Does participation in the European Trauma Course lead to new behaviours and organisational change? A Portuguese experience
Abstract Background Medical educational courses can be successful from an immediate feedback perspective but not lead to new behaviour or organisational changes in the workplace. The aim of this study was to assess the self-perceived impact of the European Trauma Course (ETC) on Reanima trainees’ be...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-023-04322-0 |
| _version_ | 1797806659410591744 |
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| author | Elizabete Neutel Sebastian Kuhn Peter Driscoll Carl Gwinnutt Zélia Moreira Ana Veloso Maria Conceição Manso António Carneiro |
| author_facet | Elizabete Neutel Sebastian Kuhn Peter Driscoll Carl Gwinnutt Zélia Moreira Ana Veloso Maria Conceição Manso António Carneiro |
| author_sort | Elizabete Neutel |
| collection | DOAJ |
| description | Abstract Background Medical educational courses can be successful from an immediate feedback perspective but not lead to new behaviour or organisational changes in the workplace. The aim of this study was to assess the self-perceived impact of the European Trauma Course (ETC) on Reanima trainees’ behaviour and organisational change. Methods A 40-item questionnaire based on Holton's evaluation model was used to evaluate the candidate's perceptions. The results were analysed with descriptive and inferential statistical analysis using nonparametric tests with α = 0.05. Results Out of 295 participants, 126 responded to the survey. Of these, 94% affirmed that the ETC modified their approach to trauma patients, and 71.4% described a change in their behaviour. Postcourse responders changed their behaviour in their initial approach to trauma care in the nontechnical skills of communication, prioritisation and teamwork. Being an ETC instructor strongly influenced the acquisition of new material, and this group was able to implement changes in attitudes. Individuals with no previous trauma course experience identified lack of self-efficacy as a significant obstacle to introducing new work-based learning. In contrast, responders with ATLS training noted a lack of ETC colleagues as the main impediment for moving from conceptualisation to experimentation in the workplace. Conclusions Participation in the ETC led to behavioural changes in the workplace. However, the ability to influence others and bring about wider organisational changes was more difficult to achieve. Major factors were the status of the person, their experience and self-efficacy. National organisational impact was obtained, which went far beyond our aspirations in acknowledging change in individual daily practice. Future research studies will include the effect of implementing the ETC methodology on the outcome of trauma patients. |
| first_indexed | 2024-03-13T06:10:38Z |
| format | Article |
| id | doaj.art-9fe7569aa3d64585ba6e34d593c34811 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-03-13T06:10:38Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-9fe7569aa3d64585ba6e34d593c348112023-06-11T11:17:11ZengBMCBMC Medical Education1472-69202023-06-012311910.1186/s12909-023-04322-0Does participation in the European Trauma Course lead to new behaviours and organisational change? A Portuguese experienceElizabete Neutel0Sebastian Kuhn1Peter Driscoll2Carl Gwinnutt3Zélia Moreira4Ana Veloso5Maria Conceição Manso6António Carneiro7Department of Anaesthesiology, Intensive Care Medicine and Emergency, Porto University Hospital: Centro Hospitalar Universitário de Santo António (CHUd SA)Institute of Digital Medicine, Philipps-University Marburg and University Hospital of Giessen and MarburgFaculty of Clinical and Biomedical Sciences, University of Central LancashireResuscitation Council UKDepartment of Anaesthesiology, Intensive Care Medicine and Emergency, Porto University Hospital: Centro Hospitalar Universitário de Santo António (CHUd SA)CICS. NOVA. UMinho; School of Psychology, University of MinhoFaculty of Health Sciences, FP-I3ID/FP-BHS, University Fernando PessoaHospital da Luz ArrábidaAbstract Background Medical educational courses can be successful from an immediate feedback perspective but not lead to new behaviour or organisational changes in the workplace. The aim of this study was to assess the self-perceived impact of the European Trauma Course (ETC) on Reanima trainees’ behaviour and organisational change. Methods A 40-item questionnaire based on Holton's evaluation model was used to evaluate the candidate's perceptions. The results were analysed with descriptive and inferential statistical analysis using nonparametric tests with α = 0.05. Results Out of 295 participants, 126 responded to the survey. Of these, 94% affirmed that the ETC modified their approach to trauma patients, and 71.4% described a change in their behaviour. Postcourse responders changed their behaviour in their initial approach to trauma care in the nontechnical skills of communication, prioritisation and teamwork. Being an ETC instructor strongly influenced the acquisition of new material, and this group was able to implement changes in attitudes. Individuals with no previous trauma course experience identified lack of self-efficacy as a significant obstacle to introducing new work-based learning. In contrast, responders with ATLS training noted a lack of ETC colleagues as the main impediment for moving from conceptualisation to experimentation in the workplace. Conclusions Participation in the ETC led to behavioural changes in the workplace. However, the ability to influence others and bring about wider organisational changes was more difficult to achieve. Major factors were the status of the person, their experience and self-efficacy. National organisational impact was obtained, which went far beyond our aspirations in acknowledging change in individual daily practice. Future research studies will include the effect of implementing the ETC methodology on the outcome of trauma patients.https://doi.org/10.1186/s12909-023-04322-0ETCEducationTraumaHolton`s evaluation modelKirkpatrick’s hierarchy modelLearning transfer system inventory |
| spellingShingle | Elizabete Neutel Sebastian Kuhn Peter Driscoll Carl Gwinnutt Zélia Moreira Ana Veloso Maria Conceição Manso António Carneiro Does participation in the European Trauma Course lead to new behaviours and organisational change? A Portuguese experience BMC Medical Education ETC Education Trauma Holton`s evaluation model Kirkpatrick’s hierarchy model Learning transfer system inventory |
| title | Does participation in the European Trauma Course lead to new behaviours and organisational change? A Portuguese experience |
| title_full | Does participation in the European Trauma Course lead to new behaviours and organisational change? A Portuguese experience |
| title_fullStr | Does participation in the European Trauma Course lead to new behaviours and organisational change? A Portuguese experience |
| title_full_unstemmed | Does participation in the European Trauma Course lead to new behaviours and organisational change? A Portuguese experience |
| title_short | Does participation in the European Trauma Course lead to new behaviours and organisational change? A Portuguese experience |
| title_sort | does participation in the european trauma course lead to new behaviours and organisational change a portuguese experience |
| topic | ETC Education Trauma Holton`s evaluation model Kirkpatrick’s hierarchy model Learning transfer system inventory |
| url | https://doi.org/10.1186/s12909-023-04322-0 |
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