Matches in SemOpenAlex for { <https://semopenalex.org/work/W4323276308> ?p ?o ?g. }
- W4323276308 endingPage "1408" @default.
- W4323276308 startingPage "1399" @default.
- W4323276308 abstract "Abstract Background Despite the growth of trauma training courses worldwide, evidence for their impact on clinical practice in low- and middle-income countries (LMICs) is sparse. We investigated trauma practices by trained providers in Uganda using clinical observation, surveys, and interviews. Methods Ugandan providers participated in the Kampala Advanced Trauma Course (KATC) from 2018 to 2019. Between July and September of 2019, we directly evaluated guideline-concordant behaviors in KATC-exposed facilities using a structured real-time observation tool. We conducted 27 semi-structured interviews with course-trained providers to elucidate experiences of trauma care and factors that impact adoption of guideline-concordant behaviors. We assessed perceptions of trauma resource availability through a validated survey. Results Of 23 resuscitations, 83% were managed without course-trained providers. Frontline providers inconsistently performed universally applicable assessments: pulse checks (61%), pulse oximetry (39%), lung auscultation (52%), blood pressure (65%), pupil examination (52%). We did not observe skill transference between trained and untrained providers. In interviews, respondents found KATC personally transformative but not sufficient for facility-wide improvement due to issues with retention, lack of trained peers, and resource shortages. Resource perception surveys similarly demonstrated profound resource shortages and variation across facilities. Conclusions Trained providers view short-term trauma training interventions positively, but these courses may lack long-term impact due to barriers to adopting best practices. Trauma courses should include more frontline providers, target skill transference and retention, and increase the proportion of trained providers at each facility to promote communities of practice. Essential supplies and infrastructure in facilities must be consistent for providers to practice what they have learned." @default.
- W4323276308 created "2023-03-06" @default.
- W4323276308 creator A5007751226 @default.
- W4323276308 creator A5028327908 @default.
- W4323276308 creator A5064408526 @default.
- W4323276308 creator A5068202923 @default.
- W4323276308 creator A5072731745 @default.
- W4323276308 creator A5074278184 @default.
- W4323276308 creator A5084704815 @default.
- W4323276308 creator A5087946612 @default.
- W4323276308 date "2023-03-05" @default.
- W4323276308 modified "2023-09-26" @default.
- W4323276308 title "Clinical Practices Following Train-The-Trainer Trauma Course Completion in Uganda: A Parallel-Convergent Mixed-Methods Study" @default.
- W4323276308 cites W1542086111 @default.
- W4323276308 cites W1967433109 @default.
- W4323276308 cites W1979155912 @default.
- W4323276308 cites W1987202914 @default.
- W4323276308 cites W2004727249 @default.
- W4323276308 cites W2009374222 @default.
- W4323276308 cites W2009708623 @default.
- W4323276308 cites W2037708536 @default.
- W4323276308 cites W2041818532 @default.
- W4323276308 cites W2050911029 @default.
- W4323276308 cites W2060328144 @default.
- W4323276308 cites W2064545591 @default.
- W4323276308 cites W2121994519 @default.
- W4323276308 cites W2140153393 @default.
- W4323276308 cites W2161252442 @default.
- W4323276308 cites W2161270176 @default.
- W4323276308 cites W2473672658 @default.
- W4323276308 cites W2532088370 @default.
- W4323276308 cites W2626146009 @default.
- W4323276308 cites W2756452265 @default.
- W4323276308 cites W2758696969 @default.
- W4323276308 cites W2763586138 @default.
- W4323276308 cites W2790998908 @default.
- W4323276308 cites W2803124552 @default.
- W4323276308 cites W2809022703 @default.
- W4323276308 cites W2959029288 @default.
- W4323276308 cites W2967841079 @default.
- W4323276308 cites W2982827406 @default.
- W4323276308 cites W2986265601 @default.
- W4323276308 cites W2988243676 @default.
- W4323276308 cites W2993492044 @default.
- W4323276308 cites W3029465290 @default.
- W4323276308 cites W3090469505 @default.
- W4323276308 cites W3117503529 @default.
- W4323276308 cites W3127846194 @default.
- W4323276308 cites W3155405444 @default.
- W4323276308 cites W3159036754 @default.
- W4323276308 cites W4248552398 @default.
- W4323276308 doi "https://doi.org/10.1007/s00268-023-06935-4" @default.
- W4323276308 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36872370" @default.
- W4323276308 hasPublicationYear "2023" @default.
- W4323276308 type Work @default.
- W4323276308 citedByCount "1" @default.
- W4323276308 countsByYear W43232763082023 @default.
- W4323276308 crossrefType "journal-article" @default.
- W4323276308 hasAuthorship W4323276308A5007751226 @default.
- W4323276308 hasAuthorship W4323276308A5028327908 @default.
- W4323276308 hasAuthorship W4323276308A5064408526 @default.
- W4323276308 hasAuthorship W4323276308A5068202923 @default.
- W4323276308 hasAuthorship W4323276308A5072731745 @default.
- W4323276308 hasAuthorship W4323276308A5074278184 @default.
- W4323276308 hasAuthorship W4323276308A5084704815 @default.
- W4323276308 hasAuthorship W4323276308A5087946612 @default.
- W4323276308 hasBestOaLocation W43232763081 @default.
- W4323276308 hasConcept C142724271 @default.
- W4323276308 hasConcept C159110408 @default.
- W4323276308 hasConcept C199360897 @default.
- W4323276308 hasConcept C27415008 @default.
- W4323276308 hasConcept C2776987312 @default.
- W4323276308 hasConcept C2780182762 @default.
- W4323276308 hasConcept C2780463512 @default.
- W4323276308 hasConcept C41008148 @default.
- W4323276308 hasConcept C509550671 @default.
- W4323276308 hasConcept C545542383 @default.
- W4323276308 hasConcept C71924100 @default.
- W4323276308 hasConceptScore W4323276308C142724271 @default.
- W4323276308 hasConceptScore W4323276308C159110408 @default.
- W4323276308 hasConceptScore W4323276308C199360897 @default.
- W4323276308 hasConceptScore W4323276308C27415008 @default.
- W4323276308 hasConceptScore W4323276308C2776987312 @default.
- W4323276308 hasConceptScore W4323276308C2780182762 @default.
- W4323276308 hasConceptScore W4323276308C2780463512 @default.
- W4323276308 hasConceptScore W4323276308C41008148 @default.
- W4323276308 hasConceptScore W4323276308C509550671 @default.
- W4323276308 hasConceptScore W4323276308C545542383 @default.
- W4323276308 hasConceptScore W4323276308C71924100 @default.
- W4323276308 hasIssue "6" @default.
- W4323276308 hasLocation W43232763081 @default.
- W4323276308 hasLocation W43232763082 @default.
- W4323276308 hasLocation W43232763083 @default.
- W4323276308 hasOpenAccess W4323276308 @default.
- W4323276308 hasPrimaryLocation W43232763081 @default.
- W4323276308 hasRelatedWork W1894747421 @default.
- W4323276308 hasRelatedWork W1931082743 @default.
- W4323276308 hasRelatedWork W2007113357 @default.