ArticleInternational journal of nursing studies advances2026
From data to practice: an improvement pathway for trauma teams based on the T-NOTECHS scale and the PEARLS feedback framework: A pre-post interventional study.
Article in International journal of nursing studies advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The efficiency of trauma resuscitation teams depends not only on the precise execution of technical skills but also on the proficiency in non-technical skills, such as communication, decision-making, leadership, and situational awareness. The integrated development of both skill sets is essential for optimizing trauma care delivery and ensuring patient safety. This study investigates a training model that integrates the Trauma Non-Technical Skills (T-NOTECHS) scale with the Promoting Excellence and Reflective Learning in Simulation (PEARLS) feedback framework, aimed at enhancing both technical and non-technical competencies among trauma team members. Objective: To evaluate the dual impact of a combined T-NOTECHS and PEARLS-based training model on enhancing the technical and non-technical competencies of trauma care teams and to examine its influence on patient-centered, time-sensitive treatment metrics. Methods: A pre-post interventional study design was adopted. Trauma team members underwent training utilizing the T-NOTECHS assessment tool and the PEARLS debriefing framework. Effectiveness was assessed by comparing technical and non-technical performance metrics before and after the intervention, and by evaluating time-sensitive clinical metrics. Results: Post-training assessments revealed statistically significant improvements across both technical and non-technical domains ( Conclusion: The integration of the T-NOTECHS scale and PEARLS feedback framework represents an effective training model for concurrently advancing both technical and non-technical competencies in trauma teams. This model not only fosters interprofessional collaboration and procedural precision but also enhances both the efficiency and safety of trauma patient care. Given its demonstrable benefits, this model demonstrates considerable potential for broader implementation in high-acuity emergency and critical care settings.Not registered.
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