genom en öppen atmosfär där allas kompetens involveras skapades en bra teamsammanhållning. Slutsatsen var att vid användning av kommunikationsverktyg inom traumateamet kunde patientomhändertagandet säkras och minimera eventuella missförstånd. Detta skapade ett välfungerande teamarbete med gynnsam gruppdynamik där samtliga ansvarsområden kompletterade varandra.
ABSTRACT When a patient enters the emergency room after being exposed to external high-energy violence, immediately care in the form of an interprofessional trauma team is required. Caring for trauma patients can be perceived as vulnerable and tumultuous, which means that care staff need to act quickly. If communication within the trauma team was exercised incorrectly, this may risk patient safety as this may lead to impaired treatment results and increased processing time. The purpose of the present study was to describe factors that influenced a trauma team in their interprofessional work in an acute patient care. The design was a general literature study based on 18 scientific articles. The results are based on database hits through CINAHL and PUBMED. An integrated analysis was used to analyze the collected data. The results of the study consist of three main categories: The Trauma Manager's responsibilities, The importance of Communication Tools and the Trauma Team's group dynamics. The results showed that the trauma leader has a responsibility for the overall perspective over both the patient and the team. Depending on what the situation required, the trauma leader had different leadership styles. In the trauma team, communication tools were crucial, including closed-loop communication and call-out, which could halve the patient's processing time. Effective and clear communication path within the trauma team created an unproblematic team communication. The trauma team's group dynamics consisted of a clear structure and positioning of the members in the trauma room. Through an open atmosphere where everyone's skills are involved, a good team cohesion was created. The conclusion was that when using communication tools within the trauma team, patient care could be secured and minimized any misunderstandings. This created a well-functioning teamwork with favorable group dynamics where all areas of responsibility complemented each other.

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Perunka, Heidi, and Malihe Shoorni. "Faktorer som påverkar interprofessionell kommunikation vid multitrauma : En litteraturstudie." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-82570.

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Inledning: Kommunikation är en viktig del inom hälso- och sjukvård och innebär utbyte av information mellan människor. Speciellt vid multitrauma är det viktigt att kommunikationen fungerar eftersom personal från olika avdelningar ska samarbeta med varandra. Dock kan kommunikation påverkas av olika faktorer, som i sin tur kan påverka patienten. Syfte: Syftet med studien var att beskriva vilka faktorer som kan påverka interprofessionell kommunikation vid multitrauma. Metod: Studien genomfördes som en allmän litteraturöversikt där tio vetenskapliga artiklar inkluderades. Resultat: Resultatet i studien visade fyra olika kategorier som påverkar interprofessionell kommunikation både positivt och negativt vid multitrauma. Dessa faktorer kategoriserades till; strukturerad överrapportering, stressig och kaotisk arbetsmiljö, erfarenhet och kunskap samt ledarskap. Att inneha erfarenhet och kunskap inom multitrauma är viktigt för att ett traumateam ska fungera på optimalt sätt. Personal utan erfarenhet eller kunskap kring multitrauma eller kommunikationen mellan teamet påverkar samarbetet negativt. Slutsats: Studiens resultat visar att det finns ett flertal faktorer som kan påverka interprofessionell kommunikation negativt, men även positivt. Med hjälp av traumaledare kan arbetet struktureras upp, men det krävs en viss nivå av kunskap och erfarenhet för att kommunikationen mellan traumateamet ska fungera på optimalt sätt.
Introduction: Communication is an important part of healthcare and involves the exchange of information between people. Especially in the case of multitrauma, it is important that the communication work because staff from different departments must cooperate with each other. However, communication can be affected for various reasons, which in turn can affect the patient. Aim: The purpose of the study is to describe the factors that can affect interprofessional communication in multitrauma. Method: The study was conducted as a general literature review where 10 scientific articles were included. Results: The results of the study showed four different categories that affect interprofessional communication both positively and negatively in multiple trauma. These factors were categorized into; overreporting, stressful and chaotic work environment, experience and knowledge as well as leadership. Having experience and knowledge in multiple trauma is important for a trauma team to function optimally. Staff without experience or knowledge of multiple trauma or communication between the team has a negative effect on the collaboration. Conclusion: The results of the study show that there are a number of factors that can affect interprofessional communication negatively, but also positively. With the help of a trauma leaders, the work can be structured, but a certain level of knowledge and experience is required for the communication between the trauma team to function optimally.

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Johansson, Nina, and Gonzalez Jose Luis Ramirez. "Anestesisjuksköterskans upplevelse av Traumalarm." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-62474.

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Bakgrund: Den svårt skadade traumapatienten kräver ett multidisciplinärt och tvärprofessionellt omhändertagande vid ankomst till akutmottagningen. En av anestesisjuksköterskans arbetsuppgifter är att delta i omhändertagandet av traumapatienter. Detta kräver att anestesisjuksköterskan kan arbeta i ett anpassat arbetstempo samt kunna arbeta tvärprofessionellt i en stressad miljö. Rött traumalarm ökar kraven på anestesisjuksköterskan som skall inneha fördjupade medicinska- och omvårdnadskunskaper vid omhändertagandet av traumapatienter. Syfte: Studiens syfte var att belysa hur anestesisjuksköterskor upplevde deltagandet vid rött traumalarm. Metod: En kvalitativ design användes och besvarades med semistrukturerade intervjuer. Studien innefattade tio anestesisjuksköterskor från två mellanstora sjukhus i södra Sverige. Intervjuernas datamaterial analyserades med hjälp av en kvalitativ latent innehållsanalys. Resultat: Anestesisjuksköterskor i studien beskrev ett engagemang till det akuta omhändertagandet samt en vilja till att leverera en kvalitativ vård. Traumaomhändertagandet upplevdes ibland som utmanande, framförallt om det var flertalet skadade eller om patienten var svårt skadad. Samtidigt beskrevs ett ansvar över att vara en resurs för teamet och en länk för patienten under omhändertagandet. Struktur och trygghet var viktiga faktorer till ett lyckat teamsamarbete. För att arbetet kring patienten skulle ske på ett systematiskt och patientsäkert sätt, betonade anestesisjuksköterskorna vikten av utbildning inom traumasjukvård. Slutsats: Anestesisjuksköterskans deltagande i rött traumalarm kräver god kunskap inom såväl traumasjukvård som förmågan till samarbete och kommunikation. Kommunikation och samarbete visade sig oftast fungera väl, men då brister uppstod påverkades traumaomhändertagandet negativt, vilket även innefattade patientsäkerheten. Studien visar att traumaledaren har en avgörande betydelse gällande teamets förmåga till ett lyckat traumaomhändertagande.
Background: The severely injured trauma patient requires a multidisciplinary and interdisciplinary medical care on arrival to the emergency department. One of the nurse anaesthetists tasks is to participate in the care of trauma patients. This requires that the nurse anaesthetists can work in an adapted pace of work and be able to work interdisciplinary in a stressed environment. Red-trauma emergency increases the demand for nurse anaesthetist who shall hold in-depth medical and nursing skills in the care of trauma patients. Objective: The aim of this study was to illustrate the nurse anaesthetist experiences of taking part in red-trauma alarm. Method: The study had a qualitative approach and was answered by semi-structured interviews. The study included ten nurse anaesthetists from two middle large hospitals in southern Sweden. The data from the interviews were analyzed by using a qualitative latent content analysis. Results: Nurse anaesthetists in the study described an attraction to the acute care and a desire to deliver quality care. Trauma care perceived sometimes as challenging, especially if it was the most damaged, or if the patient was seriously injured. At the same time the nurse anaesthetists described a responsibility as being a resource for the team and a link to the patient during care. Structure and security were important factors in a successful team collaboration. So, that the work around the patient would be done in a systematic and patient safely, the nurse anaesthetists emphasize the importance of education in trauma care. Conclusion: The nurse anaesthetist attending in red-trauma emergency requires good knowledge in both trauma care as the ability to co-operation and communication. Communication and co-operation shown to usually work well, but when the deficiencies arose impacted negatively trauma care, which also included patient safety. The study have shown that the trauma leaders expertise have an essential role for a successful trauma-care.

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Jutsum, Heidi. "Tears in the social fabric trust, trauma, and the challenges of civil society-led development and democratization in Guatemala /." Diss., Connect to the thesis, 2006. http://hdl.handle.net/10066/720.

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Price, David. "Evaluation of a Difficult Urinary Catheter Team in an Academic Medical Center." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5118.

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The placement of an indwelling urinary catheter (IUC) is a commonly performed clinical procedure which may become challenging for the clinician and painful for the patient. In response to urologic complications attributed to repeated failed IUC insertion attempts by nurses, a difficult urinary catheter (DUC) team program was launched in October 2012. The purpose of the doctoral project was to conduct a quality improvement evaluation of the effectiveness of the DUC team program using retrospective data from May 1, 2013 through May 31, 2017. Benner's novice to expert model was chosen as the theoretical framework to guide the additional training, critical thinking, problem-solving, and skill acquisition necessary for team member inclusion. The practice-focused question for the project answered whether DUC team nurses, through advanced training and demonstrated procedural competence, have been effective with DUC insertions. Sources of evidence included primary and secondary articles in peer-reviewed journals, as well as clinical evidence collected from internal sources. During the project time-line, 463 DUC team consultations were recorded with an insertion success rate of 89.6%. Based on the DUC team concept, additional didactic content and simulation training may be developed for other cognitive and skill-based clinical procedures. The implications for positive social change include improved patient safety and comfort, as well as cost savings for the organization and overall healthcare system.

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Dagley, Krystal Cobell. "Coming to Terms with Family of Origin Issues and Relationship Satisfaction for Native American Individuals in Committed Intimate Relationships." BYU ScholarsArchive, 2011. https://scholarsarchive.byu.edu/etd/3100.

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This study examined the relationships between childhood family of origin (FOO) adversities, coming to terms with them, and adult intimate relationship satisfaction for Native American individuals. The sample consisted of 186 Native American individuals in committed relationships who responded to the RELATionship Evaluation (RELATE). Among the items in the questionnaire were measures of childhood FOO adversity, whether respondents had come to terms with FOO problems, relationship quality and depression. Results from structural equation modeling indicated that coming to terms buffered the negative effects of childhood family of origin adversities on depression and relationship quality. Results suggest that coming to terms may help Native American individuals deal with FOO adversity and improve intimate relationship quality. Coming to terms with childhood FOO adversity should be considered in the treatment of Native American individuals in intimate relationships. Clinical implications and directions for future research are discussed.

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Borglin, Lina, and Martin Eriksson. "Att bevittna patientens utsatthet : En intervjustudie om anestesisjuksköterskans erfarenheter och upplevelser av kommunikation vid akuta omhändertaganden utanför sin ordinarie arbetsmiljö." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-407.

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Teamarbete och kommunikation är en utmaning för anestesisjuksköterskan. Vid akuta tillstånd omhändertas patienten enligt ABCDE som är hämtat från konceptet Advanced Trauma Life Support (ATLS) som är standard på skadeplatser och akutmottagningar i Sverige. Luftväg, andning och cirkulation utgör en del av anestesisjuksköterskans spetskompetens och anestesisjuksköterskan ska kunna medverka vid olyckor och i vården av svårt skadade personer. Forskning har visat att patienter kan dö till följd av dålig kommunikation mellan vårdarna. I kompetensbeskrivningen för anestesisjuksköterskor och under området säkerhet och vårdmiljö beskrivs vikten av tydlig kommunikation i förhållande till vårdteamet. Forskning har visat att god kommunikation bidrar till lägre mortalitet. Genom att använda kommunikationsverktyget SBAR kan patientsäkerheten höjas, särskilt i akuta situationer. Syftet med vår studie var att undersöka anestesisjuksköterskors upplevelser och erfarenheter av kommunikation i larmsituationer under ett akut omhändertagande då anestesisjuksköterskan arbetar utanför ordinarie arbetsmiljö. En kvalitativ, analytisk och induktiv design användes. Intervjuerna, som genomfördes med anestesisjuksköterskor med olika lång yrkeserfarenhet, påvisade patientens utsatthet där olika former av kränkande behandling beskrevs. Genom anestesisjuksköterskans placering vid patientens huvudända ges goda möjligheter att företräda patienten men också till kommunikation med patienten och övriga teammedlemmar. Genom att göra patienten delaktig i vården kan oro och ångest minskas. Bevittnandet av patientens utsatthet diskuteras. Obehagliga undersökningar utförs och i situationer där patienten blottas. Gemensamma övningar efterfrågades när det gäller trauma-, akuta omhändertaganden där vikten av god kommunikation upplevs som central.

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Gunnarsson, Liselotte, and Victoria Arvidsson. "Sjuksköterskors upplevelser av kommunikation i traumateam- En kvalitativ intervjustudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-62528.

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Bakgrund: Traumavård innebär vård av allvarligt somatiskt skadade patienter. För att vårda dessa patienter samlas multiprofessionella team, vilket ställer krav på teamarbete och god kommunikation för ett säkert och strukturerat omhändertagande. Kommunikation och informationsöverföring är ett riskområde inom vården och sambandet mellan bristande kommunikation och bristande behandlingsresultat är väldokumenterat. Traumaomhändertagande är en stressfylld situation, som ställer stora krav på sjuksköterskan på akutmottagningen, och innebär utmaningar för att uppnå en välfungerande kollaborativ kommunikation. Syfte: Syftet var att belysa sjuksköterskors upplevelser av kommunikation i traumateam. Metod: Studien genomfördes med en kvalitativ ansats, där semistrukturerade intervjuer genomfördes med 11 sjuksköterskor som arbetar på två akutmottagningar. En kvalitativ innehållsanalys genomfördes av datamaterialet. Resultat: Studiens resultat genererade i ett tema Kommunikation – ett komplext samspel, vilket belyser komplexiteten av kommunikation i traumateam. Resultatet presenteras i tre huvudkategorier: Kollaborativ kommunikation utmanar, Struktur- att förhålla sig till vissa ramar och Kommunikationen påverkar patienten. Komplexiteten i kommunikationen inom teamet beror på personliga egenskaper samt hur teamarbetet fungerar i övrigt. Vikten av struktur och att förhålla sig till riktlinjer och rutiner påverkar kommunikationen, och ledarskapet spelar här en central roll. Kommunikationens kvalitet påverkar utfallet för patienten och är något som förbättras genom traumaövning. Slutsats: Studien identifierar komplexiteten av kommunikationen inom traumateamet. Ett tydligt ledarskap och teamets samspel spelar en avgörande roll för utfallet för patienten, och vikten ligger i att kommunicera rakt och tydligt. Brister i kommunikation leder till ett försämrat teamarbete och negativa påföljder för patient. Genom traumaövning kan kommunikationen främjas och sjuksköterskan stärker sin yrkesroll.
Background: Trauma care involves the care of seriously somatic injured patients. To care for these patients a multi-disciplinary team is gathered, which requires teamwork and good communication skills for a safe and structured care of the patient. Communication and the transmit of information comprise a risk in healthcare and the relationship between bad communication and lacking treatment results is widely documented. Trauma care is a stressful situation that put demands on the nurse at the emergency department, and means challenges to achieve an effective collaborative communication. Aim: The aim was to illustrate nurses´ experiences of communication in the trauma team. Method: The study was conducted with a qualitative approach, where semi-structured interviews were performed with 11 nurses working in two emergency departments. All the data was analyzed by the help of qualitative content analysis method. Result: Study results generated in a theme Team communication -and its complexity. The result is presented in three main categories: The challenges of collaborative communication, Structure- to relate to certain rules and The Communication affects the patient. The complexity of communication within the team depends on personal characteristics and how teamwork otherwise functions. The value of leadership is essential as well as a structured approach and how to relate to policies and routines. The communication quality affects the care process for the patient and can be improved by trauma training. Conclusion: The study identifies the complexity of communication within the trauma team. Leadership and team interaction plays a crucial role for the outcome of the patient. It is of importance to communicate direct and clear. Lack of communication leads to impaired teamwork and adverse consequences for the patient safety. By trauma training, communication can be promoted and the nurses develop professional skills.

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Chocano, Rodrigo. "El pelotero, los otorongos y la dama caliente. ¿Qué temas tocan las tramas y personajes de las producciones pornográficas limeñas?" La Colmena, 2014. http://repositorio.pucp.edu.pe/index/handle/123456789/91756.

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Mirada intrusiva, placer asalariado, la promesa de mostrarlo todo. La pornografía ensaya esto y más tanto en su versión amateur como en las triple X (o hardcore). Pero, qué hacer con ella. No nos basta con sentarnos a disfrutarla o condenarla. El siguiente artículo procura observar, a través del sexo, una forma más en la que los limeños construimos estereotipos y miradas excluyentes en el Perú contemporáneo.

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Corbin, Elizabeth. "Team Support: A Moderator of Traumatic Load with Symptoms of PTSD and Depression." Xavier University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1555568953259322.

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Massoulier, Nathalie. "Les métamorphoses du temps et de l'histoire dans l'œuvre de fiction de Graham Swift : coming to terms with one's past." Thesis, Paris 4, 2012. http://www.theses.fr/2012PA040258.

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Le présent travail s'attache à envisager le thème de la réconciliation avec le passé à l'ère postmoderne chez Graham Swift. Il s'agit d'envisager ce dernier thème en relation d'une part avec les métamorphoses des personnages (un des sens à donner aux métamorphoses de l'histoire dans mon titre) et d'autre part avec celles de l'histoire et du temps. Les aléas psychanalytiques de l'identité, les rapports de l'être à l'histoire et au temps sont analysés. S'il n'est pas vraiment question de statuer sur la réussite d'une telle réconciliation, on examinera ses stratégies et notamment quelques uns de ses versants narratifs. L'échelle individuelle est envisagée dans son aspect métonymique
This work examines how Graham Swift's works tackle the issue of a potential reconciliation with the past. Reconciliation will be analysed together with the character's metamorphoses over time (one of the meaning that has to be given to the metamorphoses of history in my thesis's title) and the fictional transformations of time and history. The psychoanalytic evolutions of identities and the relationships of the characters with time and history will be studied. If it is difficult to precisely assess the success of reconciliation, we will focus on some of its underlying strategies and narrative treatments. The individual level will serve as a model for the collective level

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Pocahy, Fernando Altair. "Entre vapores e dublagens : dissidências homo/eróticas nas tramas do envelhecimento." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2011. http://hdl.handle.net/10183/28822.

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Cette recherche de doctorat en Sciences de l‘Education analyse des formes de réglementation du genre et de la sexualité dans l‘intersectionnalité avec l‘âge. Cette étude a cherché à problématiser les discours d‘objectification vers les hommes âgés qui exercent des pratiques homo/érotiques. Et on y a essayé de comprendre comment sont produites des stratégies de contestation vers les significations disqualifiant sur la (l‘homo)sexualité et le vieillissement. L'analyse nous a permis de comprendre certaines des rapports de pouvoir autour des formes de régulation de la vie qui s‘entrecroisent avec les «marques» et «compétences» du corps, les discours de racialisation de l'homme, les rapports sociales ouvertement monnayées, la classe sociale, les représentations de la masculinité et de « l'orientation sexuelle ». Ce travail cartographique indique que même si les sujets impliqués dans les jeux de pouvoir n‘ont pas l'intention de produire une critique sur la norme en question, le scènes performativisées dans ces espaces de sociabilité nous ont conduit à comprendre les hétéronormes et l‘homonormativité en tant que régimes discursifs impliqués dans la production d'une culture hétérosexiste et «âgiste». L'étude a été produite à partir de deux entrées sur le terrain: a) un sauna et sex shop fréquenté par des hommes âgés et b) un bar où les rapports de sociabilité sont organisés autour des hommes âgées et des « jeunes hommes prostitués » (escort boys) . Ces deux points de vue nous ont permis un élargissement des moyens de comprendre les formes diverses et variées de la vie homo/sexuelle dans les trames discursives de l‘homonormativité, considérée dans cette étude comme un dispositif important dans la réification de la vieillesse comme une forme d‘abjection.
Esta pesquisa de doutorado em Educação analisa formas de regulação do gênero e da sexualidade em interseccionalidade com a ‗idade‘. Este estudo buscou problematizar os discursos de objetificação dirigidos a homens idosos que exercem práticas homo/eróticas. E tratou de compreender de que maneira se produzem estratégias de contestação às significações desqualificantes sobre a (homo)sexualidade e o envelhecimento. A análise nos possibilitou compreender algumas das relações de poder em torno das formas de regulação da vida que se interseccionam às ‗marcas‘ e ‗habilidades‘ do corpo, aos discursos de racialização humana, às relações sociais abertamente tarifadas, à classe social, às representações de masculinidade e à ‗orientação sexual‘. Este trabalho cartográfico sinaliza que mesmo que os sujeitos implicados nestes jogos de poder não tenham a intenção de produzir uma crítica à norma em questão, as cenas performativizadas nesses espaços de sociabilidade nos pareceram produtivas para compreender a hetero e a homonormatividade como regimes discursivos que trabalham na produção de uma cultura hetero/sexista e ‗velhicista‘. O estudo se produziu a partir de duas entradas de campo: a) uma sauna e videolocadora pornô frequentada por homens idosos e b) um bar onde as relações se organizam em torno do protagonismo de homens idosos e de garotos de programa. Estes dois contrapontos nos permitiram uma ampliação das formas de compreender as distintas e variadas formas de viver a (homo)sexualidade nas tramas discursivas da homonormatividade, considerada neste estudo como importante dispositivo na reificação da velhice como uma forma de abjeção.
Esta investigación de doctorado en Educación analiza formas de regulación de género y de la sexualidad en interseccionalidad con la ‗edad‘. Este estudio buscó problematizar los discursos de objetificación dirigidos a hombres idosos que ejercen prácticas homo/eróticas. Y trató de comprender de qué manera se producen estrategias de contestación a las significaciones descualificantes sobre la (homo)sexualidad y el envejecimiento. El análisis nos posibilitó comprender algunas de las relaciones de poder en torno de las formas de regulación de la vida que se interseccionan las ‗marcas‘ y ‗habilidades‘ del cuerpo, a los discursos de racialización humana, a las relaciones sociales abiertamente monetizadas, a la clase social, a las representaciones de masculinidad y la ‗orientación sexual‘. Este trabajo cartográfico señaliza que mismo que los sujetos implicados en eses juegos de poder no tengan la intención de producir una crítica a la norma en cuestión, las escenas performativizadas en eses espacios de sociabilidad nos parecieron productivas para comprender la hetero y la homonormatividad como régimenes discursivos que trabajan en la producción de una cultura hetero/sexista y ‗viejicista‘. El estudio fue producido a partir de dos entradas de campo: a) una sauna y sexy shop dirigida para el público idoso y b) un bar donde las relaciones se organizan en torno del protagonismo de hombres idosos y de chicos de programa (chaperos). Estes dos contra puntos nos permitieron una ampliación de las formas de comprender las distintas y variadas formas de vivir la (homo)sexualidad en las tramas discursivas de la homonormatividad, considerada en este estudio como importante dispositivo en la reificación de la vejez como una forma de abjeción.

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Azevedo, Ana Lidia de Castro Sajioro. "Aspectos facilitadores e dificultadores do trabalho em equipe de assistência ao paciente em Unidade Hospitalar de Urgências Traumáticas." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/83/83131/tde-27072015-182158/.

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O conhecimento do trabalho em equipe de assistência ao paciente, em unidade hospitalar de atendimento ao trauma, tanto no que se refere aos aspectos facilitadores quanto aos dificultadores desse processo, é imprescindível, diante da importância desse tipo de atendimento no contexto de atenção à saúde. Este estudo teve como objetivo analisar os aspectos que facilitam e dificultam o trabalho em equipe de assistência ao paciente em unidade hospitalar de urgências traumáticas. Trata-se de estudo descritivo, de abordagem quantitativa, utilizando a Técnica do Incidente Crítico. O estudo foi realizado em um hospital de ensino no interior do Estado de São Paulo, SP. Utilizou-se como técnica de coleta de dados a entrevista. Participaram 64 profissionais da equipe de assistência ao paciente da unidade. Os resultados evidenciaram 107 situações, sendo 56 positivas e 51 negativas, que envolveram 614 comportamentos e 267 consequências vinculadas ao trabalho em equipe na unidade. A análise dos incidentes relatados destacou que a dinâmica do trabalho em equipe é percebida como positiva no cenário. Os resultados evidenciam a necessidade de diferentes agentes dessa equipe realizarem ações integradas/articuladas e compartilhadas, nas quais sejam claras a noção de complementariedade de saberes em busca de objetivos comuns que atendam as necessidades imediatas de saúde do paciente politraumatizado. Os resultados também revelam que atendimentos aos pacientes, vítimas de trauma grave/moderado, facilitam a dinâmica do trabalho em equipe na unidade. Entende-se que isso pode decorrer de investimentos de políticas públicas e pelas diretrizes do Advanced Trauma Life Support, nos quais têm sido envidados esforços, capacitando profissionais, os quais reconhecem a finalidade que orienta o processo de trabalho e o atendimento de casos de alta gravidade com demanda imprevisível, que exigem alta tecnologia, pessoal com formação e competência técnica especializada para assistir, de forma integrada, articulada e assertiva, os casos. A integração, interação, articulação e comunicação entre a própria equipe e entre os diversos setores intra e extra-hospitalares favorecem a continuidade e integralidade do cuidado, bem como o produto final do processo de trabalho. É inegável a relevância e a clareza que os participantes dão ao trabalho em equipe nessa unidade, em especial as ações articuladas e integradas durante os atendimentos a politraumatizados graves/moderados. Fragilidades na articulação, integração e comunicação, bem como na imprevisibilidade da demanda e no despreparo de alguns profissionais foram destacados como dificultadores do trabalho em equipe no contexto da sala de trauma
The knowledge of work in patient care team, in a hospital trauma care unit, both regarding the facilitating aspects as well as the constraints of this process, is crucial, given the importance of this type of assistance in the health care context. This descriptive and quantitative study aimed to analyze the aspects that facilitate and hinder the work in patient care team in hospital emergency trauma unit, using the Critical Incident Technique. The study was conducted in a teaching hospital in the interior of the state of São Paulo, Brazil. Interview was used as data collection technique. In total, 64 professionals from the patient care team of the unit participated in study. Results evidenced 107 cases, of which 56 positive and 51 negative, involving 614 behaviors and 267 consequences linked to team work in the unit. The analysis of the reported incidents highlighted that the dynamics of team work is perceived as positive in the scenario. Results evidenced the need for different agents of the team to perform integrated/shared and coordinated actions, in which the concept of complementarity of knowledge in pursuit of common goals that meet the immediate health needs of polytrauma patients, is clear. Results also reveal that care provided to patients, victims of severe/moderate trauma, facilitate the dynamics of the team work in the unit. This may occur due to public policies\' investments and due to the guidelines of the Advanced Trauma Life Support, in which efforts have been made to train professionals, who recognize the aim that guides the work process and the provision of care in high-severity cases with unpredictable demand, which require high technology, trained staff with specialized technical competence to assist cases in an integrated, coordinated and assertive way. The integration, interaction, coordination and communication among the team itself and among the various intra and extra-hospital sectors favor the continuity and comprehensiveness of care, as well as the final product of the work process. The relevance and clarity that participants give to the team work in this unit is undeniable, especially as to coordinated and integrated actions during care to severe/moderate polytrauma patients. Weaknesses in coordination, integration and communication, as well as demand unpredictability and the unpreparedness of some professionals were highlighted as constraints of the team work in the context of trauma center

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Spagnol, Carla Aparecida. "A trama de conflitos vivenciada pela equipe de enfermagem no contexto da instituição hospitalar : como explicitar seus nos?" [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312132.

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Orientador: Solange L'Abbate
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-09T01:40:40Z (GMT). No. of bitstreams: 1 Spagnol_CarlaAparecida_D.pdf: 6634502 bytes, checksum: 47034f29257b951227f80406fc8f54c2 (MD5) Previous issue date: 2006
Resumo: Nessa pesquisa, investiguei os conflitos vivenciados pela equipe de enfermagem do Hospital das Clínicas-UFMG, motivada pelo fato de o enfermeiro desempenhar atividade de gerência nos serviços de saúde e freqüentemente lidar com relações conflituosas. Os objetivos delineados foram: conhecer as diferentes percepções de conflito dos enfermeiros; identificar aqueles mais comuns e os principais fatores que geram esses conflitos; compreender como o enfermeiro lida com os conflitos no trabalho; levantar facilidades e dificuldades para lidar com os conflitos e propor aos enfermeiros a construção coletiva de um dispositivo socioanalítico, a ser utilizado como espaço de análise e reflexão da prática profissional, focalizando o objeto de estudo. Por se tratar de um fenômeno processual, optei pela abordagem qualitativa, desenvolvendo uma pesquisa-intervenção em duas fases. Na primeira, realizei uma pesquisa exploratória, com o objetivo de me aproximar dos sujeitos e do objeto de estudo, utilizando um questionário, que foi aplicado, em setembro de 2003, a cento e cinco enfermeiros (105), sendo que desses, trinta e sete (37), o devolveram. Na segunda, utilizei a perspectiva da socioanálise, para construir um dispositivo, visando a criação de um espaço que permitisse à pesquisadora e às pesquisadas realizarem, conjuntamente, análises e reflexões acerca da prática profissional, focalizando situações de conflito vivenciadas no trabalho. Foram realizados cinco encontros nos meses de setembro e outubro de 2005, com duração de duas horas cada, onde participaram seis enfermeiras que, no questionário, responderam afirmativamente quanto à sua continuidade no estudo. Nessa fase, as integrantes ao elaborarem a demanda de análise do grupo, expressaram vários motivos para participarem dessa investigação, dentre eles destaco suas implicações com a pesquisadora. Para as enfermeiras conflito é: diferença de pensamentos e de posições, coisa que incomoda e algo estressante. Apresentam uma visão bipolar desse fenômeno, pois, a princípio, são percebidos como negativos, mas dependendo do ângulo que se olha também o consideram como positivo, isso se forem discutidos com todos os envolvidos e conduzidos adequadamente. Identifiquei os seguintes tipos de conflitos: intrapessoal, interpessoal, intergrupal, de poder e de interesse. As principais causas que geram esses conflitos são: duplicidade de vínculo empregatício; deficiências na estrutura organizacional e no modelo de gerência implantado; escassez de recursos; centralização do trabalho; hierarquia; autoritarismo; imaturidade; escalas de serviço; falta de respeito e compromisso profissional, trazendo conseqüências para as relações interpessoais e para a assistência prestada. As enfermeiras lidam com situações de conflito, de forma racional, apresentando desejo de fuga, ao realizarem ações imediatistas, a fim de contornarem ou amenizarem a situação, assumindo que não são preparadas para conduzirem questões problemáticas ligadas ao comportamento e relacionamento interpessoal. Sendo assim, em determinadas situações, solicitam ajuda aos psicólogos da Diretoria de Recursos Humanos do hospital. O próprio dispostivo socioanalítico se constituiu em um analisador, permitindo explicitar instituídos e instituintes, implicações e transversalidades, presentes na organização hospital que é atravessada pelas 'instituições enfermagem e medicina¿. Diante das avaliações positivas relacionadas aos encontros grupais, sugiro desenvolvermos outros trabalhos tendo o dispositivo socioanalítico como um espaço coletivo de análise e reflexão das relações e práticas profissionais
Abstract: In this research, I investigated the conflicts experienced by a nursing team at the Federal University of Minas Gerais Hospital, motivated by the fact that nurses manage health care and frequently face conflict situations. The aims of this research were: to learn about nurses different perceptions regarding conflict; to identify the most common conflicts and the main factors that generate these conflicts; to understand how nurses manage conflicts at work; to find out motivations and difficulties to manage conflicts and propose to nurses a collective construction of a socio-analytical instrument to be used as a space for analysis and reflection of professional practice, focusing on the study object. As it is a process phenomenon, I used a qualitative approach, developing an intervention research in two phases. In the first phase, I developed an exploratory research with the purpose to get closer to the subjects and study object, using a questionnaire that was applied in September 2003 to 105 nurses. Among them, 37 responded and sent it back. In the second phase, I used the socio-analysis perspective to build an instrument, aiming at creating a space that would allow the researcher and research to be developed as well as analyses and reflections regarding professional practice, focusing on conflict situations experienced at work. Five meetings happened in September and October 2005, of two hours each, with the participation of six nurses that manifested in the questionnaire their intention to continue the study. In this phase, the members of the group expressed their motivations to participate in the study, emphasized its implications regarding the researcher. According to these nurses, conflict is a difference of thoughts and positions, something that may impair the relationship. They present a bipolar view of this phenomenon as at first they are perceived as negative, but depending on the way they are seen they can be considered positive, if they are discussed with all the persons involved and managed adequately. The following types of conflict were identified: intrapersonal, interpersonal, intergroup, of power and of interest. The main causes that generate these conflicts are: work in more than one place, problems regarding the organizational structure and management, lack of resources, work centralization, hierarchy, authoritarianism, immaturity, work shifts, lack of respect and professional commitment that influence interpersonal relations and the care provided. Nurses manage conflict situations in a rational way, presenting their desire to run away when they implement immediate actions, in order to minimize the situation, assuming that they are not prepared to conduct problems related to behaviors and interpersonal relationships. Therefore, in some situations they ask for help to psychologists from the Hospital Human Resources Division. The socio-analytical instrument was a means to analyze it, enabling them to expose the situations, implications and transversal intersections that are present at the hospital organization that is crossed by other institutions such as ¿nursing and medicine¿. Considering the positive evaluation of the group meetings, I suggest the development of other works based on socio-analytical instruments as a collective space for the analysis and reflection of relationships and professional practices
Doutorado
Saude Coletiva
Doutor em Saude Coletiva

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Azevedo, Ana Lídia de Castro Sajioro. "Gerencimento do cuidado de enfermagem em unidade de urgência traumática." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-27092010-160805/.

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O conhecimento da prática dos enfermeiros em unidades de atendimento a agravos traumáticos, tanto no que se refere ao cuidado, quanto às atividades gerenciais é imprescindível diante da importância das urgências traumáticas no contexto de atenção à saúde. Este estudo teve como objetivo geral analisar a prática do enfermeiro em uma unidade de trauma, no âmbito do gerenciamento do cuidado bem como, caracterizar os agravos traumáticos atendidos, no ano de 2007, segundo variáveis demográficas, epidemiológicas e organizacionais, considerando os mecanismos do trauma. Trata-se de estudo descritivo, utilizando dados quanti e qualitativos. O estudo foi realizado em um hospital de ensino no interior do Estado de São Paulo-SP. Para a abordagem quantitativa utilizou-se como técnica de coleta de dados a pesquisa documental em base de dados secundários; a etapa qualitativa desenvolveu-se segundo as premissas de estudo de caso, utilizando técnicas de coleta de dados: observação participante e entrevista semi-estruturada. Os resultados evidenciaram como perfil dos agravos atendidos, homens na faixa etária de 20 a 30 anos, procedentes de Ribeirão Preto, vítimas de acidentes de transporte, nos finais de semana, entre 13h00min e 18h59min, o tempo de permanência hospitalar foi de 24 horas ou menos. Em relação aos índices de gravidade de trauma os casos de ISS com escore de 1-15 (trauma leve), decorrentes de acidentes de transporte, e o RTS superior a seis relacionados à maior probabilidade de sobrevida. A análise dos casos observados evidenciou aspectos importantes no tocante ao atendimento do paciente vítima de trauma, a saber: condições de acesso, organização da unidade, assistência/gerência de enfermagem. Evidenciou-se na sala de trauma, o gerenciamento do cuidado, centrado em atividades assistenciais e gerenciais. Assistenciais focadas no cuidado prestado ao usuário no microespaço da unidade e gerenciais que incluem a organização do acesso do paciente, da unidade, da equipe, de materiais e equipamentos. Cabe destacar que a abordagem assistêncial aparece de forma articulada às atividades gerenciais, caracterizando então o gerenciamento do cuidado exercido na unidade estudada. O enfermeiro tem importante papel na articulação de profissionais de saúde e de enfermagem bem como na mobilização de recursos para atenção ao paciente. Fragilidades na articulação, integração e comunicação, bem como nas limitações no uso da supervisão enquanto instrumento gerencial são aspectos que foram destacados como dificultadores do trabalho em equipe no contexto da sala de trauma.
The knowledge of nurses\' practice at units of attendance to traumatic injuries, both when it comes to care, and to management activities is indispensable due to the importance of traumatic emergencies in health care. This study\'s main goal was to analyze the practice of a nurse at a trauma unit, at care management, and also to report traumatic injuries treated, in 2007, under demographic, epidemiological and organizational parameters, considering trauma mechanisms. This is a descriptive study that uses quantitative and qualitative data. It was performed at a university hospital in the State of São Paulo-SP. For quantitative analysis, the documentary research of secondary data base was used as the data collection technique; the qualitative stage was developed under the case study rules, using data collection techniques: participative observation and semi structured interview. The results have shown as an average of injuries treated, men between 20 and 30 years old, from Ribeirão Preto, victims of traffic accidents, on weekends, between 13h00min e 18h59min, with hospitalization time of 24 hours or less. Regarding the trauma severity scores, cases with ISS scores of 1-15 (mil trauma), resulting from traffic accidents, and RTS higher than six related to higher survival probability. The analysis of observed cases has shown important aspects of the trauma victims\' care: access conditions, unit\'s organization, nursing assistance/management. In the trauma room, care management focused on assistance and management activities was noticed. Assistance activities are related to care given to the patient inside the space of the unit. And management activities that include the organization of: the patient\'s access, the unit itself, the staff, materials and equipment. It\'s important to note that the assistance approach comes related to management activities, though featuring the care management provided at the unit studied. Nurse plays an important role on linking health professionals and nurses themselves, and also on resource mobilization to patient care. Weaknesses on articulation, integration, communication, as much as limitations on using supervision as a management instrument, are aspects seen as hindering the team work at the trauma room.

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Conlon, Lisa. "Trauma teams in action." Thesis, 2013. http://hdl.handle.net/2440/81779.

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Trauma Teams in Action is a portfolio of research and is comprised of three studies: systematic review, cross sectional survey and phenomenological study. Study one examines 25 years of relevant literature up to December 2006 that focused on the education and professional development of civilian trauma team members and the teamwork practices employed in civilian trauma teams. Only 12 studies were included in the results of the review highlighting the lack of quality studies into the topic. It did however provide a basis of knowledge to inform the development of a cross sectional survey. Of the 12 included studies, five related to trauma team training. In particular, information pertaining to course content and delivery methods used, for example the use of simulation. The remaining seven studies provided details of teamwork management practices. Results highlighted details regarding the use of a formed team as opposed to ad-hoc team formation, and the use of a tiering system to provide optimal care to all trauma patients by the most appropriate sized and manned trauma team. Knowledge relating to optimally sized teams, and the use of a horizontal team approach was also identified. Finally, this component of the review identified knowledge relating to the role of the leader and fact that trauma teams with a dedicated team leader were more successful than those teams who did not have an identified team leader. A cross sectional survey (Study Two), examined the current education and professional development of health personnel in the Australian Defence Force (ADF) for the development of trauma/resuscitation team skills. Details related to deployment history and teamwork practices (team composition, scope of practice and team management style utilised) of the participants. The study involved 128 respondents from the Royal Australian Navy and the Royal Australian Air Force Health Services Branch completing an online survey. The study was limited due to difficulties in having Army personnel not being able to participate, but useful information about the education and deployment of Australian Defence Force trauma teams was provided. The study highlights that the majority of respondents who reported that they had completed trauma training and deployed as a member of a trauma team had served in the ADF for longer than 10 years. The study also provided details of the large variety of courses completed by both permanent and reserve personnel, and highlighted the fact that this may reflect inconsistencies in the training provided. Of the 80 respondents who had completed formal trauma training only 38 respondents subsequently provided details of the deployments they had been involved in as a trauma team member. As the study identified issues relating to the number and variety of courses completed, consideration of strategies to ensure consistency of training should be further examined. The outcome of the study identified that respondents feel that they were well prepared to work as members of a military trauma team in a conflict/humanitarian situation. However, the study also indicated there should be more emphasis on multi-disciplinary training and more focus on teamwork skills. A hermeneutic phenomenological study (Study Three), examined the lived experiences of six Australian Defence Force Nursing Officers working as members of trauma teams. The interviews provided a unique opportunity to share participants’ stories and experiences. Six major themes were identified from the interviews. These included; Telling their stories; The role – Who we are and what we do; The environment – Is it so different?; Training- Will it ever fully prepare you?; Working in teams – There’s no ‘i’ in team; and Leadership – Will the real leader please stand up. The participants provided details of their stories and their want for their stories to be told. Information of the role(s) that the participants held with details regarding the uniqueness of being a military nurse and the need to feel a valued member of the team was reported on. The participants also provided details of the environment in which they work. This included details of both the physical environment in regards to the need to work with less and the fact that in the environments in which they are required to work, the need to have a place for everything and the challengers relating to the areas in which they work. The psychosocial environment they had encountered and which included details of the horrors of the environment and the ways in which they cope when place in these situations was also provided. Details of the training undertaken by the participants, in particular the need to prepare them for uncontrollable environments was spoken of, as too, the training conducted in the field. The theme regarding working in teams provided information about the team and who made up these teams and the need to get to know the team members was spoken of. Finally, details relating to the issue of leadership was identified with information pertaining to the role of the leader in the team discussed by the participants. This study has provided a unique opportunity to gain a deeper understanding of a usually closed section of the nursing profession, that of the military nurse.
Thesis (D.Nurs.) -- University of Adelaide, School of Nursing, 2013

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Sarcevic, Aleksandra. "Understanding teamwork in trauma resuscitation through analysis of team errors." 2009. http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.000051903.

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Yen, Shu-Ting, and 顏淑婷. "The Effectiveness of Trauma Team on Medical Resource Utilization and Quality of Care for Patients with Major Trauma." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/74534103753837135102.

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碩士
義守大學
醫務管理學系
102
Abstract Background &; aim: In Taiwan, trauma cases mainly occurred among young males, and it cost medical resource utilization over 14.1 billion NT dollars annually. About 16,000 people expired due to trauma per day worldwide. In the US, major trauma patients accounted for 23.41% of trauma inpatients in 2010. The purpose of this study were: (1) understand the major trauma patients’ medical care status and their medical resource utilization; (2) analyze the differences of medical quality of care and medical resource utilization among major trauma patients’ clinical characteristics; and (3) explore the effectiveness of trauma team on medical quality of care and medical resource utilization among major trauma patients. Methods &; questions: This was a retrospective chart review study, using trauma registry bank and admission medical service charge date bases. T-test and Chi-square analyses were used for examining indicators of medical quality of care and medical resource utilization. The study subjects were major trauma patients admitted to a medical center in Tainan during 2009 and 2013. In order to examine the effectiveness of trauma team, the research questions were: (1) Are average length of stay (ALOS) and Intensive Care Unit (ICU) stay significant declined after the establishment of trauma team? (2) Are patients with urgent operation waiting time significant declined after the establishment of trauma team? (3) Are patients with urgent operation staying in Emergency Department (ED) significant dropped after the establishment of trauma team? and (4) Are inpatient medical resource utilizations significantly reduced after the establishment of trauma team? Results: Significant reductions for several items of medical resource utilization were identified after the establishment of trauma team. The waiting time of urgent operation for severe trauma category (ISS≧25) had a significant decline after the establishment of trauma team. Especially in the group of patients who survived to discharge, three items medical resource utilization had been reduced. The radiation treatment charge and examination charge were significantly reduced in the groups of ISS=16~24 and ISS≧25. Patients who underwent surgery had significant reductions in examination charge and total medical charge. Radiation treatment charge was significantly reduced for patients with non-urgent operation. Discussion &; suggestion: The establishment of trauma team had significant effects on the reduction of medical resource utilization for major trauma patients, but had minimal effects on the improvement of medical quality of care. The results of this study can be used as a model of evaluation study for the establishment of clinical divisions, and offer a reference for health service research of medical resource utilization and quality. It can also provide the healthcare authority to promote clinical pathway for the major trauma patients in the future.

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Chen, Chih-Hao, and 陳智豪. "Risk factors of mortality assessment in trauma registry system and clinical effectiveness of trauma team intervention in Emergency Room." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/05400879897516578889.

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碩士
中山醫學大學
醫學研究所
102
Background: The type and severity of the traumatic patients will affect medical costs and their mortality. Trauma registration system effectively integrate clinical data of patients with trauma, and then to impact on injury prevention, policy development, and medical quality improvement. Objective: We aim at using trauma registration system of emergency room to evaluate the death hazard ratio of patients in seven days and the clinical benefit of trauma team intervention. Methods: From January 2008 to December 2009, a retrospective cohort study design was introduced into the period. The eligible emergency trauma patients of a medical center of Middle Taiwan were enrolled in this study. The degree of trauma was categorized by Injury Severity Score (ISS). The severe trauma was defined as patient with Injury Severity Score equal to sixteen and more. Kaplan-Meier test and Cox-regression were used to analyze the survival of severe trauma patients and a significant level of alpha-value was set at 0.05. Results: There were 18,682 trauma patients emergency visited our hospital in the period of this study. The first three major reasons of emergent visit were traffic accident (47.3%), home accident (26.9%) and occupational injury (9.2%). In all, there were two hundred and forty severe trauma patients. The major risk factor of death within 7-days for trauma patients was the disappointing Injury Severity Score (mean 62.1; p<0.001); the intervention of trauma team presented a non-significant statistical effect on patients’ survivals (p=0.140). Conclusions: The ISS serves a predictor of mortality risk of severe trauma patients. Clinical effect of trauma team, although not as expected, is still an important mechanism to manage severe trauma patients. We suggest large-scale study to enhance the effectiveness of trauma team and to improve ability of emergency care for severe trauma patients.

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Holanová, Tereza. "Ošetřovatelská péče o polytraumatizovaného pacienta po příjmu do traumacentra." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-380742.

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Multiple trauma is characterized by a simultaneous injury to multiple body systems, at least one from them directly affects by weakening injured patient or faillure of basic life functions - ventilation, bloodstream and consciousness. Accidents are, despite all prevention measures, one of the important cause of death. Multiple traumas are leading cause of death in the age group up to 45 years in the developed countries. The multiple trauma therapy is continues long and complete process which needs individual approach. The therapy starts at the place of accident and then during the transport and continue in the trauma center. The trauma center is able to provide complete therapy including treatment conditions, which require multidisciplinary coordinated cooperation. The diploma thesis deals with the issue of admission of patient with polytraumate into the traumatic center. The aim of the thesis is to approach the readers the multiple trauma, the possible causes of multiple trauma, which are the treatments of algorithms, how is the role and specification of trauma team during incoming of patient. Practical part of the thesis is about cause study of patient with the multiple trauma which complicated fat embolism. This part describes all processes from incoming patient with multiple trauma, including...

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Chang, Chia-Fang, and 張嘉芳. "Outpatient Waiting Time Improvement in Trauma Team of Department of Orthopaedics Surgery – A Simulation Approach." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/5bc5hn.

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碩士
國立臺北科技大學
工業工程與管理系碩士班
100
In recent years, people have paid attention on the service quality of healthcare providers under the competitive medical service industry. Patient waiting time is a critical factor that affects patients’ satisfaction. Based on Taoyuan Armed Forces General Hospital (TYAFGH) survey questionnaire, it showed that the long waiting time is the major problem of patient dissatisfaction. The average walk-in patient waiting time is approximately 2 hours in trauma team of orthopaedic surgery department. The hospital has a mixed registration type which accepts for both walk-in and scheduled patients. The reason of long waiting time is probably caused by the uncertain number of walk-in patients, or patient arrival time. In order to improve patient satisfaction, this research used a computer simulation approach to simulate all consultation sections of two physicians’ outpatient in trauma team of orthopaedics surgery department in TYAFGH. In the beginning, we analyzed the real data of two physicians during two months to build a valid simulation model. Then, this research applied three main patient scheduling scenarios. The first scenario made adjustments for proportion of walk-in and scheduled patients. The second scenario applied different policies for late patients and then adjusted late patient proportion. Third, this research applied various sequences for walk-in and scheduled patients. Finally, we did sensitivity analysis to find out the influential factor for reducing patient waiting time. The simulation results showed that the improvement of walk-in patient waiting time was average 53% in the first scenario and 33% in the third scenario. The second scenario has not shown effective improvement. Thus, in conclusion, through testing three scenarios, we could find out the adjustment of walk-ins proportion is the best way to improve patient waiting time.

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Chang, Hui-Ju, and 張惠茹. "The discussion of medical utilization and mortality in patients with abdominal organ injury by trauma team system." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/xrub8q.

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碩士
長庚科技大學
護理系碩士在職專班
106
ABSTRACT Background：According to the top 10 causes of death in Taiwan in 2015, "accidental injuries" is the sixth leading cause. It is the major cause of mortality for people under 65 year-old. The quality of major trauma care was adopted as an essential item for the grading and assessment of emergency medical capabilities in hospitals by the Health and Welfare Department in Taiwan since 2009. "Major trauma" means that the Injury Severity Score (ISS) greater ≧ 16 points. Most traumatic patients are young and mid-age adults with the highest socio-economic productivity. These unexpected accidents result in the family lost the main source of income and pose the heavy burden. Therefore, reducing the mortality related to trauma and medical utilization will be a very important issue in the medical care system. Methods：In this study, we used the database of (Traumatic Brain Injury, TBI) trauma in the first-rate emergency-response hospital in Chiayi City. From January 2009 to December 2014, all trauma patients were reviewed by medical record to include 176 people with ISS ≧ 16 points and abdominal organ injury. The characteristics of patients, traumatic conditions, treatments and other related factors, the initiation of trauma teams for the time to emergency computer tomography room, time for emergency arterial embolization in the angiography room, time to the operating room, time in the emergency room, and stay in hospital days (including the intensive care unit)were analyzed. We tried to find the effect of activating trauma team in the mortality of patients with major traumatic abdominal injury undergoing emergency arterial embolization and emergency surgery. The statistical methods included independent sample t-test, chi-square test, Pearson product difference correlation, point two series correlation analysis, multiple linear regression analysis and logistic regression analysis. Purposes：(1)To compare the time in Emergency room(ER) for receiving computed tomography(CT) scan if activate trauma team in severe abdominal injury patients (ISS≥16) who received emergent transcatheter arterial embolization(TAE) or emergent surgery; (2) To compare the time in ER for arriving at angiography room and receive emergent TAE if activate trauma team in severe abdominal injury patients (ISS≥16) who received emergent TAE or emergent abdominal surgery. (3) To compare the time in ER after key in the operation list and enter the operation room if activate trauma team in severe abdominal injury patients (ISS≥16) who received emergent TAE or emergent abdominal surgery.; (4) To compare the admission duration (including intensive care unit admission) if activate trauma team in severe abdominal injury patients (ISS≥16) who received emergent TAE or emergent abdominal surgery.; (5) To compare the mortality if activate trauma team in severe abdominal injury patients(ISS≥16) who received emergent TAE or emergent abdominal surgery. Results：During the trauma team study in Year 2009 to 2011, it was found that the medical utilization rate of patients with major abdominal organ injury was positively correlated with the systolic blood pressure at arrival of the hospital and the hospitalization day(s), including thedays in the intensive care unit ( r =0.020, p<0.05); showing that the higher the systolic blood pressure at arrival, the more hospitalization days, which is statistically significant. In addition, during the study in Year 2012 to 2014, the trauma team found that the medical utilization rate of patients with major abdominal organ injury was positively correlated with the age of the patient and the waiting time in the emergency room between key-in the the operating procedures to transfer to the operation room (minutes) ( r = 0.222 , p <0.05). It shows that the older the patient is, the longer the duration in the emergency room, is statistically significant. Conclusion：This study helps medical staffs to understand the importance of high quality trauma team, which can improve the efficiency of treating major trauma patients (GCS 9-12) and decrease mortality. In cooperation with professional nursing team, the time spent waiting for examinations and managements can be significantly decreased. It can furthermore decrease medical utilization rate and decline social medical cost then resume patients’ original life and social production value. Keywords：Trauma team, abdominal organ injury, medical utilization rate, mortality

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Averkiou, Daphnie [Verfasser]. "Geriatric trauma : introduction of age ≥ 70 years as a criterion for trauma team activation and the effect of early intensive management in consideration of the Injury Severiity Score / vorgelegt von Daphnie Averkiou." 2009. http://d-nb.info/100427615X/34.

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KOTRČOVÁ, Ivana. "Role sestry během akutního příjmu pacientů s traumatem." Master's thesis, 2011. http://www.nusl.cz/ntk/nusl-52319.

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Incidence of injury is currently the third leading cause of death in the Czech Republic. A good link between pre-hospital emergency care and hospital care becomes a priority. Nurses play an important role during an acute admission of patients with trauma to in-hospital care, they are the connecting link of all members of the multidisciplinary team, whose common mission is the patient and saturation of his /her needs. With the changing role of nurses in the modern concept of nursing, nurses become equal partners of physicians and other health care professionals. To be accepted by other members of the team and to be able to work with the full extent of her sphere of action in the acute phase of a trauma patient admission, she has to know perfectly her competencies under the applicable legislation. In the theoretical part the roles and responsibilities of nurses under the applicable legislation are defined. There are also chapters dealing with individual injuries and the organization of care for patients with trauma. In the final section of the theoretical part there is a chapter dealing with the holistic care for patients, including ethical care issues, the role of a patient and the importance of cooperation with the family of the trauma patient who is acutely admitted into the hospital. In the empirical part of the thesis three objectives were stated. To determine the cooperation of nurses with other members of the multidisciplinary team, as well as to find out whether the nurses involved in the admission of a trauma patient into hospital know their own competencies under the Decree No. 424/2004 Coll. The third objective was to determine how trauma patients perceive the process of admission to the hospital. Based on these objectives two hypotheses and two research questions were established. The objectives were successfully met, both hypotheses were confirmed and the questions answered. The research was conducted on the basis of a quantitative qualitative survey at departments of selected hospitals where the patients with acute trauma emergency were directed by emergency medical services. For the quantitative research the interviewing method using questionnaires was selected. Interviews with patients were conducted by the qualitative research method. The respondents were 117 nurses and 5 patients.

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HLUŠKO, Oldřich. "Analýza metod posttraumatické krizové intervence." Master's thesis, 2010. http://www.nusl.cz/ntk/nusl-51929.

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In my thesis, I postulated the target to map the methods and procedures applied by the CR Police, Regional Police Headquarters of the South-Bohemian Region within the primary, secondary as well as tertiary prevention of posttraumatic reactions and disorder. A partial target of the thesis is finding out the rate of the satisfaction with availability of intervention care for policemen and employees of the Regional Police Headquarters of the South-Bohemian Region, finding out the rate of the awareness, usability and satisfaction with the care of the posttraumatic intervention team in the South-Bohemian Region, awareness of the service Help Line in crisis and its usability. Moreover I postulated the goal to map the interest in the possible internet helpline in the scope of IZS with elaboration of SWOD analysis. Everybody, also policemen may suffer from stress reaction. Also they can have the psychical and physical signs of an acute stress reaction. They perform the most of service acts, interventions in a routine way, however, besides this, also situations occur, differing from the normal life experience and policemen get in this way very often into the stress situations, which can arouse deep mental turbulences. The impact of feelings on the mental state in case of extreme experiences is a normal human reaction in a not normal situation. At present, each policeman has the possibility to ask for help a team of specially trained experts, the team of posttraumatic intervention care. In the team, not only psychologists are working, but also experienced policemen, experts of the branch of the Ministry of Interior and the priests prepared to help with their experience, erudition and knowledge acquired by a special training. Since 2001 the impacted person may call the anonymous Crisis Help Line, which is a supporting part of the posttraumatic intervention care for the policemen, firemen, employees of the branch of the Ministry of Interior and their family members. The crisis help line is also at disposal to the public in case of extraordinary events and crisis situations. For this reason, this thesis treats the methods of posttraumatic intervention care, awareness, usability, satisfaction and trust in these branch offices of the CR Police.

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KUBEŠ, Tomáš. "Možnosti a využití pastorální teologie v posttraumatickém týmu HZS ČR." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-364743.

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Options and application pastoral theology in posttraumatic team HZS CR. The thesis is divided into three sections. The first section dedicates to the process of developing psychological service in selected components of integrated rescue systém and the formation and other developing of teams who have to provide psychological assistance during some extraordinary events. It also pays attention to the theoretical cognition of stress problems, traumas and posttraumatic disorders. The significant chapter is the part that is concerned with communication which is the main resource while providing help. The second section dedicates to the practical theology, its origin and gradual development in Central Europe. They are listed two main concepts of developing the practical theology which are important for understanding next formation and the possibility of using practical theology in interdisciplinary activities. Analysis of the constitutive elements of the Church is the mainstay. Main attention is paid to diakonia and linking charitable service of the Church. The third and also closing part includes the practical verification findings via questionnaire. The results and comments gained thanks to questionnaire as well with theoretical knowledge and practice of professional life enable the final evaluation of the whole work. This file is supposted to help while seeking the answer on original question of possibility of cooperation and using already mentioned disciplines while providing help.

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Dissertations / Theses on the topic 'Trauma teams'

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