Journal of Trauma Nursing最新文献_第6页

Needlessly Treated: Evaluation of Prehospital Needle Thoracostomy. 不必要的治疗：评估院前针刺胸腔造口术。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-09-06 DOI: 10.1097/jtn.0000000000000812

引用次数: 0

Lessons in Running and Nursing. 跑步和护理课程

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-09-01 Epub Date: 2024-09-06 DOI: 10.1097/JTN.0000000000000806

LeAnne Young

引用次数: 0

Just-in-Time Video Using QR Codes: An Approach to Pediatric Trauma Nursing Education. 使用 QR 码的即时视频：儿科创伤护理教育方法。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI: 10.1097/JTN.0000000000000800

Nicholas Fraser Mudry, Linda Nancy Roney

{"title":"Just-in-Time Video Using QR Codes: An Approach to Pediatric Trauma Nursing Education.","authors":"Nicholas Fraser Mudry, Linda Nancy Roney","doi":"10.1097/JTN.0000000000000800","DOIUrl":"10.1097/JTN.0000000000000800","url":null,"abstract":"Background: High acuity trauma and patients in cardiopulmonary arrest are not frequently seen in all pediatric Level I trauma centers. Yet, nurses are required to manage these patients in fast-paced, high-pressure environments.Objective: This project aims to develop and evaluate an education program for high-risk, low-volume equipment and skills in the pediatric emergency department setting.Methods: This is a pre- and post-quality improvement study conducted in a Northeastern United States pediatric Level I trauma center. Emergency department nurses were invited to view videos detailing high-risk, low-volume equipment use. For the convenience of access, Quick Response (QR) codes linked to the videos were placed on each piece of equipment reviewed. General self-efficacy and levels of self-efficacy in using the equipment were assessed before the intervention and again after 4 weeks from January to February 2023.Results: A total of 43 pediatric emergency nurses participated in the education. The mean aggregate general self-efficacy score was 32.93. Mean scores in all areas (Level 1 rapid infuser, fluid warmer, blood administration, and securing an endotracheal tube) improved after the intervention.Conclusions: Easily accessible, brief refresher videos linked to QR codes in the pediatric emergency department can help empower nurses who need to use high-risk, low-volume equipment.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 4","pages":"211-217"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592097","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

Factors Influencing Time to Definitive Care in Hip Fracture Patients ina Rural Health System. 影响农村医疗系统髋部骨折患者接受最终治疗时间的因素。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI: 10.1097/JTN.0000000000000804

引用次数: 0

Advanced Trauma Care for Nurses New International Collaboration: ATCN Sister Sites Program. 护士高级创伤护理新国际合作：ATCN 姐妹站点计划。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI: 10.1097/JTN.0000000000000795

Michael A Glenn

引用次数: 0

Development of a Standardized Nursing Handoff With Tablet Technology: A Quality Improvement Initiative. 利用平板电脑技术开发标准化护理交接：质量改进计划。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI: 10.1097/JTN.0000000000000801

Briana R Miller, Kimberly A Maye, Frances D Charlton

{"title":"Development of a Standardized Nursing Handoff With Tablet Technology: A Quality Improvement Initiative.","authors":"Briana R Miller, Kimberly A Maye, Frances D Charlton","doi":"10.1097/JTN.0000000000000801","DOIUrl":"10.1097/JTN.0000000000000801","url":null,"abstract":"Background: Nursing handoff of complete and accurate information is critical for patient safety yet is often difficult to achieve with consistency between nursing departments.Objective: This quality improvement project aims to describe the development and piloting of a standardized handoff tool for administration by computer tablet for nursing report.Methods: This descriptive quality improvement initiative was conducted in an 885-bed Level I trauma center in the Southeast Region of the United States. The study was completed in three phases. First, emergency department and trauma intensive care unit nurses were surveyed to determine handoff barriers and best practices. Second, the survey information was used to develop a standardized handoff tool incorporating tablet technology. Third, staff pilot testing was performed, followed by a final survey to ascertain staff feedback on the tool.Results: A total of n = 120 nurses completed the surveys, and pilot testing was conducted on n = 177 patient handoffs. Ninety-five percent of nurses expressed satisfaction with the tool and 65% with the tablet.Conclusion: This study supported using a standardized handoff tool between the emergency department and trauma intensive care unit and substantiated the benefits of using a tablet for face-to-face communication.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 4","pages":"218-223"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592093","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

Out of Many. 从芸芸众生中脱颖而出

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI: 10.1097/JTN.0000000000000794

LeAnne Sitari Young

引用次数: 0

Nurse Sensitive Indicators as Predictors of Trauma Patient Discharge Disposition. 作为创伤患者出院处置预测因素的护士敏感指标。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI: 10.1097/JTN.0000000000000805

引用次数: 0

Nurse-Sensitive Indicators as Predictors of Trauma Patient Discharge Disposition. 作为创伤患者出院处置预测因素的护士敏感指标。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI: 10.1097/JTN.0000000000000797

Lily A Silverstein, Debra K Moser, Mary Kay Rayens

{"title":"Nurse-Sensitive Indicators as Predictors of Trauma Patient Discharge Disposition.","authors":"Lily A Silverstein, Debra K Moser, Mary Kay Rayens","doi":"10.1097/JTN.0000000000000797","DOIUrl":"10.1097/JTN.0000000000000797","url":null,"abstract":"Background: About 3.5 million trauma patients are hospitalized every year, but 35%-40% require further care after discharge. Nurses' ability to affect discharge disposition by minimizing the occurrence of nurse-sensitive indicators (catheter-associated urinary tract infection [CAUTI], central line-associated bloodstream infection [CLABSI], and hospital-acquired pressure injury [HAPI]) is unknown. These indicators may serve as surrogate measures of quality nursing care.Objective: The purpose of this study was to determine whether nursing care, as represented by three nurse-sensitive indicators (CAUTI, CLABSI, and HAPI), predicts discharge disposition in trauma patients.Methods: This study was a secondary analysis of the 2021 National Trauma Data Bank. We performed logistic regression analyses to determine the predictive effects of CAUTI, CLABSI, and HAPI on discharge disposition, controlling for participant characteristics.Results: A total of n = 29,642 patients were included, of which n = 21,469 (72%) were male, n = 16,404 (64%) were White, with a mean (SD) age of 44 (14.5) and mean (SD) Injury Severity Score of 23.2 (12.5). We created four models to test nurse-sensitive indicators, both individually and compositely, as predictors. While CAUTI and HAPI increased the odds of discharge to further care by 1.4-1.5 and 2.1 times, respectively, CLABSI was not a statistically significant predictor.Conclusions: Both CAUTI and HAPI are statistically significant predictors of discharge to further care for patients after traumatic injury. High-quality nursing care to prevent iatrogenic complications can improve trauma patients' long-term outcomes.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 4","pages":"189-195"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592098","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

Evaluating Child Passenger Restraint Use Education. 评估儿童乘客约束装置使用教育。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI: 10.1097/JTN.0000000000000798

Jeanne Marsala, Todd Hightower, Sheri Stucke, Brittany Trujillo, Cheryl Malone, Jennifer Bertolani, Justin Jacobs, David Silverberg, Nancy Rivera, Nicholas Fiore

{"title":"Evaluating Child Passenger Restraint Use Education.","authors":"Jeanne Marsala, Todd Hightower, Sheri Stucke, Brittany Trujillo, Cheryl Malone, Jennifer Bertolani, Justin Jacobs, David Silverberg, Nancy Rivera, Nicholas Fiore","doi":"10.1097/JTN.0000000000000798","DOIUrl":"10.1097/JTN.0000000000000798","url":null,"abstract":"Background: Despite recommendations and laws for child restraint use in motor vehicles, evidence of low restraint use remains, and there is a lack of evidence addressing the effectiveness of restraint use education.Objective: This project aims to measure the impact of an education initiative on child passenger restraint use.Methods: This pre- and postintervention study was conducted in six elementary schools in a Southwestern U.S. metropolitan area over 5 months from October 2022 to March 2023. Motor vehicle restraint use was collected from occupants arriving at elementary schools during the morning drop-off times. Participants were provided one-on-one education regarding child passenger safety guidelines and state laws. Comparison data were collected 1-3 weeks later at the same schools to evaluate the education provided.Results: A total of 1,671 occupants in 612 vehicles were observed across six schools, with 343 adults and 553 children preintervention and 306 adults and 469 children postintervention. Overall restraint adherence in children improved postintervention from 42.3% to 56.1%, a 32.6% increase (p = < .001). In the primary age group of 4-8 years, restraint adherence improved postintervention from 34.8% to 54.2%, a 55.8% increase (p = <.001).Conclusions: The study results demonstrate that one-on-one education increases child passenger restraint use.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 4","pages":"196-202"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592094","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