Journal of Trauma Nursing最新文献_第3页

Improving Cervical Spine Clearance Documentation in the Pediatric Trauma Patient: A Quality Improvement Project. 改进儿童创伤患者颈椎清除记录：质量改进项目。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-06 DOI: 10.1097/JTN.0000000000000840

Megan M Reichert, Emily M Rheaume, Jesse M Skoch, Margot C Daugherty, Susan E Beiting, Allison L Bailey, Rebeccah L Brown, Laurie H Johnson, Richard A Falcone, Meera Kotagal

{"title":"Improving Cervical Spine Clearance Documentation in the Pediatric Trauma Patient: A Quality Improvement Project.","authors":"Megan M Reichert, Emily M Rheaume, Jesse M Skoch, Margot C Daugherty, Susan E Beiting, Allison L Bailey, Rebeccah L Brown, Laurie H Johnson, Richard A Falcone, Meera Kotagal","doi":"10.1097/JTN.0000000000000840","DOIUrl":"10.1097/JTN.0000000000000840","url":null,"abstract":"Background: Cervical spine clearance of pediatric trauma patients requires consistent, clear documentation for multidisciplinary trauma team members to provide safe care. Yet, cervical spine clearance often remains inconsistently and inappropriately documented.Objective: This study evaluated the effects of a cervical spine clearance documentation initiative on documentation adherence rates.Methods: This quality improvement study used a Plan-Do-Study-Act with iterative cycles and prospective data collection conducted from May 2022 to September 2023 in a large urban freestanding, Midwestern, U.S. Level I pediatric trauma center. The inclusion criteria were pediatric trauma patients aged 0-18 years with Glasgow Coma Scale scores ≥14 at clearance who required cervical collar placement. The multicomponent intervention comprised a standardized electronic note, enhanced multidisciplinary education, updated clinical guidelines, and weekly chart reviews with Pareto analysis. Outcome measures were adherence rates with a goal set at greater than 80% compliance.Results: A total of 550 patients were included in the study time period. The cervical spine documentation rate improved from a baseline pre-implementation rate of 10% to a post-implementation rate of 85% and has been sustained for the past 13.5 months.Conclusions: Implementing a standardized cervical spine clearance note increased the percentage of appropriate documentation, reducing the uncertainty regarding safe collar removal.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"32 2","pages":"108-113"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143576006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence and Factors Associated With Interpersonal Violence in Trauma Patients in A US-Mexico Border City: A Retrospective Cohort Analysis. 美墨边境城市创伤患者人际暴力发生率及相关因素：回顾性队列分析

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-06 DOI: 10.1097/JTN.0000000000000844

引用次数: 0

Peer Reviewer Guidelines for the Journal of Trauma Nursing. 创伤护理杂志同行评议指南。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-06 DOI: 10.1097/JTN.0000000000000841

Judy N Mikhail

引用次数: 0

Surrounded By Great Communication. 被良好的沟通所包围。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-06 DOI: 10.1097/JTN.0000000000000833

LeAnne Young

引用次数: 0

Effect of Trauma Bay Curtains on Ambient Noise and Number of Staff Present During Trauma Resuscitations. 创伤室窗帘对创伤复苏过程中环境噪声和在场人员数量的影响。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-06 DOI: 10.1097/JTN.0000000000000838

Jan Serrano, Anastacia Azor, Fanglong Dong, Michael M Neeki, David T Wong

{"title":"Effect of Trauma Bay Curtains on Ambient Noise and Number of Staff Present During Trauma Resuscitations.","authors":"Jan Serrano, Anastacia Azor, Fanglong Dong, Michael M Neeki, David T Wong","doi":"10.1097/JTN.0000000000000838","DOIUrl":"10.1097/JTN.0000000000000838","url":null,"abstract":"Background: Elevated ambient noise levels during trauma resuscitation can disrupt team member communication, yet limited research has examined interventions to mitigate these noise levels.Objective: This study aims to measure the effect of trauma bay curtains on noise levels and the number of staff present during trauma resuscitations.Methods: This single-center prospective randomized study was conducted at a U.S. Western Pacific State Level I trauma center from April 2019 through September 2023. The population inclusion was adult trauma patients meeting alert or activation criteria. The designated trauma bay secondary outer curtain was closed at the end of 2 min in the intervention group and at the end of 4 min in the control group. A t-test was used to compare control and intervention groups. The outcome variables were decibel levels, and the number of people in the designated area was recorded at the end of each minute for 6 min.Results: A total of n = 45 participants were included in this study. The control group (n = 19) had a mean of 9.89 decibels (SD = 8.42) compared to the intervention group (n = 24) with a mean of -1.50 decibels (SD = 5.29). These two groups had a statistically significant difference in average decibels and the total number of people between the first and fourth minute.Conclusions: We found that visual interruption using a secondary curtain effectively reduced the number of people and noise levels in the periphery during resuscitation.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"32 2","pages":"82-89"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143576018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Brief Intervention for Injury-Related Traumatic Stress: Results From a Feasibility Study. 对创伤性应激的简短干预：可行性研究的结果。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2025-01-01 Epub Date: 2025-01-27 DOI: 10.1097/JTN.0000000000000827

Chelsey Bull, Kelly Urban, Laura Rohm, Stephanie Rohrer, Sacha A McBain

{"title":"A Brief Intervention for Injury-Related Traumatic Stress: Results From a Feasibility Study.","authors":"Chelsey Bull, Kelly Urban, Laura Rohm, Stephanie Rohrer, Sacha A McBain","doi":"10.1097/JTN.0000000000000827","DOIUrl":"10.1097/JTN.0000000000000827","url":null,"abstract":"Background: Post-traumatic stress disorder (PTSD) significantly impacts post-injury quality of life; however, many injured patients struggle to access necessary psychosocial care. A brief intervention, Talk, Listen, Communicate to Recover (TLC to Recover), may facilitate access to psychosocial care in low resource trauma centers.Objective: This study assessed staff and patient perceptions regarding the feasibility and acceptability of implementing TLC to Recover at a Level I trauma center.Methods: This study used a mixed methods approach to examine the implementation of a brief dyadic intervention intended to mitigate the effect of potential post-injury mental health sequelae. The study took place from April 2021 to April 2024. Participants included adult patients who received post-injury care and were at risk for post-injury PTSD and/or depression. Outpatient trauma clinic staff participated in formative and summative evaluations of the intervention. Recruitment, retention rates, and engagement were assessed. Symptom measurements were administered to patients at baseline, two week follow-up, and one month to measure the effectiveness of TLC to Recover. Semistructured interviews and focus groups explored the acceptability of TLC to Recover among staff and patients. Summative template analysis was utilized to analyze qualitative data and integrated with the theoretical framework of acceptability.Results: A total of N = 26 participants were included in the summative and formative evaluations, of which n = 15 were patients and n = 11 were clinic staff. The surgical clinic was an acceptable and feasible context to deliver a brief intervention to patients at risk for post-injury PTSD and/or depression.Conclusion: This study offers insight into opportunities for implementation of brief post-injury psychosocial interventions in a surgical context.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"32 1","pages":"3-14"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Brief Intervention for Injury-Related Traumatic Stress: Results From a Feasibility Study. 对创伤性应激的简短干预：可行性研究的结果。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2025-01-01 Epub Date: 2025-01-27 DOI: 10.1097/JTN.0000000000000842

引用次数: 0

Motorcycle and Equestrian Trauma: An ACS TQIP Comparative Study. 摩托车和马术创伤：ACS TQIP比较研究。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2025-01-01 Epub Date: 2025-01-27 DOI: 10.1097/JTN.0000000000000828

Daniel E Ross, Satyam K Ghodasara, Justin S Roskam, Amanda G Gaccione, Louis T DiFazio, Jaroslaw W Bilaniuk, Zoltan H Nemeth

{"title":"Motorcycle and Equestrian Trauma: An ACS TQIP Comparative Study.","authors":"Daniel E Ross, Satyam K Ghodasara, Justin S Roskam, Amanda G Gaccione, Louis T DiFazio, Jaroslaw W Bilaniuk, Zoltan H Nemeth","doi":"10.1097/JTN.0000000000000828","DOIUrl":"10.1097/JTN.0000000000000828","url":null,"abstract":"Background: Motorcycle and equestrian accidents can share similar trauma mechanisms and can result in serious injuries.Objective: This study aims to analyze variations in injuries and safety standards through types, severity, and outcomes of traumatic injuries in both motorcycle and equestrian riders.Methods: Using the 2020 ACS TQIP database, we split patients into two groups based on their primary injury. We chose codes V28 and V80.0 to identify non-collision fall or throw injuries for motorcycle and equestrian accidents respectively. A total of 17,730 motorcycle and 5,461 equestrian patients were identified.Results: Motorcyclists were more likely to experience external/superficial injuries (41.34% vs. 29.08%, p < .001) and chest trauma (5.15% vs. 3.18%, p < .001), while equestrian trauma resulted in more injuries to the abdomen and pelvic content (24.07% vs. 15.75%, p < .001), extremities and pelvic girdle (9.85% vs. 4.98%, p < .001), and head/neck (15.57% vs. 12.16%, p < .001) comparatively. Motorcyclists also had a higher average length of inpatient stay (6.06 (8.03) vs. 4.32 (4.23) days, p < .001). Helmet use was more common among motorcyclists than horseback riders (57.79% vs. 24.24%, p < .001). The average injury severity score between the two groups was not significantly different.Conclusion: These data show the different injuries observed between both activities and the need for increased safety equipment, especially in the case of hip and pelvic injuries among equestrians. The low rate of helmet, especially among equestrian riders, is concerning despite broad education regarding their benefits.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"32 1","pages":"15-22"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Motorcycle and Equestrian Trauma: An ACS TQIP Comparative Study. 摩托车和马术创伤：ACS TQIP比较研究。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2025-01-01 Epub Date: 2025-01-27 DOI: 10.1097/JTN.0000000000000843

引用次数: 0

The Power of Partnership. 伙伴关系的力量。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2025-01-01 Epub Date: 2025-01-27 DOI: 10.1097/JTN.0000000000000826

LeAnne Young

引用次数: 0