824 results match your criteria Journal of Trauma Nursing [Journal]


How to Perform Prehospital Emergency Telephone Triage: A Systematic Review.

J Trauma Nurs 2019 Mar/Apr;26(2):104-110

WHO Collaborating Centre for Nursing Research Development, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, Brazil.

Prehospital emergency telephone triages are mechanisms to verify the appropriate need for care in an emergency call by telephone. Considering the high rates of trauma and clinical cases that need prehospital care, the importance of knowing how the services that send rescue teams can guarantee improved care is highlighted. The objective of this study was to characterize the services that support effective telephone triage. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00043860-201903000-0001
Publisher Site
http://dx.doi.org/10.1097/JTN.0000000000000380DOI Listing
March 2019
13 Reads

Trauma Nurse Leads in a Level I Trauma Center: Roles, Responsibilities, and Trauma Performance Improvement Outcomes.

J Trauma Nurs 2019 Mar/Apr;26(2):99-103

Grand Strand Medical Center, Myrtle Beach, South Carolina.

Grand Strand Medical Center is a 325-bed, Level I adult, Level II pediatric trauma center located in Myrtle Beach, SC. In September 2015, a Trauma Nurse Lead (TNL) program was developed and implemented to allow for consistent, expert clinical nursing care across the trauma continuum. This TNL program has led to measurable improvements in patient care and quality metrics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000431DOI Listing
March 2019
4 Reads

Influence of Autopsy Reports on Trauma Registry Accuracy.

J Trauma Nurs 2019 Mar/Apr;26(2):93-98

Department of Acute, Trauma and Critical Care, NewYork-Presbyterian-Queens, Flushing, New York.

The trauma registry is a locally maintained database with information on all trauma patients, including patient demographics and injury data. One essential field is the injury severity score (ISS). Patients who expire on arrival, either in the emergency department or soon after, often cannot undergo a complete evaluation of their injuries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000428DOI Listing
March 2019
1 Read

Building a Case for Pediatric Fall Prevention.

Authors:

J Trauma Nurs 2019 Mar/Apr;26(2):E2

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000429DOI Listing

Building a Case for Pediatric Fall Prevention.

J Trauma Nurs 2019 Mar/Apr;26(2):89-92

Pediatric Trauma Center (Mss Lombard and Elsbernd and Dr Klinkner), Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery Surgical Outcomes Program (Ms Bews), and Division of Pediatric Surgery (Dr Klinkner), Mayo Clinic, Rochester, Minnesota.

Falls are the leading cause of traumatic injury and injury-related emergency department visits in the state of Minnesota for children aged 0-14 years. We hypothesize that few of the Minnesota trauma centers and public health departments responsible for injury prevention (IP) efforts in the community are focusing on fall prevention interventions for children. The purpose of this study was to examine the current state of childhood IP interventions in Minnesota, identify potential partners to collectively address pediatric fall prevention, and utilize survey results to lead future IP efforts. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000427DOI Listing
March 2019
7 Reads

Decreased Pediatric Trauma Length of Stay and Improved Disposition With Implementation of Lewin's Change Model.

J Trauma Nurs 2019 Mar/Apr;26(2):84-88

Cohen Children's Medical Center, Northwell Health, New Hyde Park, New York (Drs Abd el-shafy and Prince, Mss Zapke and Sargeant, and Mr Christopherson); Feinstein Institute for Medical Research, Northwell Health, Manhasset, New York (Drs Abd el-shafy and Prince); Northwell Health Trauma Institute, Manhasset, New York (Dr Prince and Mr Christopherson); and Maimonides Medical Center, Brooklyn, New York (Dr Abd el-shafy).

Although often cared for nonoperatively, trauma is a surgical disease managed by surgical services in a multidisciplinary manner. The American College of Surgeons Committee on Trauma (ACS COT) emphasizes this as part of the ACS COT verification process and expects nonsurgical service admission rate of less than 10%. In this project, we developed a collaborative care model captained by surgical services with medical service consultation to achieve this goal for optimal care of injured patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000426DOI Listing

Erratum.

Authors:

J Trauma Nurs 2019 Mar/Apr;26(2):83

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000432DOI Listing

Prepared to Care: An Exploration of Continuing Education Trends of Nurses Caring for Injured Children.

J Trauma Nurs 2019 Mar/Apr;26(2):76-83

Marion Peckham Egan School of Nursing and Health Studies, Fairfield University, Fairfield, Connecticut (Dr Roney); and Department of Social Work, School of Health and Human Services, Southern Connecticut State University, New Haven (Dr Acri).

The significance of nursing competence in the care of pediatric trauma patients has been well documented. Continuing education for trauma nurses is a critical component of maintaining competence in pediatric trauma care; yet, there is significant variability in the programs and resources used to support this goal. The purpose of this current study was to describe the educational activities that practicing registered nurses engage in to inform their care of injured children. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000425DOI Listing
March 2019
4 Reads

Development and Implementation of a Pediatric Trauma Survivors Network Program.

J Trauma Nurs 2019 Mar/Apr;26(2):71-75

Atrium Health, Charlotte, North Carolina (Drs Scannell and Seymour and Mss Wally, Flores, Levy, and Waddell); and Trauma Survivors Network, American Trauma Society, Falls Church, Virginia (Ms Flores).

: The Trauma Survivors Network (TSN) was developed as a program of the American Trauma Society (ATS) to support recovery for adult trauma patients. However, the children of adult trauma patients, families of pediatric trauma patients, and pediatric trauma patients previously had scarce resources. Our institution, in collaboration with the ATS, sought to expand the TSN to support pediatric trauma patients, caregivers, and family members. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000424DOI Listing

Education Empowers Emergency Department Nurses During Pediatric Traumas.

Authors:

J Trauma Nurs 2019 Mar/Apr;26(2):E1

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000430DOI Listing

Education Empowers Emergency Department Nurses During Pediatric Traumas.

J Trauma Nurs 2019 Mar/Apr;26(2):67-70

Department of Surgery, Emory University School of Medicine, Atlanta, Georgia (Dr Tracy); and Department of Surgery (Dr Ott), Department of Pediatric Surgery (Dr Hamrick), and Pediatric Emergency Department (Ms Bailey), Memorial Health University Medical Center, Savannah, Georgia.

In January 2017, the Emergency Trauma Advocate (ETA) program was piloted at our Level 1 trauma center to promote patient advocacy, particularly in pediatric patients. The goal was to empower emergency department nurses by improving their knowledge base through interactive didactic sessions. This study reviews the preliminary findings of the program. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000423DOI Listing

Pediatric Trauma.

J Trauma Nurs 2019 Mar/Apr;26(2):66

Pediatric Steering Committee and Pediatric Special Interest Group, Society of Trauma Nurses, Lexington, Kentucky.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000422DOI Listing

The Power of Trauma Nursing.

Authors:
Sean M Elwell

J Trauma Nurs 2019 Mar/Apr;26(2):65

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00043860-201903000-0000
Publisher Site
http://dx.doi.org/10.1097/JTN.0000000000000421DOI Listing
March 2019
3 Reads

Evaluation of Functional Outcomes for Adult Patients After Distal Radius Fracture Treated With Volar Plate Fixation Versus Nonsurgical Care.

J Trauma Nurs 2019 Jan/Feb;26(1):59-64

University of Florida College of Nursing, Gainesville.

Distal radius fractures are one of the most common fractures patients experience. Although there are a variety of treatments, there is a lack of standardization as it relates to treatment of such fractures. The purpose of this study was to compare treatment outcomes between surgical and nonsurgical care of distal radius fractures to inform evidence-based guidelines for the management of distal radius fractures. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00043860-201901000-0001
Publisher Site
http://dx.doi.org/10.1097/JTN.0000000000000416DOI Listing
January 2019
5 Reads

Increasing Referrals to a Community Paramedicine Fall Prevention Program Through Implementation of a Daily Management System.

J Trauma Nurs 2019 Jan/Feb;26(1):50-58

Division of Trauma, Department of Surgery, Maine Medical Center, Portland; and University of Southern Maine, Portland.

This quality improvement project was undertaken to improve trauma service referral compliance to an existing home-based elderly fall prevention program through the implementation of a daily management system (DMS). Operational excellence, a hospital-wide initiative, provided the foundation for improvement efforts. This initiative went through a series of 5 plan, do, study, and act (PDSA) cycles and demonstrated significant improvement in referrals from 0% to 100%. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000415DOI Listing
January 2019
1 Read

A Psychometric Analysis of CIWA-Ar in Acutely Ill and Injured Hospitalized Patients.

J Trauma Nurs 2019 Jan/Feb;26(1):41-49

Departments of Surgery (Messrs Higgins and Church and Drs Oyler, Parli, Fryman, and Bernard) and Nursing Professional Practice and Support (Mr Higgins and Dr Halcomb), University of Kentucky, Lexington; and College of Nursing, University of South Florida, Tampa (Dr Bugajski).

Alcohol withdrawal syndrome (AWS) manifests after alcohol-dependent individuals suddenly cease alcohol consumption. Clinical Institute Withdrawal Assessment-Alcohol, revised (CIWA-Ar) is a widely used tool to assess and guide treatment of AWS. CIWA-Ar was developed in voluntarily detoxification centers, and the reliability and validity of CIWA-Ar have been minimally evaluated in hospitalized patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000414DOI Listing
January 2019
8 Reads

Decreasing Trauma Readmission Rates by Implementing a Callback Program.

J Trauma Nurs 2019 Jan/Feb;26(1):33-40

Carilion Roanoke Memorial Hospital, Roanoke, Virginia.

Decreasing hospital lengths of stay increases the burden on trauma patients after discharge. Our hypothesis was that a discharge callback protocol would decrease readmission rates. A retrospective quality improvement study evaluated all trauma patients admitted from 2012 to 2016 at a Level I trauma center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000413DOI Listing
January 2019
2 Reads

Using Opioids With Surgical Patients: Nurses' Attitudes and Experiences.

J Trauma Nurs 2019 Jan/Feb;26(1):26-32

Faculty of Nursing, Mutah University, Karak, Jordan (Drs Shoqirat, Mahasneh, and Al-Khawaldeh); and Betty Irene Moore School of Nursing, Sacramento, California (Dr Singh).

Opioids such as morphine are effective analgesics and have been recognized worldwide for many years; yet, they are underutilized. The study explores the attitudes and experiences relating to opioids, in general, and morphine, in particular, among Jordanian surgical nurses. The Opioids Attitudes Scale was used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000412DOI Listing
January 2019

Cohorting Trauma Patients in a Medical/Surgical Unit at a Level I Pediatric Trauma Center to Enhance Interdisciplinary Collaboration and Documentation.

J Trauma Nurs 2019 Jan/Feb;26(1):17-25

St. Christopher's Hospital for Children, Philadelphia, Pennsylvania (Mss Meyer, Nanassy, and Lavella and Drs Arthur and Grewal); and Drexel University College of Medicine, Philadelphia, Pennsylvania (Drs Arthur and Grewal).

Medical errors are a significant issue in health care that may be avoided through enhanced communication and documentation. This study examines interdisciplinary communication and compliance with trauma standards of care demonstrated through following the implementation of cohorting trauma patients to one medical/surgical unit and instituting daily interdisciplinary trauma patient rounds. Potential benefits include enhanced communication, improved nursing satisfaction, and increased compliance with trauma standards of care demonstrated through documentation, which the literature suggests improves quality of care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000418DOI Listing
January 2019

In-hospital Complications in Trauma Patients According to Injury Severity.

J Trauma Nurs 2019 Jan/Feb;26(1):10-16

Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, Brazil (Ms Lopes and Dr Whitaker); and Departamento de Emergência, Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil (Mr de Aguiar).

In-hospital complications in trauma patients are frequent and associated with increased morbidity and mortality. The aim of this study was to analyze the association between posttraumatic complications and the injured body region, injury and trauma severity, length of stay, and mortality in hospitalized trauma patients. This observational and retrospective study included 147 trauma patients with posttraumatic complications hospitalized in a university hospital located in São Paulo, Brazil. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000411DOI Listing
January 2019

Comfort or Care: Why Do We Have to Choose? Implementing a Geriatric Trauma Palliative Care Program.

J Trauma Nurs 2019 Jan/Feb;26(1):2-9

Parkland Health & Hospital System, Dallas (Dr Brown); and School of Nursing, Texas Tech University Health Sciences Center, Lubbock (Dr Ashcraft).

The geriatric (≥65 years of age) population is one of the fastest growing age groups in the United States. As this number increases, so does the number of geriatric trauma patients. Because this group has higher mortality rates and requires more resources, a Geriatric Trauma Palliative Care Program was created at a Level 1 Trauma Center in Dallas, TX, to provide concurrent lifesaving therapies and primary palliative care to older adults. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000410DOI Listing
January 2019
26 Reads

A Resolution to Keep.

Authors:
Sean M Elwell

J Trauma Nurs 2019 Jan/Feb;26(1)

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000409DOI Listing
January 2019

Mission Zero.

J Trauma Nurs 2018 Nov/Dec;25(6):389-390

Northwell Health Trauma Institute, Manhasset, New York.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000401DOI Listing
November 2018

A Narrative Inquiry Into the Experience of Being a Victim of Gun Violence.

Authors:
Mary Francis

J Trauma Nurs 2018 Nov/Dec;25(6):381-388

Eta Beta Chapter, Indianapolis, Indiana; School of Nursing, Widener University, Chester, Pennsylvania; and Trauma Division, Cooper University Hospital, Camden, New Jersey.

The purpose of this study was to gain a greater understanding of gun violence from the victim's personal story. The design for the study was narrative inquiry. Sixteen victims of gun violence were interviewed and asked to tell their story. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000406DOI Listing
March 2019
1 Read

Collaborative Team Reflective Practice in Trauma Service to Improve Health Care.

J Trauma Nurs 2018 Nov/Dec;25(6):374-380

School of Sport, Exercise and Health Sciences (Dr McDermott) and Mental Health Support Team (Ms Brooks-Lewis), Loughborough University, Leicestershire, England; and Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, England (Ms Husbands).

The importance of reflection and reflective practice is repeatedly reported in trauma literature, with the process of reflective practice being noted as invaluable for clinicians working within trauma settings. Although the literature on medical primary response trauma teams has reported clinicians' management of clinical roles and additional stressors, the practical applications and benefits of reflective practice insofar have not been identified in relation to complex trauma within multidisciplinary mental health services. This study aimed to identify the issues influencing the capacity for collaborative team reflective practice in a multidisciplinary child trauma mental health service within a UK National Health Service trust. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000404DOI Listing
March 2019
30 Reads

Targeting Catheter-Associated Urinary Tract Infections in a Trauma Population: A 5-S Bundle Preventive Approach.

J Trauma Nurs 2018 Nov/Dec;25(6):366-373

Department of Surgery, Kendall Regional Medical Center, Miami, Florida (Drs Elkbuli, Boneva, Puyana, Bernal, Hai, and McKenney and Ms Miller); and Department of Surgery, University of South Florida, Tampa (Drs Boneva and McKenney).

Complications from catheter-associated urinary tract infections (CAUTIs) can cause morbidity and mortality. Our institution's Trauma Quality and Improvement Program analysis identified CAUTIs as an outlier complication in our trauma population. This study aimed to determine whether implemented measures would reduce CAUTI rates in trauma population. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00043860-201811000-0000
Publisher Site
http://dx.doi.org/10.1097/JTN.0000000000000403DOI Listing
March 2019
12 Reads

Analgesics Administered for Pain During Hospitalization Following Lower Extremity Fracture: A Review of the Literature.

J Trauma Nurs 2018 Nov/Dec;25(6):360-365

University of Delaware School of Nursing, Newark.

Effective treatment of acute pain during hospitalization following lower extremity fracture is critical to improve short-term patient outcomes including wound healing, stress response, hospital length of stay, and cost as well as minimizing long-term negative patient outcomes such as delayed return to work, disability, and chronic pain. As many patients report moderate to severe pain during hospitalization, identifying the analgesics that most effectively reduces pain is a priority to improve patient outcomes. The purpose of this review was to examine published studies describing patient response to analgesics administered orally (PO) or intravenously (IV) in the immediate hospitalization following lower extremity fracture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000402DOI Listing
March 2019
17 Reads

Factors Affecting Urinary Retention in Critically Ill Trauma Patients.

J Trauma Nurs 2018 Nov/Dec;25(6):356-359

Orlando Health, Florida (Dr Fowler and Ms Taggart); and formerly at Trauma Intensive Care Unit, Orlando Health Regional Medical Center, Florida (Ms Urban).

The objective of this retrospective study was to gain a better understanding of patient and care factors that may contribute to urinary retention in critically ill trauma patients. Fifty trauma patients over a 1-year period with an International Classification of Diseases, Tenth Revision (ICD-10) code for urinary retention were identified and analyzed. Most patients had an indwelling urinary catheter placed on admission, and it was reinserted in 39 patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000400DOI Listing
March 2019
15 Reads

Impacting Delirium in the Trauma ICU Utilizing the ICU Liberation Collaborative Benchmark Report.

Authors:
Jennifer Sweeney

J Trauma Nurs 2018 Nov/Dec;25(6):348-355

Sarasota Memorial Health Care System, Sarasota, Florida.

Delirium is a frequent complication of intensive care unit (ICU) admissions, manifesting as acute confusion with inattention and disordered thinking. Patients in the ICU who develop acute delirium are more likely to experience long-term disability and mortality. The Society of Critical Care Medicine published guidelines for the management of pain, agitation, and delirium (PAD) in the ICU in 2013. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000405DOI Listing
March 2019
16 Reads

Complications and Mortality Among Correctly Triaged and Undertriaged Severely Injured Older Adults With Traumatic Brain Injuries.

Authors:
Linda J Scheetz

J Trauma Nurs 2018 Nov/Dec;25(6):341-347

Department of Nursing, Lehman College and The Graduate Center, CUNY, Bronx, New York.

Determining differences in clinical outcomes of older adults treated at trauma centers (TCs) and nontrauma centers (NTCs) is imperative considering their persistent undertriage and the projected costs of fixing the problem. This study compared the incidence and predictors of complications and mortality among brain-injured older adults treated at TCs and NTCs. This secondary analysis of New York inpatient data included patients aged 55+ years, primary brain injury diagnosis, and acute care hospital admission. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00043860-201811000-0000
Publisher Site
http://dx.doi.org/10.1097/JTN.0000000000000399DOI Listing
March 2019
15 Reads

Assessing Hyperbaric Oxygen for Carbon Monoxide Poisoning in Trauma Patients: A Call for Representation in Future Studies.

J Trauma Nurs 2018 Nov/Dec;25(6):339-340

Sarasota Memorial Hospital, Sarasota, Florida.

Although carbon monoxide (CO) poisoning presents infrequently, it is a consequential and serious component of burn-related injuries, especially those injured via structure fire. A multitude of retrospective reviews and prospective trials have attempted to establish evidence demonstrating the ideal modality for oxygen administration in CO-poisoned patients; however, a consensus recommendation has not been reached. Given that half of fire-related patients succumb to CO poisoning, this is an imperative area of research. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000398DOI Listing

Now Is the Time.

Authors:
Sean M Elwell

J Trauma Nurs 2018 Nov/Dec;25(6):337-338

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000397DOI Listing
November 2018

Effects of a Safety-Awareness-Promoting Program Targeting Mothers of Children Aged 0-6 Years to Prevent Pediatric Injuries in the Home Environment: Implications for Nurses.

J Trauma Nurs 2018 Sep/Oct;25(5):327-335

Faculty of Health Sciences, Departments of Pediatric Nursing (Dr Kahriman) and Public Health Nursing (Ms Karadeniz), Karadeniz Technical University, Trabzon, Turkey.

Pediatric injuries pose a significant problem, both in Turkey and worldwide, because they lead to death or disability in a number of children each year. This quasi-experimental study aimed to identify the effects of the training provided to mothers with children aged 0-6 years about the hazards that lead to pediatric injuries. The population of the research comprised mothers with children aged 0-6 years, living in the city center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000384DOI Listing
January 2019
33 Reads

A Diaphragmatic Hernia and Pericardial Rupture Caused by Blunt Injury of the Chest: A Case Review.

J Trauma Nurs 2018 Sep/Oct;25(5):323-326

Department of Thoracic Surgery, No. 1 Hospital of BaoDing City, HeBei Province, PR China (Ms Gao and Drs Jia and Zhao); and College of Life Science, HeBei Agricultural University, HeBei Province, PR China (Mr WeiWei and Dr Yangming).

Blunt traumatic diaphragmatic hernias are most commonly seen in combination with other injuries. Right diaphragmatic ruptures with serious pericardium ruptures are relatively rare. The diagnosis of diaphragmatic hernias is not difficult; however, prior to surgery, it is difficult to judge whether pericardium damage has occurred, particularly on the right side. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000395DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6170143PMC
January 2019
15 Reads

A Tiered Approach to Trauma Education in the Emergency Department.

J Trauma Nurs 2018 Sep/Oct;25(5):318-322

Trauma Operations, Northeast Georgia Medical Center, Gainesville, Georgia.

Although trauma centers are required to provide trauma education to nurses caring for trauma patients, there are no clearly defined standards for this education. In an effort to improve emergency department (ED) trauma nursing care, a tiered approach to ED trauma education (basic, intermediate, and advanced) was developed to provide specialized trauma education to a larger number of ED nurses at a Level II trauma center in Georgia. This tiered approach to ED trauma nurse education has resulted in the ability to quickly activate multiple trauma teams that work together competently and efficiently, leading to improved patient care and development of competent ED trauma nurses. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000381DOI Listing
January 2019
16 Reads

Evaluating the Effectiveness of the Translated "A Matter of Balance" Fall Prevention Program Materials for Non-English-Speaking Participants.

J Trauma Nurs 2018 Sep/Oct;25(5):311-317

Division of Trauma and Acute Care Surgery, Tufts University School of Medicine, Tufts Medical Center, Boston, Massachusetts (Drs Wolfe and Bugaev and Arabian); and Tufts Clinical and Translational Science Institute, Tufts University, and Institute for Clinical Research and Health Policy Studies, Boston, Massachusetts (Ms Breeze).

A Matter of Balance (MOB) is an evidence-based fall prevention program shown to reduce fear of falling (FOF) in English-speaking participants. The effectiveness of translated (Chinese and Spanish) MOB materials in reducing FOF is unknown. The objective of this study was to evaluate whether MOB was associated with reduced FOF in Chinese- and Spanish-speaking participants and included an English-speaking comparison group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000394DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140339PMC
January 2019
21 Reads

The Role of Trauma Video Review in Optimizing Patient Care.

J Trauma Nurs 2018 Sep/Oct;25(5):307-310

Reading Hospital, Tower Health, Reading, Pennsylvania.

Trauma video review allows for monitoring of performance improvement initiatives, leadership skills, system process issues, and guideline compliance. Despite the well-documented benefits, there are persistent barriers to its use including patient privacy concerns, cost, and provider anxiety. Optimizing implementation by ensuring that informed consent processes are in place, as well as a structured peer review process, can help trauma centers overcome these hurdles. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000393DOI Listing
January 2019

Clinical Signs of Basilar Skull Fracture and Their Predictive Value in Diagnosis of This Injury.

J Trauma Nurs 2018 Sep/Oct;25(5):301-306

School of Nursing, University of São Paulo, Sao Paulo, SP, Brazil (Mss Solai and Drs Nogueira and de Sousa); and All Trauma, Sao Paulo, SP, Brazil (Dr Domingues).

Although clinical signs for the diagnosis of basilar skull fracture (BSF) are ambiguous, they are widely used to make decisions on initial interventions involving trauma patients. We aimed to assess the performance of early and late (within 48 hr posttrauma) signs for BSF diagnosis and to verify the correlation between the presence of these signs and head injury severity. We conducted a prospectively designed follow-up study at a referral hospital for trauma care in Sao Paulo, Brazil, and performed structured observations for 48 hr post-blunt head injury in patients aged 12 years or older. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000392DOI Listing
January 2019
23 Reads

Automated Postdischarge Trauma Patient Call Program.

J Trauma Nurs 2018 Sep/Oct;25(5):298-300

University of California Davis, Sacramento.

Postdischarge phone calls have been shown to improve communications between patients and health care providers, potentially reducing readmission rates, medication errors, and emergency department (ED) visits. Given the complexity of social and medical issues associated with trauma, we studied the utility of an automated phone call system as a method of identifying gaps in trauma care. The Trauma Program and the Health Management and Education Department at a Level 1 academic trauma center engaged in a collaborative quality improvement effort using the CipherHealth LLC platform to provide automated phone calls to trauma patients 2-3 days after discharge. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00043860-201809000-0000
Publisher Site
http://dx.doi.org/10.1097/JTN.0000000000000391DOI Listing
January 2019
5 Reads

Determining the Education and Research Priorities in Pediatric Trauma Nursing: A Delphi Study.

J Trauma Nurs 2018 Sep/Oct;25(5):290-297

Egan School of Nursing and Health Studies, Fairfield University, Fairfield, Connecticut (Dr Roney); and Division of Pediatric General and Thoracic Surgery, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania (Ms McKenna).

Trauma has a greater impact on morbidity and mortality than all other disease processes in the pediatric population; yet, there is a gap in the literature related to the scientific basis for educating and researching future practice. The purpose of this research study was to utilize the Delphi technique to identify the current education and research priorities for pediatric trauma nursing as described by the members of the Society of Trauma Nurses. Consensus on the education and research priorities was derived from a sample (n = 25) of trauma nursing experts. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000390DOI Listing
January 2019
20 Reads

Human Trafficking: Clinical Assessment Guideline.

Authors:
Jennifer Leslie

J Trauma Nurs 2018 Sep/Oct;25(5):282-289

Nova Southeastern University, Fort Lauderdale, Florida.

Approximately 18,000 people are trafficked into the United States each year and forced into commercial sex work. Up to 80% of victims are seen by a health care provider. In the health care setting, they rarely identify themselves as victims of human trafficking (HT), making it difficult to recognize them. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00043860-201809000-0000
Publisher Site
http://dx.doi.org/10.1097/JTN.0000000000000389DOI Listing
January 2019
12 Reads

The Social Determinants of Trauma: A Trauma Disparities Scoping Review and Framework.

J Trauma Nurs 2018 Sep/Oct;25(5):266-281

Department of Surgery, University of Michigan, Ann Arbor (Dr Mikhail); College of Nursing, Medical University of South Carolina, Charleston (Drs Nemeth, Mueller, and Pope); and Department of Physiological & Technological Nursing, Augusta University, Augusta, Georgia (Dr NeSmith).

The drivers of trauma disparities are multiple and complex; yet, understanding the causes will direct needed interventions. The aims of this article are to (1) explore how the injured patient, his or her social environment, and the health care system interact to contribute to trauma disparities and examine the evidence in support of interventions and (2) develop a conceptual framework that captures the socioecological context of trauma disparities. Using a scoping review methodology, articles were identified through PubMed and CINAHL between 2000 and 2015. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000388DOI Listing
January 2019
8 Reads

More Than a Season.

Authors:
Sean M Elwell

J Trauma Nurs 2018 Sep/Oct;25(5):265

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000387DOI Listing
September 2018

Resuscitative Strategies in the Trauma Patient: The Past, the Present, and the Future.

J Trauma Nurs 2018 Jul/Aug;25(4):254-263

Emergency Department, Loma Linda University Medical Center, Loma Linda, California (Mr Eick); and Arizona State University, Tempe (Dr Denke).

Over the last decade, trends in fluid resuscitation have changed dramatically as have our practices. Research is driving trauma centers across the globe to initiate modifications in fluid resuscitation of the hemorrhagic trauma patients both in the prehospital and intrahospital arena. This is being done by combining the theory of permissive hypotension and damage control surgery with hemostatic resuscitation as the preferred methods of resuscitation in patients with hemorrhagic shock. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000383DOI Listing
December 2018
1 Read

The Effect of Telenursing on Referral Rates of Patients With Head Trauma and Their Family's Satisfaction After Discharge.

J Trauma Nurs 2018 Jul/Aug;25(4):248-253

Department of Critical Care Nursing (Mss Shahrokhi and Amouzegar), Nursing & Midwifery Faculty (Dr Azimian), and School of Nursing and Midwifery (Dr Oveisi), Qazvin University of Medical Sciences, Qazvin, Iran.

We aimed to assess the effect of telenursing on referral rates of patients with head trauma and their family's satisfaction after discharge. Seventy-two patients with head trauma were randomly allocated to equal intervention and control groups. The caregivers in both groups were provided with 1-hr face-to-face training on patients' home care and educational booklets, 2 days before discharge. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JTN.0000000000000382DOI Listing
December 2018
4 Reads