Journal of Trauma Nursing最新文献_第8页

Nurse-Initiated Protocol to Improve Timely Antibiotic Administration in Pediatric Open Fractures. 由护士发起的改善小儿开放性骨折抗生素及时应用的方案。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1097/JTN.0000000000000789

Kylie Scallon, Jessica Lee, Meghan Spencer, Makayla Schissel, Zebulon Timmons, Angela Hanna, Hannah Sneller

{"title":"Nurse-Initiated Protocol to Improve Timely Antibiotic Administration in Pediatric Open Fractures.","authors":"Kylie Scallon, Jessica Lee, Meghan Spencer, Makayla Schissel, Zebulon Timmons, Angela Hanna, Hannah Sneller","doi":"10.1097/JTN.0000000000000789","DOIUrl":"10.1097/JTN.0000000000000789","url":null,"abstract":"Background: Early administration of antibiotics in the presence of open fractures is critical in reducing infections and later complications. Current guidelines recommend administering antibiotics within 60 min of patient arrival to the emergency department, yet trauma centers often struggle to meet this metric.Objectives: This study aims to evaluate the impact of a nurse-initiated evidence-based treatment protocol on the timeliness of antibiotic administration in pediatric patients with open fractures.Methods: A retrospective pre-post study of patients who met the National Trauma Data Standard registry inclusion criteria for open fractures of long bones, amputations, or lawn mower injuries was performed at a Midwestern United States Level II pediatric trauma center. The time of patient arrival and time of antibiotic administration from preimplementation (2015-2020) to postimplementation (2021-2022) of the protocol were compared. Patients transferred in who received antibiotics at an outside facility were excluded.Results: A total of N = 73 participants met the study inclusion criteria, of which n = 41 were in the preimplementation group and n = 32 were in the postimplementation group. Patients receiving antibiotics within 60 min of arrival increased from n = 24/41 (58.5%) preimplementation to n = 26/32 (84.4%) postimplementation (p< .05).Conclusions: Our study demonstrates that initiating evidence-based treatment orders from triage helped decrease the time from arrival to time of antibiotic administration in patients with open fractures. We sustained improvement for 24 months after the implementation of our intervention.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 3","pages":"158-163"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923708","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.0000000000000786

Jonathan A Messing, Kathleen Russell-Babin, Deborah Baker, Rita D'Aoust

{"title":"Impact of Bedside Laparotomy Simulation and Microlearning on Trauma Nurse Role Clarity, Knowledge, and Confidence.","authors":"Jonathan A Messing, Kathleen Russell-Babin, Deborah Baker, Rita D'Aoust","doi":"10.1097/JTN.0000000000000786","DOIUrl":"10.1097/JTN.0000000000000786","url":null,"abstract":"Background: The care of patients undergoing low-volume, high-risk emergency procedures such as bedside laparotomy (BSL) remains a challenge for surgical trauma critical care nurses.Objectives: This study evaluates simulation and microlearning on trauma nurse role ambiguity, knowledge, and confidence in caring for patients during emergency BSL.Methods: The study is a single-center, prospective pretest-posttest design conducted from September to November 2022 at a Level I trauma center in the Mid-Atlantic United States using simulation and microlearning to evaluate role clarity, knowledge, and confidence among surgical trauma intensive care unit (STICU) nurses. Participants, nurses from a voluntary convenience sample within a STICU, attended a simulation and received three weekly microlearning modules. Instruments measuring role ambiguity, knowledge, and confidence were administered before the simulation, after, and again at 30 days.Results: From the pretest to the initial posttest, the median (interquartile range [IQR]) Role Ambiguity scores increased by 1.0 (1.13) (p < .001), and at the 30-day posttest, improved by 1.33 (1.5) (p < .001). The median (IQR) knowledge scores at initial posttest improved by 4.0 (2.0) (p < .001) and at the 30-day posttest improved by 3.0 (1.75) (p< .001). The median (IQR) confidence scores at initial posttest increased by 0.08 (0.33) (p = .009) and at the 30-day posttest improved by 0.33 (0.54) (p = .01).Conclusions: We found that simulation and microlearning improved trauma nurse role clarity, knowledge, and confidence in caring for patients undergoing emergency BSL.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 3","pages":"129-135"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923732","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

Traumatic Brain Injury, Psychological Trauma Exposure, and Anxious and Depressive Symptoms in a Clinical Population. 临床人群中的创伤性脑损伤、心理创伤暴露以及焦虑和抑郁症状。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000777

Ashley N Clausen, Katherine R Meyers, Heather M Stamey, Sarah K Spilman

{"title":"Traumatic Brain Injury, Psychological Trauma Exposure, and Anxious and Depressive Symptoms in a Clinical Population.","authors":"Ashley N Clausen, Katherine R Meyers, Heather M Stamey, Sarah K Spilman","doi":"10.1097/JTN.0000000000000777","DOIUrl":"10.1097/JTN.0000000000000777","url":null,"abstract":"Background: Approximately 90% of adults endorse psychological trauma exposure. However, barriers to assessment of psychological trauma and sequelae include limited access to care, lack of standardized assessments in nonpsychiatric settings, and comorbid diagnoses, such as traumatic brain injury (TBI), that may mimic psychiatric syndromes.Objectives: This study aims to assess the prevalence rates of psychological trauma exposure and TBI to understand the relationship of these experiences with current psychiatric symptoms.Methods: This is a cross-sectional study of a convenience sample of adult patients (age 18 years and older) referred for outpatient evaluation at a neuropsychology clinic in the Western United States between September 2021 and October 2022. Patients completed a clinical interview to assess their history of psychological trauma, TBI, and current psychiatric symptoms.Results: A total of 118 patients met inclusion criteria. Patients in the TBI group (n = 83) endorsed significantly higher rates of childhood trauma and prior physical, emotional, and sexual abuse compared with the No TBI group (n = 35). Psychological trauma exposure and TBI significantly predicted current anxiety and depressive symptoms, but there was no interaction between these experiences in predicting current psychiatric symptoms.Conclusions: Individuals with prior TBI experienced psychological trauma, particularly childhood trauma, at a significantly higher rate than those without TBI. Psychological trauma exposure and TBI independently predicted anxious and depressive symptoms, suggesting both may be viable treatment targets. Evaluation of prior psychological trauma exposure during evaluation of TBI may provide opportunities for trauma-informed care and may allow for improved outpatient treatment planning.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 2","pages":"82-89"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133235","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

Symptoms and Functional Outcomes Among Traumatic Brain Injury Patients 3- to 12-Months Post-Injury. 脑外伤患者受伤后 3 至 12 个月的症状和功能结果。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000776

Kathryn S Gerber, Gemayaret Alvarez, Arsham Alamian, Victoria Behar-Zusman, Charles A Downs

{"title":"Symptoms and Functional Outcomes Among Traumatic Brain Injury Patients 3- to 12-Months Post-Injury.","authors":"Kathryn S Gerber, Gemayaret Alvarez, Arsham Alamian, Victoria Behar-Zusman, Charles A Downs","doi":"10.1097/JTN.0000000000000776","DOIUrl":"10.1097/JTN.0000000000000776","url":null,"abstract":"Background: Patients with traumatic brain injury (TBI) experience a variety of physical, cognitive, and affective symptoms. However, the evolution of symptoms, especially during the 3- to 12-month convalescence period (when recovery of function is still possible), is understudied.Objective: This study aims to identify symptoms and the relationships with functional outcomes that occur during the 3- to 12-month period after a TBI.Methods: Participants who were 3 to 12 months post-TBI were recruited from a South Florida TBI clinic from May 2022 to June 2023. Clinical data were obtained from the electronic health record. Participants completed the Brain Injury Association of Virginia Symptom Checklist, Neuro-Quality of Life Cognitive Function, Anxiety, Depression, and Sleep Disturbance assessments to report symptoms, and the Disability Rating Scale and Satisfaction with Life Scale. Descriptive statistics were used to characterize demographics and symptoms. Linear regression was performed to analyze the relationships between symptoms and outcomes.Results: A total of N = 39 patients participated in the study. Memory problems and difficulty concentrating were the most common symptoms. Hospital length of stay, intensive care unit length of stay, cognitive, and physical symptoms were significantly associated with the Disability Rating Scale score. Physical, cognitive, depressive, and anxiety symptoms had significant associations with the Satisfaction with Life Scale.Conclusion: Cognitive symptoms should be integrated into the clinical care of rehabilitating TBI patients. Nurses should monitor for physical, affective, and cognitive symptoms during the recovery phase of TBI.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 2","pages":"72-81"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133230","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

Recognition of Our Emergency Medical Services Partners. 表彰我们的紧急医疗服务合作伙伴。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000773

Linda Kate Reinhart

引用次数: 0

Evaluation of a Novel Mechanical Venous Thromboembolism Compression Device in Trauma Patients: A Pilot Study. 评估创伤患者的新型静脉血栓栓塞压迫机械装置：试点研究。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000779

Kellie Girardot, Jan Powers, Lisa Morgan, Lisa Hollister

{"title":"Evaluation of a Novel Mechanical Venous Thromboembolism Compression Device in Trauma Patients: A Pilot Study.","authors":"Kellie Girardot, Jan Powers, Lisa Morgan, Lisa Hollister","doi":"10.1097/JTN.0000000000000779","DOIUrl":"10.1097/JTN.0000000000000779","url":null,"abstract":"Background: Venous thromboembolism (VTE) is the fourth most common preventable hospital-acquired complication for hospitalized trauma patients. Mechanical prophylaxis, using sequential compression or intermittent pneumatic compression (IPC) devices, is recommended alongside pharmacologic prophylaxis for VTE prevention. However, compliance with device use is a barrier that reduces the effectiveness of mechanical prophylaxis.Objective: This study aimed to determine whether using the Movement and Compressions (MAC) system compared with an IPC device impacts compliance with mechanical VTE prophylaxis in trauma patients.Methods: This study used a before-and-after design with historical control at a Level II trauma center with a convenience sample of adult trauma patients admitted to the intensive care unit or acute care floor for at least 24 h. We trialed the MAC device for 2 weeks in November and December 2022 with prospective data collection. Data collection for the historical control group occurred retrospectively using patients from a point-in-time audit of IPC device compliance from August and September of 2022.Results: A total of 51 patients met inclusion criteria, with 34 patients in the IPC group and 17 patients in the MAC group. The mean (SD) prophylaxis time was 17.2 h per day (4.0) in the MAC group and 7.5 h per day (8.8) in the IPC group, which was statistically significant (p < .001).Conclusion: Our findings suggest that the MAC device can improve compliance with mechanical prophylaxis.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 2","pages":"97-103"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133224","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

So You Want to Do Trauma Research? A Practical Guide to Creating a Research Program at Your Home Institution. 您想从事创伤研究吗？在您所在机构创建研究计划的实用指南》。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000774

Nicholas J Larson, Heidi M Altamirano, David J Dries, Benoit Blondeau, Frederick B Rogers

{"title":"So You Want to Do Trauma Research? A Practical Guide to Creating a Research Program at Your Home Institution.","authors":"Nicholas J Larson, Heidi M Altamirano, David J Dries, Benoit Blondeau, Frederick B Rogers","doi":"10.1097/JTN.0000000000000774","DOIUrl":"10.1097/JTN.0000000000000774","url":null,"abstract":"Background: There are 3 pillars upon which the foundation of a teaching program in health care is founded: research, education, and clinical care. However, in a busy academic trauma practice, the unfortunate reality is that research is often a low priority in the frenzy of mandates for clinical productivity.Objective: The purpose of this report is to advise hospitals on how to create a modest trauma research program that supports research interests without significantly impacting the overall clinical productivity of the department.Methods: Relevant literature related to the development of an academic trauma research department was reviewed. Relevant articles were then compared to this manuscript to assess the novelty of the topic.Results: There are 4 essential components of a trauma research program: (1) a zealot, (2) institutional commitment and support, (3) a statistician, and (4) registry data access.Conclusion: The creation of a trauma research program may seem like a herculean effort, but this work is necessary for institutions hoping to achieve status as a Level I/II trauma center. Following the steps outlined in this report, trauma providers can create a robust research program at their institution without sacrificing clinical productivity.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 2","pages":"57-62"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133229","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

Improving Time to Angioembolization for Trauma Care: Novel Smartphone Application. 改善创伤护理的血管栓塞时间：新颖的智能手机应用。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000769

Gayla Miles, Ann Quinlan

{"title":"Improving Time to Angioembolization for Trauma Care: Novel Smartphone Application.","authors":"Gayla Miles, Ann Quinlan","doi":"10.1097/JTN.0000000000000769","DOIUrl":"10.1097/JTN.0000000000000769","url":null,"abstract":"Background: Timely angiographic embolization of abdominopelvic injuries is a hallmark of a high-functioning trauma center. Yet, the process depends on the timely mobilization of interventional radiology staff. Smartphone technology to notify and mobilize staff may be a viable option.Objective: To describe the incorporation of a smartphone application into our trauma workflow process previously developed for stroke care.Methods: In 2022, our Level I trauma center implemented a smartphone application with three simultaneously occurring functions: (a) high-definition image viewing on the phone; (b) text messaging thread for all parties; and (c) a single-call activation system for staff mobilization. The application was initially developed to notify interventional radiologists of large-vessel occlusions in victims of stroke and, at our request, was modified to fit our trauma workflow process. The smartphone application company developed a new program, installed the application on trauma service smartphones, and provided educational in-services over a 1-month period. The application was then integrated into our trauma workflow process.Results: The trauma surgeon and the interventional radiologist can now simultaneously view high-definition images on their smartphones. Text messages are accessible to all team members. The staff is notified and mobilized with the singlecall smartphone application, preventing the placing and returning of phone calls.Conclusion: Smartphone technology enhances timely interventional radiology staff response for hemorrhagic patients requiring emergent angioembolization.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 2","pages":"115-120"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133225","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

Recognition of Our Emergency Medical Services Partners. 表彰我们的紧急医疗服务合作伙伴。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000773

Linda Kate Reinhart

引用次数: 0

Symptoms and Functional Outcomes Among Traumatic Brain Injury Patients 3- to 12-Months Post-Injury. 脑外伤患者受伤后 3 至 12 个月的症状和功能结果。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000782

引用次数: 0