Journal of Trauma Nursing最新文献_第9页

Meeting the Needs of Family Members of Trauma Patients in the Emergency Department. 满足急诊科创伤患者家属的需求。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000778

Kübra Can, Aynur Koyuncu, Fatma Eti Aslan

{"title":"Meeting the Needs of Family Members of Trauma Patients in the Emergency Department.","authors":"Kübra Can, Aynur Koyuncu, Fatma Eti Aslan","doi":"10.1097/JTN.0000000000000778","DOIUrl":"10.1097/JTN.0000000000000778","url":null,"abstract":"Background: While the needs of family members have previously been studied, the needs of families of trauma patients have received less attention.Objective: This study aims to assess the needs of family members of trauma patients in the emergency department.Methods: This cross-sectional survey study was conducted over 4 months (February-May 2022) with family members of trauma patients admitted to the emergency department of a state hospital in Istanbul, Turkey. The validated Critical Care Family Needs Inventory - Emergency Department survey was administered face-to-face to a convenience sample of consenting family members.Results: A total of 248 family members participated, representing 84 patients. The mean age of the participants was 33 (8.18) years, with a gender distribution of 50% women. On average, 76.5% of the family members' needs were met. The most important needs reported as mean (SD) were as follows: communication, 3.52 (0.68); participation in care, 3.52 (0.68); comfort, 3.36 (0.65); and support needs, 3.21 (0.72). These needs were met to varying degrees: communication 85%, participation in care 81.2%, comfort 75.4%, and support needs 65.2%.Conclusion: The study findings indicate that the needs of family members of emergency department trauma patients are not fully met. Families report needing communication the most and comfort the least.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 2","pages":"90-96"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133227","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

Integration of Substance Use Screening Into the Electronic Health Record for Adolescent Trauma Patients: A Quality Improvement Project. 将药物使用筛查纳入青少年创伤患者的电子健康记录：质量改进项目。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000780

Samantha Troncoso-Munoz, Khalil D Davis

{"title":"Integration of Substance Use Screening Into the Electronic Health Record for Adolescent Trauma Patients: A Quality Improvement Project.","authors":"Samantha Troncoso-Munoz, Khalil D Davis","doi":"10.1097/JTN.0000000000000780","DOIUrl":"10.1097/JTN.0000000000000780","url":null,"abstract":"Background: Adolescent substance abuse is a well-acknowledged and increasing concern. Screening brief intervention and referral to treatment for alcohol and drug use in adolescent trauma is a requirement, but program implementation remains a challenge for many trauma centers.Objective: This study aims to examine the effect of an integrated electronic health record screening tool and staff training on screening, brief intervention, and referral to treatment compliance in adolescent trauma.Methods: This is a single-center, pre- and postintervention study of substance use screening compliance in adolescent trauma patients (age 12-21) conducted at a Level I pediatric trauma center in the Southeastern United States following the integration of the CRAFFT substance abuse screening tool into the electronic health record. The study compared 12 months of preintervention data (January 2021 through January 2022) to 15 months of postintervention data (February 2022 through May 2023).Results: A total of N = 241 patients met inclusion criteria, of which most were male, n = 168 (69.7%), White n = 185 (76.8%), and Hispanic n = 179 (74.3%). Screening compliance increased from preintervention 81% to postintervention 92%.Conclusion: Our study demonstrates that integrating a digital screening tool into the electronic health record resulted in an average increased screening compliance of 11%.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 2","pages":"109-114"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133226","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

Trauma Registry Professionals' Perspectives on the Secondary Traumatic Stress Component of Compassion Fatigue: A Qualitative Study. 创伤登记处专业人员对 "同情疲劳 "中 "二次创伤压力 "部分的看法：定性研究。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000775

Amanda L Truelove, Erin Arcipowski, Michele Herndon, Jane McCormack, Lisa M Steurer, Jennifer Lee Broeder, Anna B Newcomb

{"title":"Trauma Registry Professionals' Perspectives on the Secondary Traumatic Stress Component of Compassion Fatigue: A Qualitative Study.","authors":"Amanda L Truelove, Erin Arcipowski, Michele Herndon, Jane McCormack, Lisa M Steurer, Jennifer Lee Broeder, Anna B Newcomb","doi":"10.1097/JTN.0000000000000775","DOIUrl":"10.1097/JTN.0000000000000775","url":null,"abstract":"Background: Secondary traumatic stress and compassion fatigue have been studied among trauma clinicians yet have not been explored in trauma registry professionals (TRPs).Objective: The purpose of this study is to describe the secondary traumatic stress component of compassion fatigue among TRPs.Methods: A qualitative, phenomenological study was conducted to examine TRPs' experiences with the secondary traumatic stress component of compassion fatigue. The primary investigator assembled a multidisciplinary team of researchers, including nursing leadership, registry educators, mental health experts, and qualitative researchers. Two focus groups were held virtually in January 2021, using an interview guide designed by the research team. Participants were recruited via an email sent to a list of colleagues known to the research team from training classes held nationally and selected for their diverse clinical experiences, years in the role, demographic background, and trauma center representation. The recorded sessions were independently transcribed and analyzed by a five-member subgroup of the research team; the analysis concluded in December 2022.Results: Nine TRPs participated in the focus groups. Participants came from Level I, II, and III adult and pediatric trauma centers and military centers. Four themes emerged from the data: disquieting and rewarding work, reactions and emotional responses, the influence of personal histories and background, and coping strategies.Conclusion: A qualitative analysis of focus group discussions revealed the secondary traumatic stress component of compassion fatigue is present in the TRP.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 2","pages":"63-71"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133233","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

Trauma Registry Professionals' Perspectives on the Secondary Traumatic Stress Component of Compassion Fatigue: A Qualitative Study. 创伤登记处专业人员对 "同情疲劳 "中 "二次创伤压力 "部分的看法：定性研究。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000783

引用次数: 0

Trauma Patient-Centered Discharge Plan Form: A Pilot Study. 以创伤患者为中心的出院计划表：试点研究。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-03-01 DOI: 10.1097/JTN.0000000000000770

Lisa G Stricker, Alice Running, Amanda H Lucas, Barry A McKenzie

{"title":"Trauma Patient-Centered Discharge Plan Form: A Pilot Study.","authors":"Lisa G Stricker, Alice Running, Amanda H Lucas, Barry A McKenzie","doi":"10.1097/JTN.0000000000000770","DOIUrl":"10.1097/JTN.0000000000000770","url":null,"abstract":"Background: Comprehensive and multidisciplinary discharge planning can improve trauma patient throughput, decrease length of hospitalization, increase family and patient support, and expedite hospital discharge.Objective: This study aimed to assess the feasibility and acceptability of implementing a patient-centered discharge plan form for adult trauma patients.Methods: A single-center pilot study was conducted with adult trauma patients on a neurosurgical medical-surgical floor at a Level II trauma center in the Western United States from January to February 2023. The study had three phases: observation, pilot intervention, and follow-up. The key pilot intervention was the development of a standardized patient-centered discharge plan form, pilot tested by a trauma advanced practice provider and an inpatient discharge nurse. The primary outcome was the frequency of discharge orders being written before noon on the day of discharge. Qualitative and quantitative outcomes are reported.Results: The discharge form was used for eight patients during the pilot intervention phase; an advanced practice provider and an inpatient discharge nurse each completed the forms for four patients. Five of eight observed patients had discharge orders before noon; the incidence of orders before noon was slightly higher when the form was completed by the discharge nurse (three of four patients) than by the advanced practice provider (two of four patients).Conclusions: The pilot study found that the patient-centered discharge plan form was feasible and acceptable to help improve the discharge process for trauma patients. Additional work to further refine the form's content and administration is warranted.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 2","pages":"104-108"},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133232","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

Misplaced Evidence, Missed Opportunities: Protocols for Handling Ballistic Evidence in Pediatric Patients. 放错证据，错失良机：处理儿科患者弹道证据的规程。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-01-01 DOI: 10.1097/JTN.0000000000000761

Derek Marlor, Miriam Crandall, Meredith Elman, Shai Stewart, Nelimar Cruz-Centeno, Dae Kim, Maria Ginger-Wiley, David Juang

{"title":"Misplaced Evidence, Missed Opportunities: Protocols for Handling Ballistic Evidence in Pediatric Patients.","authors":"Derek Marlor, Miriam Crandall, Meredith Elman, Shai Stewart, Nelimar Cruz-Centeno, Dae Kim, Maria Ginger-Wiley, David Juang","doi":"10.1097/JTN.0000000000000761","DOIUrl":"10.1097/JTN.0000000000000761","url":null,"abstract":"Background: Gun-related injury is now the number one cause of death in pediatric trauma patients. Many hospitals lack dedicated forensic nurses or updated protocols for handling ballistic evidence. Evidence not collected, handled improperly, or misplaced may deny a victim the basic human right to justice.Objective: This article aims to describe an initiative to highlight the importance of proper management of ballistic evidence and to educate medical providers on best practices for the documentation, handling, removal, and transfer of ballistic evidence.Methods: After discovering 24 \"orphaned\" bullets and bullet fragments in our hospital that had not been turned over to law enforcement, we sought to turn in evidence to the proper authorities and implement protocols to prevent this error in the future. New protocols were written by forensic staff, and education on new protocols was provided via in-person training, grand rounds, emails, and other collaborative initiatives.Results: Evidence was matched to police reports using the patient name and date of birth on evidence labels. The median (interquartile range [IQR]) time of lost ballistic evidence was 1,397 (903, 1604) days, with the oldest bullet removed in 2015. All bullets were successfully returned to law enforcement with a median (IQR) time from bullet discovery to collection of 78 (78, 174) days.Conclusions: Ballistic evidence handling protocols are essential for all hospitals. Dedicated, trained forensic staff should be employed to ensure proper evidence handling.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 1","pages":"40-48"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405175","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 New Year's Resolution. 新年愿望

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-01-01 DOI: 10.1097/JTN.0000000000000764

Linda K Reinhart

引用次数: 0

Alcohol Misuse Screening Performance Improvement Initiative. 酒精滥用筛查绩效改进倡议。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-01-01 DOI: 10.1097/JTN.0000000000000766

Todd Hightower, Sheri Stucke, Katherine Specht, Jennifer Bertolani, Cheryl Malone, Krishna Dhanyamraju, Nancy Rivera, Rodrigo Rodriguez

{"title":"Alcohol Misuse Screening Performance Improvement Initiative.","authors":"Todd Hightower, Sheri Stucke, Katherine Specht, Jennifer Bertolani, Cheryl Malone, Krishna Dhanyamraju, Nancy Rivera, Rodrigo Rodriguez","doi":"10.1097/JTN.0000000000000766","DOIUrl":"10.1097/JTN.0000000000000766","url":null,"abstract":"Background: A trauma registry review of our trauma center's alcohol misuse screening compliance noted inconsistent screening and data collection methods, putting our American College of Surgeons trauma center reverification at risk for a deficiency.Objective: The objective of this study was to evaluate an alcohol misuse screening improvement initiative on screening compliance in trauma patients.Methods: This before and after analysis of a quality improvement initiative to improve alcohol misuse screening was conducted from 2019 to 2021 at a Southwestern U.S. Level II trauma center on admitted trauma patients aged 13 years and older. The multicomponent initiative included a change in the screening instrument and timing of application, implementing electronic medical record documentation screens, and educating staff. The primary outcome measure was screening adherence.Results: A total of n = 4,734 patients were included in the study period. Alcohol misuse screening improved from 2.9% to 87.4% and remained sustained for over a year after the initiative's implementation.Conclusion: The performance improvement initiative improved the alcohol misuse screening process, resulting in consistent screenings exceeding the American College of Surgeons standards of 80% for verified trauma centers.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 1","pages":"30-33"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405172","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

Emergency Department Pediatric Readiness: A Trauma Center Quality Improvement Initiative. 急诊科儿科准备就绪：创伤中心质量改进计划。

IF 0.7 4区医学

Journal of Trauma Nursing Pub Date : 2024-01-01 DOI: 10.1097/JTN.0000000000000765

Amy Tucker, Teresa Bailey, Courtney Edwards, Amy Stewart

{"title":"Emergency Department Pediatric Readiness: A Trauma Center Quality Improvement Initiative.","authors":"Amy Tucker, Teresa Bailey, Courtney Edwards, Amy Stewart","doi":"10.1097/JTN.0000000000000765","DOIUrl":"10.1097/JTN.0000000000000765","url":null,"abstract":"Background: Most pediatric patients present to general emergency departments, yet maintaining pediatric equipment, skilled staff, and resources remains a challenge for many hospitals. Pediatric readiness assessment is now a requirement for trauma center verification.Objective: This study aims to assess the impact of a quality improvement initiative to improve emergency department pediatric readiness.Methods: A pre- and poststudy design was used to evaluate a quality improvement initiative to improve the National Pediatric Readiness assessment survey results conducted at a Southwestern United States adult Level I trauma center from September 2022 to April 2023. The multicomponent initiative included implementing a pediatric emergency care coordinator, pediatric-specific policies and procedures, identifying pediatric-specific quality and performance indicators, and educating pediatric-specific staff. Study inclusion criteria were all patients younger than 18 years who presented to the emergency department. The primary outcome measure was the improvement in the weighted Pediatric Readiness Score. Secondary outcomes were throughput, nursing documentation of vital signs, and pain scores.Results: A total of N = 2,356 patients met inclusion, of which n = 1,158 (49.2%) were in the preintervention group and n = 1,198 (50.8%) postintervention group. The weighted Pediatric Readiness Score improved by 45.4%. Transfers to a pediatric hospital increased from 4.1% to 8.6% (p = .016). Blood pressure documentation improved slightly from 88.3% to 88.6%. Pain score documentation decreased from 83.9% to 63.1% (p = .008). Pain medication and administration improved from 19.8% to 26.7% (p = .046).Conclusion: We found that participation in the quality improvement initiative was associated with emergency department pediatric readiness improvements.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 1","pages":"23-29"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405174","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

Misplaced Evidence, Missed Opportunities: Protocols for Handling Ballistic Evidence in Pediatric Patients. 放错证据，错失良机：处理儿科患者弹道证据的规程。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2024-01-01 DOI: 10.1097/JTN.0000000000000772

引用次数: 0