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Application and Evaluation of Knowledge Retention Related to Advanced Trauma Care for Nurses (ATCN) Course Content

A Preliminary Study

Canzian, Sonya MHSc, RN, CNN(C); Nanni, Jessica MN, NP-PHC, CNCC(C); McFarlan, Amanda BA, RN, CAISS; Chalklin, Kathryn MHE, BA; Sorvari, Anne BA; Barratt, Lee MN, RN, ENC(C); Blanchette, Shirley Ann BN, RN; Li, Yangmei PhD; Topolovec-Vranic, Jane PhD

doi: 10.1097/JTN.0000000000000216
RESEARCH
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The Advanced Trauma Care for Nurses (ATCN) course was designed to help nurses increase their knowledge in management of the multiple trauma patient. To determine whether the trauma-related knowledge of ATCN course takers differed from nontakers, assess the factors associated with ATCN content knowledge among course takers, and explore the extent to which the ATCN content was used by course takers in their clinical practice. A cross-sectional online survey of 78 ATCN takers (nurses who had successfully completed the ATCN course within the previous 3 years) and 58 ATCN nontakers (a control group of nurses who had not taken the course but who worked in comparable clinical settings) was conducted. The survey consisted of demographic questions and a 15-item knowledge test spanning the ATCN course content. ATCN takers were also asked about the frequency with which a specific ATCN content had been used in their practice since taking the course. ATCN takers had a significantly higher (mean ± SD = 10.6 ± 2.2) total score on the study test than the ATCN nontakers (mean ± SD = 6.4 ± 2.6); t(134) = −10.0, p < .001. A shorter time since course completion was associated with higher knowledge scores. ATCN takers rated the clinical relevance and applicability of the course content as high. The findings suggest that completing the ATCN course increases knowledge levels of trauma patient management and that the ATCN course content is clinically relevant to the nurses. However, higher knowledge scores were observed for the most recent study participants, suggesting that booster sessions for ATCN course participants may be warranted.

Trauma & Neurosurgery Program (Mss Canzian, Nanni, McFarlan, Chalklin, and Sorvari and Drs Li and Topolovec-Vranic) and Mobility (Mss Canzian and Chalklin) Program, Perioperative Services (Ms Horton), Emergency Department (Ms Barratt and Ms Blanchette), and Li Ka Shing Knowledge Institute (Dr Topolovec-Vranic), St Michael's Hospital, Toronto, Ontario, Canada; and Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada (Dr Topolovec-Vranic).

Correspondence: Sonya Canzian, MHSc, RN, CNN(C), Trauma and Neurosurgery and Mobility Programs, St Michael's Hospital, 30 Bond St, Donnelly 3-082, Toronto, ON M5B 1W8, Canada (canzians@smh.ca).

Authors' contribution: Sonya Canzian: Conceived of the study; developed the study protocol; developed first draft of and contributed to the revisions of the measurement tools; oversaw data collection, analyses and interpretation; and participated in manuscript preparation and revision. Jessica Nanni: Contributed to the refinement of the study protocol and revision of the measurement tools, data collection and interpretation; and participated in manuscript preparation and revision. Amanda McFarlan: Contributed to the refinement of the study protocol and revision of the measurement tools, data collection and interpretation; and participated in manuscript preparation and revision. Kathryn Chalklin: Contributed to data analysis and interpretation; and participated in manuscript preparation and revision. Anne Sorvari: Contributed to the refinement of the study protocol and revision of the measurement tools, data collection and interpretation; and participated in manuscript preparation and revision. Lee Barratt: Contributed to the refinement of the study protocol and revision of the measurement tools, data collection and interpretation; and participated in manuscript preparation and revision. Shirley Ann Blanchette: Contributed to the refinement of the study protocol and revision of the measurement tools, data collection and interpretation; and participated in manuscript preparation and revision. Yangmei Li: Contributed to the refinement of the study protocol and revision of the measurement tools, data collection and interpretation; and participated in manuscript preparation and revision. Jane Topolovec-Vranic: Conducted data analyses and contributed to interpreting the study findings; wrote first draft of the study manuscript; and participated in revisions.

The authors declare no conflicts of interest.

Copyright © 2016 by the Society of Trauma Nurses.