“Patient participation” and related concepts: a scoping literature review on their dimensional composition

The Greater Region (GR) is Europe’s cross-border region including Lorraine, Luxembourg, Rhineland-Palatinate, Saarland and Wallonia. These regions share a consortium founded by five Univer sities. In the GR, emergency initial training for polytrauma patients’ management is heterogeneous. Moreover, learners encounter diffi culties in acquiring knowledge and skills on trauma due to case limi tations. This lack of experience can lead to adverse events and care errors. Lastly, WHO requests that states of the European Union intro duce training in prehospital trauma care. Consequently, the five uni versities are designing a common competency framework to define technical and non-technical skills needed to manage polytrauma
patients.
Methods: To design this competency framework, several steps have been planned: 1) a literature review on Medline Databases and CINAHL using key words related to training and polytrauma manage ment, and consultation of reference books; 2) a first proposal of com mon frame; 3) face-to-face and experts’ meetings; and 4) a Delphimethod to finalise and validate the framework. The first two havealready been carried out.
Results: The literature review allowed selecting two books and 23 arti cles. The first proposal of competency framework is divided into three parts. The first part presents prerequisite knowledge and skills of the emergency physicians. The second part describes the rational of the frame, and essential concepts as the Golden hour6 and a timeline forolytrauma patients’ management. The last part describes seven med ical skills using CanMEDS system presented in two sections: five Non Technical Skills (Professional attitude, Long-life learning, Communicator,Collaborator and Leader), and several Technical Skills to use during Pre hospital phase and In-hospital phase.
Conclusions: Designing a common framework for polytrauma pa tients’ management in the GR is the first step of an Interreg project.
Based on CanMEDS system, seven skills have been defined. A Delphi method will validate this proposal.