Application of Evidence into Practice in Trauma: The Purpose to Practice (P2P) Approach to Consensus Generation

IntroductionIn trauma care, there is a need to increase communication to ensure evidence-informed, best practice care guidelines are easily accessible to all providers to yield continuity of care. Clinical guidance use is one way to address this need while employing a patient-centered team approach. MethodsDuring year two of the Design for Implementation: The Future of Trauma Research & Clinical Guidance conference series, participants gathered in person and virtually to further develop the Minimum Viable Product (MVP) created during year one. Professional facilitators used the purpose-to-practice (P2P) framework to help structure and guide further consensus building. ResultsSeventy in-person and up to 65 virtual attendees participated. Sixty-five responses were collected on the MVP reflection and initial feedback survey. Themes were developed surrounding the pillars of "Purpose," "Principles," "Participants," and "Practices" while looking at the "Structure" for "Sustainability." The "Purpose" pillar addressed the importance of rigorous, standardized implementation guidance. "Principles" exemplified the necessity of a collaborative approach and included all relevant stakeholders. Similarly, the central theme emphasized by the "Participants" pillar was the inclusiveness of all members of the trauma team. "Practices" dove into the deliverables of the initiative, including up-to-date decision-making support and logistics regarding guidance storage, management, and maintenance. Regarding "Structure," the most highly ranked idea was developing a steering committee whose purpose would be primarily to prioritize strategic initiatives. DiscussionClinical guidance needs to be current and readily available to all providers. Next steps of this initiative include developing a steering committee and subcommittees to sustain momentum. What is already known on this topic - The current state of trauma clinical guidance warrants optimization as clinicians experience implementation challenges, including relevancy to practice setting, inadequate access, and inadequate dissemination. Lack of guidance consensus and applicability highlights a need to equitably provide evidence-based recommendations to all providers to provide quality care for traumatically injured patients. What this study adds - This study models the use of a formal consensus-generation approach to optimize inclusivity of perspective integration and impact of output. How this study might affect research, practice or policy - Recommended next steps for P2P consensus generation include the development of a steering committee and subcommittees to continue the work from this conference series to improve collaboration and accessibility of trauma clinical guidance nationally. TSACO Manuscript Type: Original Research LEVEL OF EVIDENCE: VII