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{
    "pk": 14139,
    "title": "Collaboration and Decision-Making on Trauma Teams: A Survey Assessment",
    "subtitle": null,
    "abstract": "Introduction:\n Leadership, communication, and collaboration are important in well-managed trauma resuscitations. We surveyed resuscitation team members (attendings, fellows, residents, and nurses) in a large urban trauma center regarding their impressions of collaboration among team members and their satisfaction with patient care decisions.\nMethods:\n The Collaboration and Satisfaction About Care Decisions in Trauma (CSACD.T) survey was administered to members of ad hoc trauma teams immediately after resuscitations. Survey respondents self-reported their demographic characteristics; the CSACD.T scores were then compared by gender, occupation, self-identified leader role, and level of training.\nResults:\n The study population consisted of 281 respondents from 52 teams; 111 (39.5%) were female, 207 (73.7%) were self-reported White, 78 (27.8%) were nurses, and 140 (49.8%) were physicians. Of the 140 physician respondents, 38 (27.1%) were female, representing 13.5% of the total surveyed population. Nine of the 52 teams had a female leader. Men, physicians (vs nurses), fellows (vs attendings), and self-identified leaders trended toward higher satisfaction across all questions of the CSACD.T. In addition to the comparison groups mentioned, women and general team members (vs non-leaders) gave lower scores.\nConclusion:\n Female residents, nurses, general team members, and attendings gave lower CSACD.T scores in this study. Identification of nuances and underlying causes of lower scores from female members of trauma teams is an important next step. Gender-specific training may be necessary to change negative team dynamics in ad hoc trauma teams.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "leadership"
        },
        {
            "word": "gender"
        },
        {
            "word": "Satisfaction"
        },
        {
            "word": "nurse"
        },
        {
            "word": "physician"
        },
        {
            "word": "Trauma care"
        },
        {
            "word": "Teamwork"
        }
    ],
    "section": "Trauma",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4x8748bg",
    "frozenauthors": [
        {
            "first_name": "Kinjal",
            "middle_name": "N.",
            "last_name": "Sethuraman",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Program in Trauma, Baltimore, Maryland",
            "department": "None"
        },
        {
            "first_name": "Wan-Tsu",
            "middle_name": "W.",
            "last_name": "Chang",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Program in Trauma, Baltimore, Maryland",
            "department": "None"
        },
        {
            "first_name": "Amy",
            "middle_name": "L.",
            "last_name": "Zhou",
            "name_suffix": "",
            "institution": "University of Maryland, College Park, Maryland",
            "department": "None"
        },
        {
            "first_name": "Boyan",
            "middle_name": "",
            "last_name": "Xia",
            "name_suffix": "",
            "institution": "University of Maryland, College Park, Maryland",
            "department": "None"
        },
        {
            "first_name": "Daniel",
            "middle_name": "B.",
            "last_name": "Gingold",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland",
            "department": "None"
        },
        {
            "first_name": "Maureen",
            "middle_name": "",
            "last_name": "McCunn",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Program in Trauma, Baltimore, Maryland; University of Maryland School of Medicine, Department of Anesthesiology,\nBaltimore, Maryland",
            "department": "None"
        }
    ],
    "date_submitted": "2020-06-13T14:26:35Z",
    "date_accepted": "2020-06-13T14:26:35Z",
    "date_published": "2021-01-11T08:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/14139/galley/7316/download/"
        }
    ]
}