Stressing the System: Pediatric Trauma Centers May Be Unready to Implement Comprehensive Acute Stress Screening Programs for Pediatric Trauma Patients.

IF 0.7 4区医学 Q4 CRITICAL CARE MEDICINE

Journal of Trauma Nursing Pub Date : 2024-09-06 DOI:10.1097/jtn.0000000000000811

Elizabeth Jay Renaud,Julie R Bromberg,Christina McRoberts,Geraldine Almonte,Timmy R Lin,Emily Hensler,Michael J Mello

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引用次数: 0

Abstract

BACKGROUND Children experiencing trauma are at risk of developing acute and chronic stress disorders. In 2022, the American College of Surgeons Committee on Trauma required verified pediatric trauma centers to screen at-risk patients and provide mental health provider referrals as needed. OBJECTIVE The study objective is to assess the current readiness of pediatric trauma centers to meet the new American College of Surgeons requirements. METHODS This study used an exploratory, electronic, cross-sectional survey design. The Pediatric Trauma Society distributed a survey on mental health screening practices to its members in February 2023. Results were summarized with descriptive statistics. Chi-square test was used to compare responses of Levels I and II pediatric trauma centers. RESULTS There were 91 survey responses from the PTS membership of 1247 (response rate of 7.3%). Fifty-nine participants were from Level I and 27 from Level II pediatric trauma centers. 63.8% of Level I and 51.9% of Level II center respondents currently screened for acute stress (χ2(1) = 1.09, p = .30). Of these, 75.7% of Level I and 57.1% of Level II center respondents routinely screened all admitted trauma patients (χ2(1) = 1.68, p = .19). However, only 32.4% of Level I and 21.4% of Level II respondents reported having outpatient acute stress referral protocols. For pediatric trauma centers currently without screening, 65% of Level I and 46.2% of Level II pediatric trauma center respondents felt they needed more than six months to establish a program (χ2(1) = 1.15, p = .28). Most respondents (68.9%) reported staff shortages as a barrier to the delivery of acute stress services. CONCLUSIONS Pediatric trauma center compliance with acute stress screening requirements for verification is variable. Pediatric trauma centers may benefit from technical assistance with acute stress screening.

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系统压力：儿科创伤中心可能尚未准备好为儿科创伤患者实施全面的急性压力筛查计划。

背景经历创伤的儿童有患急性和慢性应激障碍的风险。2022 年，美国外科学院创伤委员会要求经核实的儿科创伤中心筛查高危患者，并根据需要提供心理健康服务提供者转介服务。方法本研究采用探索性、电子、横断面调查设计。儿科创伤学会于 2023 年 2 月向其会员发放了一份关于心理健康筛查实践的调查问卷。调查结果通过描述性统计进行总结。结果：在 1247 名儿科创伤学会会员中，有 91 人回复了调查问卷（回复率为 7.3%）。其中 59 人来自一级儿科创伤中心，27 人来自二级儿科创伤中心。63.8%的一级和51.9%的二级中心受访者目前正在进行急性应激反应筛查（χ2(1) = 1.09, p = .30）。其中，75.7% 的 I 级中心和 57.1% 的 II 级中心受访者对所有入院的创伤患者进行常规筛查（χ2(1) = 1.68，P = .19）。然而，仅有 32.4% 的一级和 21.4% 的二级受访者表示制定了门诊急性应激转诊协议。对于目前尚未进行筛查的儿科创伤中心，65%的一级和46.2%的二级儿科创伤中心受访者认为他们需要6个月以上的时间来制定计划（χ2(1) = 1.15, p = .28）。大多数受访者（68.9%）表示，人员短缺是提供急性应激反应服务的障碍。儿科创伤中心可能会从急性应激筛查的技术援助中受益。

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来源期刊

Journal of Trauma Nursing CRITICAL CARE MEDICINENURSING&-NURSING

CiteScore

1.20

自引率

10.00%

发文量

106

期刊介绍： Journal of Trauma Nursing (JTN) is the official journal of the Society of Trauma Nurses. The Society of Trauma Nurses believes that trauma is a disease impacting patients through the continuum of care. The mission of STN is to ensure optimal trauma care through education, collaboration, leadership and membership engagement. As the official publication of the Society of Trauma Nurses, the Journal of Trauma Nursing supports the STN’s strategic goals of effective communication, education and patient advocacy with original, peer-reviewed, research and evidence-based articles and information that reflect the highest standard of collaborative care for trauma patients. The Journal of Trauma Nursing, through a commitment to editorial excellence, implements STN’s vision to improve practice and patient outcomes and to become the premiere global nursing organization across the trauma continuum.