Evidence map›Paper›PMID 38450048›Full record

ArticleTrauma surgery & acute care open2024

Building capacity for ATLS trauma education: role of nurse practitioners and physician assistants.

Julie A Dunn, Alysia Wiley, Kim McFann, Craig Baumgartner, Brad Chernock, Jeannette Capella, Catherine Wilson, Melanie Hallman, Dennis Taylor, John Sutyak and 3 more

Open access · goldAbstract read
In one paragraph

Article in Trauma surgery & acute care open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.1field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

13 authors at 10 institutions in 1 country.

Julie A DunnTrauma and Acute Care Surgery, Medical Center of the Rockies, Loveland, Colorado, USA.ORCID 0000-0002-9381-9060
Alysia WileyTrauma and Acute Care Surgery, Medical Center of the Rockies, Loveland, Colorado, USA.
Kim McFannTrauma and Acute Care Surgery, Medical Center of the Rockies, Loveland, Colorado, USA.
Craig BaumgartnerNorthShore University HealthSystem, St Petersburg, Florida, USA.
Brad ChernockDepartment of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Jeannette CapellaDepartment of Surgery, The Iowa Clinic, Des Moines, Iowa, USA.
Catherine WilsonVanderbilt University Medical Center, Nashville, Tennessee, USA.
Melanie HallmanSchool of Nursing, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Dennis TaylorWake Health Services, Raleigh, North Carolina, USA.
John SutyakSouthern Illinois University School of Medicine, Springfield, Illinois, USA.
Theresa CampoAANP, Austin, Texas, USA.
Tim ThortonProvidence St Joseph Medical Center, Poulson, Montana, USA.
Travis PolkCombat Casualty Care Research Program, US Army Medical Research and Development Command, Fort Detrick, Maryland, USA.
American Association of Nurse Practitioners · USIowa Lutheran Hospital · USNorthShore University HealthSystem · USProvidence College · USRutgers, The State University of New Jersey · USSouthern Illinois University School of Medicine · USUnited States Army Medical Research and Development Command · USUniversity of Alabama at Birmingham · USVanderbilt University Medical Center · USWake County Human Services · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Advanced Trauma Life Support (ATLS) focuses on care of injured patients in the first hour of resuscitation. Expanded demand for courses has led to a concurrent need for new instructors. Nurse practitioners and physician assistants (NPs/PAs) work on trauma services and duties include patient, staff, and outreach education. The goal of this project was to assess NP/PA self-reported knowledge and skills pertinent to ATLS and identify potential barriers to becoming instructors. Materials: This was a voluntary 91-question survey emailed to NP/PA lists obtained from professional societies and online social media channels. NPs/PAs completed a survey reflecting self-reported knowledge, experience, comfort level, and barriers to teaching ATLS interactive discussions and skills. Responses were recorded using a Likert scale and results were documented as percentages. Number of years of experience versus perceived knowledge and comfort teaching were compared using a χ Results: There were 1696 completed surveys. Most NPs/PAs thought they had adequate knowledge and experience to teach interactive discussions and skills. Those with more years of experience and those who completed more ATLS courses had higher percentages. The number 1 barrier to teaching was lack of formal teaching experience followed by perceived hierarchy concerns. Experience and comfort with skills that fell below 50% were pediatric airway (49.5%), needle and surgical cricothyrotomy (49.8% and 44.8%), diagnostic peritoneal lavage (21.6%), and venous cutdown (20.8%). Conclusion: NPs/PAs with experience in trauma reported having the knowledge and skill to teach ATLS. A majority are comfortable teaching interactive discussions and skills for which they are knowledgeable. The primary barrier to teaching was lack of formal teaching experience, which is covered in the ATLS Instructor course. Training NPs/PAs to become instructors would increase the instructor base and allow for increased promulgation of ATLS and trauma education. Level of evidence: IV.

Indexed as

Accidental InjuriesEducation, MedicalGlobal Burden Of Diseasenurse practitioners

Identifiers

PMID38450048
PMCPMC10916131
OpenAlexW4392515531

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.