Journal of Trauma Nursing最新文献_第7页

Factors Influencing Time to Definitive Care in Hip Fracture Patients in a 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.0000000000000796

Lisa Hollister, Kellie Girardot, Jennifer Konger, Thein Hlaing Zhu

{"title":"Factors Influencing Time to Definitive Care in Hip Fracture Patients in a Rural Health System.","authors":"Lisa Hollister, Kellie Girardot, Jennifer Konger, Thein Hlaing Zhu","doi":"10.1097/JTN.0000000000000796","DOIUrl":"10.1097/JTN.0000000000000796","url":null,"abstract":"Background: Current literature has not adequately addressed factors affecting wait times for hip fracture surgery in the rural setting.Objective: This study aims to assess the factors affecting admission, transit, and preoperative wait times that impact the timeliness of hip fracture surgery within a rural health system.Methods: A single-center retrospective cross-sectional study was conducted in a rural community comprising five community hospitals and two receiving hospitals. A trauma registry study included all hip fracture cases from 2019. Mean, standard deviation, median, and interquartile range were calculated for admission wait times, transit times to the receiving hospitals, and preoperative wait times in hours. Metrics based on means or medians were developed for these wait times.Results: A total of 163 patients met the inclusion criteria. The emergency department wait times before and after admission to the community hospitals were 1 hour and 2.5 hours, respectively. The transit times from the community hospitals, ranging from shorter to farther distances, to receiving hospitals were 40 minutes and 1 hour, respectively. The preoperative wait time for admitted and transferred patients was 12 hours.Conclusion: Our study outlines a methodology for establishing wait time metrics that impact surgical timeliness for hip fracture patients within a rural healthcare system. We recommend conducting comparable studies with larger sample sizes across different healthcare systems.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 4","pages":"182-188"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592095","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

Healthcare Professionals and Extreme Risk Protection Orders: A Concise Review. 医疗保健专业人员和极端风险保护令：简明评论。

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.0000000000000802

Lisa C Lindley, Lora Humphrey Beebe, Heather A Davis, Christina N Policastro, Radion Svynarenko

{"title":"Healthcare Professionals and Extreme Risk Protection Orders: A Concise Review.","authors":"Lisa C Lindley, Lora Humphrey Beebe, Heather A Davis, Christina N Policastro, Radion Svynarenko","doi":"10.1097/JTN.0000000000000802","DOIUrl":"10.1097/JTN.0000000000000802","url":null,"abstract":"Background: Extreme risk protection orders (ERPOs) are one policy mechanism to address the critical public health problem of gun violence. The inclusion of healthcare professionals with ERPOs is a promising approach to expanding ERPO utilization, yet early evidence has not been examined.Objective: The purpose of this study was to synthesize the current research on healthcare professionals and ERPOs.Data sources: Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, Academic Search Complete, and Web of Science were searched.Study selection: Studies examined healthcare professionals' role and function within the context of ERPOs.Data extraction: Relevant studies were reviewed and included through consensus of the authors. Data extracted included authors, objective, design, states, healthcare professional type, mental health professional type, healthcare professional roles/involvement and key outcomes.Data synthesis: There is unfamiliarity with ERPOs among healthcare professionals. Healthcare professionals lack ERPO knowledge and are unclear about ethical and legal ERPO liability.Conclusion: The available evidence suggests that healthcare professionals have an important role in ERPOs, but critical gaps in ERPO knowledge, training/resources, and liability will limit use and effectiveness of healthcare professionals, including nurses, in the role of ERPO petitioner.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 4","pages":"224-230"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592096","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

Pain Assessment in the Outpatient Pediatric Burn Patient: An Integrative Review. 儿科烧伤门诊病人的疼痛评估：综合评述。

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.0000000000000799

Cindy Colson, Judy Ascenzi, Elizabeth Waibel, Deborah Busch

{"title":"Pain Assessment in the Outpatient Pediatric Burn Patient: An Integrative Review.","authors":"Cindy Colson, Judy Ascenzi, Elizabeth Waibel, Deborah Busch","doi":"10.1097/JTN.0000000000000799","DOIUrl":"10.1097/JTN.0000000000000799","url":null,"abstract":"Background: There is no standardized practice in pediatric pain assessment with burn injuries in the outpatient clinic setting.Objective: This review aims to identify reliable, validated tools to measure pain in the pediatric burn clinic population.Methods: The literature search for this integrative review was conducted using the databases of PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Cochrane, and Embase from 2011 to 2023. Quality and relevance were appraised using the Johns Hopkins Nursing Evidence-Based Practice Model. Reporting was done according to a Preferred Reporting Items for Systemic Reviews and Meta-Analysis checklist.Results: Fourteen articles and two clinical practice guidelines met inclusion criteria and were included in this review.Conclusion: The Pain Observation Scale for Young Children and the COMFORT Behavior Scale tools have shown good reliability and construct validity and can be safely used to measure background and procedural pain in daily burn practice. Further research on reliable, validated pain assessment techniques in the pediatric burn population is needed.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 4","pages":"203-210"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592100","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

Elements of an Advanced Trauma Education Program for Emergency Nurses: A Modified Delphi Approach. 急诊护士高级创伤教育计划的要素：改良德尔菲法

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1097/JTN.0000000000000788

Lisa Wolf, Altair Delao, Monica Escalante Kolbuk, Claire Simon

{"title":"Elements of an Advanced Trauma Education Program for Emergency Nurses: A Modified Delphi Approach.","authors":"Lisa Wolf, Altair Delao, Monica Escalante Kolbuk, Claire Simon","doi":"10.1097/JTN.0000000000000788","DOIUrl":"10.1097/JTN.0000000000000788","url":null,"abstract":"Background: Basic trauma education for emergency department (ED) staff is available, but there are currently no advanced trauma nursing practice standards for ED nurses.Objective: The purpose of this study was to identify consensus-based elements of an advanced trauma nursing program for ED nurses.Methods: We used a modified Delphi process with three rounds of online survey data collection to ensure a large group of geographically diverse experts. Data were collected from February 2023 to May 2023. The sample for Round 1 was recruited from members of the Emergency Nurses Association reporting job titles, including trauma coordinator, trauma nursing core course instructor, and vice president of trauma services (n = 829). Participants in subsequent rounds were drawn from respondents to the initial invitation to participate (n = 131). Members of an emergency nursing research council with clinical and research expertise reviewed the results and provided expert input.Results: An initial sample of 131 experts identified 17 elements that were assigned a median score equivalent to \"agree/strongly agree\" (i.e., median 4/5 or 5/5) in Round 2 (n = 69). These elements were presented in Round 3 (n = 43) to determine a rank order. Critical thinking/clinical judgment was the overall priority, followed by assessment/reassessment and early recognition of trauma.Conclusions: Emergency department trauma care experts identified priority content for advanced trauma education. Heterogeneity in the final ranking of components for this advanced trauma course, specifically differences by facility, regional, or demographic characteristics, suggests that training and education may not conform to a one-size-fits-all model.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 3","pages":"149-157"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923697","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

Stress and Coping in Emergency Nurses Following Trauma Patient Care: A Qualitative Grounded Theory Approach. 急诊护士在护理创伤患者后的压力与应对：定性基础理论方法。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1097/JTN.0000000000000787

Gordon L Gillespie, Holly A Meyer, Margot Daugherty, Delinda Puthoff, Lisa J Fryman, Patricia Kunz Howard

{"title":"Stress and Coping in Emergency Nurses Following Trauma Patient Care: A Qualitative Grounded Theory Approach.","authors":"Gordon L Gillespie, Holly A Meyer, Margot Daugherty, Delinda Puthoff, Lisa J Fryman, Patricia Kunz Howard","doi":"10.1097/JTN.0000000000000787","DOIUrl":"10.1097/JTN.0000000000000787","url":null,"abstract":"Background: Experiencing symptoms of traumatic stress may be the cost of caring for trauma patients. Emergency nurses caring for trauma patients are at risk for traumatic stress reactions.Objective: This study explored the stress and coping behaviors experienced by emergency nurses who provide trauma care.Methods: Focus groups were held at three urban trauma centers in the Midwestern United States: a Level I pediatric trauma center, a Level I adult trauma center, and a Level III adult trauma center. Data were collected between December 2009 and March 2010. Data analysis was guided by the principles of grounded theory. Line-by-line coding and constant comparative analysis techniques were used to identify recurring constructs.Results: A total of 48 emergency nurses participated. Recurring constructs emerged in the data analysis and coding, revealing four major themes: care of the trauma patient, professional practice, personal life, and support.Conclusions: Nurse job engagement, burnout, and professional and personal relationships are influenced by trauma patient care. The study's resulting themes of care of the trauma patient, professional practice, personal life, and support resulted in the development of the \"trauma nursing is a continual experience theory\" that can be used as a framework to address these effects. Intentional support and timely interventions based on this new theory can help mitigate the effects of traumatic stress experienced by trauma nurses.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 3","pages":"136-148"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923753","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

Stress and Coping in Emergency Nurses following Trauma Patient Care: A Qualitative Grounded Theory Approach. 创伤患者护理后急诊护士的压力与应对：定性基础理论方法。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1097/JTN.0000000000000793

引用次数: 0

Prevalence and Risk Factors of Constipation in Trauma Patients: A Prospective Cohort Study. 创伤患者便秘的患病率和风险因素：前瞻性队列研究

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1097/JTN.0000000000000790

Kellie M Liersch, Kellie M Gumm, David J Read

{"title":"Prevalence and Risk Factors of Constipation in Trauma Patients: A Prospective Cohort Study.","authors":"Kellie M Liersch, Kellie M Gumm, David J Read","doi":"10.1097/JTN.0000000000000790","DOIUrl":"10.1097/JTN.0000000000000790","url":null,"abstract":"Background: Hospitalized patients are well described as having a high prevalence of constipation. While the risks associated with constipation in trauma patients are well known, the prevalence rate is not.Objective: This study aims to measure the prevalence of constipation and associated risk factors in trauma patients.Methods: This study is a single-center analytic cross-sectional study on constipation in hospitalized trauma patients aged 18-65 years, admitted from January 2021 to July 2021 to the trauma service at The Royal Melbourne Hospital, a Level I major trauma and teaching hospital servicing the state of Victoria, Australia. Exclusion criteria include patients with traumatic brain injury, blunt or penetrating abdominal or spinal injuries, pregnancy, and gastrointestinal comorbidities.Results: A total of N = 99 patients were studied, of which n = 78 (78.8%) were male with a median (interquartile range) age of 46 years (33-58). The overall prevalence of constipation was 76%. The univariate analysis demonstrated higher constipation rates in males and patients with multisystem injuries. However, in the multivariate analysis, mode of toileting and mobility were not associated with constipation after adjusting for confounding factors.Conclusion: This study demonstrated a high prevalence of constipation in all trauma patients. There is a strong association between the development of constipation in patients with multisystem injuries when compared to those with single system.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 3","pages":"164-170"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923740","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

Hospital Based Violence Intervention Programs Using Peer Support Specialists: A Concise Review. 使用同伴支持专家的医院暴力干预计划：简明综述。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1097/JTN.0000000000000791

Lakyn Webb, Kelly Urban, Natalie Capps

{"title":"Hospital Based Violence Intervention Programs Using Peer Support Specialists: A Concise Review.","authors":"Lakyn Webb, Kelly Urban, Natalie Capps","doi":"10.1097/JTN.0000000000000791","DOIUrl":"10.1097/JTN.0000000000000791","url":null,"abstract":"Background: Interpersonal violence remains a significant public health problem in the United States. The toll of violence has spurred the development of hospital-based violence intervention programs that use peer support specialists or navigators. Yet, their effectiveness remains uncertain. This study aims to concisely review the recent literature on the effectiveness of hospital-based violence intervention programs using the peer support specialist role.Methods: A systematic search of articles from PubMed, OVID, and Google Scholar was performed for this review. Peer reviewed studies addressing hospital-based violence intervention programs using peer support specialists between 2017 and 2022 were selected. Key data points were extracted and analyzed by consensus of the authors.Results: Eight of the 232 studies reviewed met eligibility requirements. Across these studies, the recidivism rate was reduced between 43% and 95% in victims participating in hospital-based violence intervention programs with peer support specialists.Conclusion: The peer support specialist (navigator) role is central to the success of the violence intervention programs. This role guides and coordinates health services for victims of violence, extending after discharge into the community. Programs showed the most success with helping victims reach short-term goals focused on immediate basic needs but are more challenged meeting longer-term goals, such as education or relocation. This review reveals that hospital-based violence intervention programs using peer support specialists (navigators) lead to the achievement of meeting victim goals and reduce recidivism rates.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 3","pages":"171-177"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923727","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

Effects of COVID-19 Status on Hip Fracture Surgical Outcomes: An ACS NSQIP Study. COVID-19 状态对髋部骨折手术结果的影响：ACS NSQIP 研究。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1097/JTN.0000000000000785

Esther H Shim, Satyam K Ghodasara, Justin S Roskam, Amanda G Gaccione, Louis T DiFazio, Gary Lombardo, Zoltan H Nemeth

{"title":"Effects of COVID-19 Status on Hip Fracture Surgical Outcomes: An ACS NSQIP Study.","authors":"Esther H Shim, Satyam K Ghodasara, Justin S Roskam, Amanda G Gaccione, Louis T DiFazio, Gary Lombardo, Zoltan H Nemeth","doi":"10.1097/JTN.0000000000000785","DOIUrl":"10.1097/JTN.0000000000000785","url":null,"abstract":"Background: Studies have indicated that patients infected with the SARS-CoV-2 virus fare worse clinically after a traumatic injury, especially those who are older and have other comorbidities.Objective: This study aims to understand the effects of Corona Virus Disease 19 (COVID-19) diagnosis on patients undergoing surgery for hip fractures.Methods: This is a retrospective review of the 2021 American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) Targeted Hip Fracture database for patients who underwent surgery. Two cohorts were formed based on patients' preoperative COVID-19 status, as tested within 14 days prior to the operation. Several clinical factors were compared.Results: The COVID-positive cohort consisted of 184 patients, all of whom had a laboratory-confirmed or clinically suspected SARS-CoV-2 infection, while the COVID-negative cohort consisted of 12,211 patients with no infection. A lower proportion of COVID-positive patients had an emergent operation compared to the COVID-negative cohort (58.70% vs. 73.09%, p < .001). Preoperatively, the COVID-positive cohort showed higher rates of coagulopathy/bleeding disorders (22.83% vs. 14.12%), congestive heart failure (16.30% vs. 9.84%), diabetes mellitus (28.26% vs. 19.24%), and dementia (42.39% vs. 28.07%), with p ≤ .005 for all. Postoperatively, a higher proportion of COVID-positive patients died (9.78% vs. 5.40%) or had pneumonia (8.70% vs. 3.65%), hospital readmission within 30 days (10.87% vs. 6.76%), and pressure sores (8.15% vs. 4.55%), with p ≤ .033 for all.Conclusion: The diagnosis of COVID-19 in hip fracture patients was associated with higher rates of postoperative complications, including mortality, when compared to COVID-negative patients, indicating the severity of the viral infection.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 3","pages":"123-128"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923695","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

Impact of Bedside Laparotomy Simulation and Microlearning on Trauma Nurse Role Clarity, Knowledge, and Confidence. 床旁腹腔手术模拟和微型学习对创伤护士角色清晰度、知识和信心的影响。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1097/JTN.0000000000000792

引用次数: 0