• Kate Curtis, Belinda Gabbe, Kirsten Vallmuur, Katherine Martin, Shizar Nahidi, Ramon Z Shaban, Cliff Pollard, and Grant Christey.
• The University of Sydney, Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, Australia; Royal Australasian College of Surgeons, Trauma Quality Improvement Sub-Committee, Australia; Australasian Trauma Society, Australia; Australian Trauma Quality Improvement Program (AusTQIP), Australia; Illawarra Shoalhaven Local Health District, NSW, Australia; University of Wollongong, Faculty of Science, Medicine and Health, Australia. Electronic address: kate.curtis@sydney.edu.au.
• Injury. 2020 May 1; 51 (5): 1183-1188.

IntroductionThe availability and implementation of evidence-based care is essential to achieving safe, quality trauma patient outcomes. Little is documented, however, about the challenges trauma clinicians face in their day-to day practice, or their views on the availability of evidence. This paper presents the most significant clinical practice challenges reported by multidisciplinary trauma care professionals in Australia and New Zealand, in particular those that may be resolved with focussed research or enhanced implementation activity.MethodsAn exploratory survey of trauma professionals from relevant Australia and New Zealand professional organisations was conducted between September 2018 and February 2019 using the Snowballing Method. Participants were recruited via a non-random sampling technique to complete an online survey. Thematic analyses were conducted.ResultsThere were nine significant clinical practice challenge themes in trauma care, arising from 287 individual clinical practice challenges reported. The most reported being clinical management (bleeding, spinal, older patients) and operationalisation of the trauma system. There was no consensus as to the availability of evidence to guide each theme.ConclusionFuture research should seek to address the clinical practice challenge of Australian and New Zealand trauma community to enable safe, quality trauma patient outcomes.Crown Copyright © 2020. Published by Elsevier Ltd. All rights reserved.

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