Evidence map›Paper›PMID 25005598›Full record

ArticleBMJ open2014

Providing effective trauma care: the potential for service provider views to enhance the quality of care (qualitative study nested within a multicentre longitudinal quantitative study).

Kate Beckett, Sarah Earthy, Jude Sleney, Jo Barnes, Blerina Kellezi, Marcus Barker, Julie Clarkson, Frank Coffey, Georgina Elder, Denise Kendrick and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. The challenges and opportunities of major trauma care in Germany - results of multidisciplinary expert interviews of the LeAf trauma study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Biopsychosocial barriers affecting recovery after a minor transport-related injury: A qualitative study from Victoria.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  8. Article
  9. Observational
  10. Psychological morbidity and health-related quality of life after injury: multicentre cohort study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Article
  11. Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Kate BeckettUniversity of the West of England, Research and Innovation, University Hospitals Bristol NHS Foundation Trust, Education Centre, Bristol, UK.
Sarah EarthyDepartment of Sociology, Faculty of Arts and Human Sciences, University of Surrey, Guildford, Surrey, UK.
Jude SleneyDepartment of Sociology, Faculty of Arts and Human Sciences, University of Surrey, Guildford, Surrey, UK.
Jo BarnesLoughborough Design School, Loughborough, UK.
Blerina KelleziDivision of Primary Care, School of Medicine, Nottingham University, University Park, Nottingham, UK.
Marcus BarkerNottingham University Business School, Nottingham, UK.
Julie ClarksonNottingham University Hospitals, Nottingham, UK.
Frank CoffeyDREEAM (Department of Research and Education in Emergency medicine, Acute Medicine and Major Trauma), Nottingham University Hospitals NHS Trust, Nottingham, UK.
Georgina ElderDepartment of Emergency, Bristol Royal Infirmary, Bristol, UK.
Denise KendrickDivision of Primary Care, School of Medicine, University Park, Nottingham, UK.
Impact of Injuries Study group
University of Winchester · GBUniversity of Nottingham · GBBristol Royal Infirmary · GBUniversity of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore views of service providers caring for injured people on: the extent to which services meet patients' needs and their perspectives on factors contributing to any identified gaps in service provision.

designQualitative study nested within a quantitative multicentre longitudinal study assessing longer term impact of unintentional injuries in working age adults. Sampling frame for service providers was based on patient-reported service use in the quantitative study, patient interviews and advice of previously injured lay research advisers. Service providers' views were elicited through semistructured interviews. Data were analysed using thematic analysis.

settingParticipants were recruited from a range of settings and services in acute hospital trusts in four study centres (Bristol, Leicester, Nottingham and Surrey) and surrounding areas.

participants40 service providers from a range of disciplines.

resultsService providers described two distinct models of trauma care: an 'ideal' model, informed by professional knowledge of the impact of injury and awareness of best models of care, and a 'real' model based on the realities of National Health Service (NHS) practice. Participants' 'ideal' model was consistent with standards of high-quality effective trauma care and while there were examples of services meeting the ideal model, 'real' care could also be fragmented and inequitable with major gaps in provision. Service provider accounts provide evidence of comprehensive understanding of patients' needs, awareness of best practice, compassion and research but reveal significant organisational and resource barriers limiting implementation of knowledge in practice.

conclusionsService providers envisage an 'ideal' model of trauma care which is timely, equitable, effective and holistic, but this can differ from the care currently provided. Their experiences provide many suggestions for service improvements to bridge the gap between 'real' and 'ideal' care. Using service provider views to inform service design and delivery could enhance the quality, patient experience and outcomes of care.

Indexed as

Attitude of Health PersonnelQuality ImprovementQuality of Health CareAdultFemaleHumansLongitudinal StudiesMaleQualitative ResearchWounds and InjuriesAccident & Emergency MedicineQualitative ResearchTrauma Management

Identifiers

PMID25005598
PMCPMC4091464
OpenAlexW2107300142

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.