Does participation in the Reanima European Trauma Course lead to new behaviours and organizational change?

Abstract

Abstract Background Medical educational courses can be successful from an immediate feedback perspective but not lead to new behaviour or organizational changes in the workplace. The aim of this study was to assess the self-perceived impact of the Reanima European Trauma Course (R-ETC) on trainees’ behaviour and organizational change. Methods A 40-item questionnaire based on Holton's Evaluation Model was used to evaluate the candidate's perceptions. Results were analysed with descriptive and inferential statistical analysis using non-parametric tests with α = 0.05. Results Out of 295 participants, 126 responded to the survey. Of these, 94% affirmed that the R-ETC modified their approach to trauma patients and 71.4% described a change in their behaviour. Post-course responders changed their behaviour in their initial approach to trauma care in the non-technical skills of communication, prioritisation and teamwork. Being an R-ETC instructor strongly influenced the acquisition of new material and this group were able to implement changes in attitudes. Individuals with no previous trauma course experience identified lack of self-efficacy as a significant obstacle to introducing new work-based learning. In contrast, responders with ATLS training noted a lack of R-ETC colleagues as the main impediment for moving from conceptualisation to experimentation in the workplace. Conclusions Participation in the R-ETC led to behavioural changes in the workplace. However, the ability to influence others and bring about wider organizational changes was more difficult to achieve. Major factors were the status of the person, their experience and self-efficacy. National organizational impact was obtained which went far beyond our aspirations in acknowledging change in individual daily practice.