Habilidades técnicas e não técnicas em trauma: explorando o conhecimento interprofissional em um hospital universitário no Sul do Brasil

Abstract

Introduction: Trauma is one of the main causes of morbidity and mortality. The shortage of well-trained multidisciplinary trauma teams in trauma centers compromises clinical outcomes. Method: This study assesses the knowledge of technical and non-technical skills among trauma team members at the University Hospital of Maringá using self-assessment questionnaires applied via Google Forms to physicians, residents, nurses, and nursing technicians. The technical skills analyzed included airway and ventilation management, hemorrhage control, and shock treatment, while the non-technical skills addressed leadership, closed-loop communication, and situational awareness, using Likert scale scores ranging from 1 (lowest) to 5 (highest). Results: General surgeons demonstrated higher proficiency in technical skills (mean of 4.21) and non-technical skills (mean of 3.95), whereas the nursing team showed more heterogeneous and lower performance in both domains (means of 2.85 and 2.46, respectively). Previous training was associated with higher technical skill scores (3.94 vs. 2.87; p<0.001) but had no significant impact on non-technical skills (3.25 vs. 3.15; p=0.34). The majority of participants (60.9%) considered the implementation of training programs to improve technical and behavioral skills feasible. Conclusion: The study identifies knowledge gaps and reinforces the need for continuous and interprofessional training, proposing the use of simulations, video recordings, and evaluative tools such as T-NOTECHS. The findings may support similar assessment strategies in other trauma care centers to guide future training programs.