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Trauma Nursing

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https://www.readbyqxmd.com/read/29669364/clinician-perceptions-of-the-nicu-infant-experience-is-the-nicu-hospitalization-traumatic
#1
Amy L D'Agata, Mary Coughlin, Marilyn R Sanders
OBJECTIVE:  Infants cared for in a newborn intensive care unit (NICU) experience pain, parental separation, and stress that may approach toxic levels, thus are potentially traumatic. Lack of accepted clinical terminology to describe the infant experience may result in under appreciation of NICU hospitalization on infant and family outcomes. This study explored NICU clinician perceptions of the infant experience and how the terms trauma/traumatic would impact their clinical roles and practices...
April 18, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29664893/occupational-exposure-during-emergency-department-thoracotomy-a-prospective-multi-institution-study
#2
Andrew Nunn, Priya Prakash, Kenji Inaba, Alvarez Escalante, Zoë Maher, Seiji Yamaguchi, Dennis Y Kim, James Maciel, William C Chiu, Byron Drumheller, Joshua P Hazelton, Kaushik Mukherjee, Xian Luo-Owen, Rachel M Nygaard, Ashley P Marek, Bryan C Morse, Caitlin A Fitzgerald, Patrick L Bosarge, Randeep S Jawa, Susan E Rowell, Louis J Magnotti, Adrian W Ong, Tejal S Brahmbhatt, Michael D Grossman, Mark J Seamon
BACKGROUND: Occupational exposure is an important consideration during emergency department thoracotomy (EDT). While HIV/hepatitis prevalence in trauma patients (0-16.8%) and occupational exposure rates during operative trauma procedures (1.9-18.0%) have been reported, exposure risk during EDT is unknown. We hypothesized that occupational exposure risk during EDT would be greater than other operative trauma procedures. METHODS: A prospective, observational study at 16 US trauma centers was performed (2015-2016)...
April 16, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29664527/-perioperative-nutrition-in-eras-protocols
#3
Andrés Sánchez C, Karin Papapietro V
The trauma involved in any surgical procedure, even if elective, causes a metabolic stress response characterized by postoperative insulin resistance (PIR). PIR is considered a surgical stress marker and is associated with increased morbidity and postoperative length of stay. PIR worsens when the patient is operated in a state of prolonged preoperative fasting or when postoperative feeding is delayed. The ERAS Protocols (Enhanced Recovery After Surgery) includes anesthetic, surgical, kinesiology, nutritional and nursing interventions aimed to modulate PIR...
November 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/29661267/comparison-of-electronic-versus-manual-mass-casualty-incident-triage
#4
Claudie Bolduc, Nisreen Maghraby, Patrick Fok, The Minh Luong, Valerie Homier
IntroductionMass-casualty incidents (MCIs) easily overwhelm a health care facility's human and material resources through the extraordinary influx of casualties. Efficient and accurate triage of incoming casualties is a critical step in the hospital disaster response.Hypothesis/ProblemTraditionally, triage during MCIs has been manually performed using paper cards. This study investigated the use of electronic Simple Triage and Rapid Treatment (START) triage as compared to the manual method. METHODS: This observational, crossover study was performed during a live MCI simulation at an urban, Canadian, Level 1 trauma center on May 26, 2016...
April 17, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29652735/nursing-sensitive-outcomes-after-severe-traumatic-brain-injury-a-nationwide-study
#5
Lene Odgaard, Lena Aadal, Marianne Eskildsen, Ingrid Poulsen
BACKGROUND: Complications such as infections and conditions after immobilization are frequent after severe traumatic brain injury (TBI) due to compromised bodily functions. Traditionally, bodily functions are core elements in nursing, and therefore nurses in the rehabilitation departments are pivotal in the prevention of complications. Hence, the frequency of complications is an indicator of nursing care quality, which can be included in nursing-sensitive outcome indicators. To do so, it is necessary to know the frequency of the selected complications...
April 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29650176/pain-management-strategies-among-hospitalized-trauma-patients-a-preliminary-study-in-a-teaching-hospital-in-indonesia
#6
Deya Prastika, Luppana Kitrungrote, Jintana Damkliang
The incidence of trauma has been high and is considered to have increased throughout the years. This study aimed to describe the pain intensity and pain-management strategies of hospitalized trauma patients. Ninety-five adults presenting trauma with full consciousness, and who were admitted to surgical wards were recruited. Outcomes were assessed in a 3-day follow-up of pain and pain management from January to February 2016 by using questionnaires for interviews. Data were analyzed using descriptive statistics and repeated measures ANOVA...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29628674/the-intensive-care-unit-perspective-of-becoming-a-level-i-trauma-center-challenges-of-strategy-leadership-and-operations-management
#7
Richard H Savel, Wess Cohen, Dena Borgia, Ronald J Simon
The primary purpose of this narrative is to elucidate the numerous significant changes that occur at the intensive care unit (ICU) level as a medical center pursues becoming a Level I trauma center. Specifically, we will focus on the following important areas: (1) leadership and strategy issues behind the decision to move forward with becoming a trauma center; (2) preparation needed to take a highly functioning surgical ICU and align it for the inevitable changes that happen as trauma go-live occurs; (3) intensivist staffing changes; (4) roles for and training of advanced practice practitioners; (5) graduate medical education issues; (6) optimizing interactions with closely related services; (7) nursing, staffing, and training issues; (8) bed allocation issues; and (9) reconciling the advantages of a "unified adult critical care service" with the realities of the central relationship between trauma and surgical critical care...
January 2018: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/29620390/yoga-as-an-intervention-for-psychological-symptoms-following-trauma-a-systematic-review-and-quantitative-synthesis
#8
Viann N Nguyen-Feng, Cari J Clark, Mary E Butler
Despite evidence of the physiologic impact of trauma, treatments are only beginning to focus on the impact of trauma on the body. Yoga may be a promising treatment for trauma sequelae, given research that supports yoga for general distress. The present study aims to systematically assess and quantitatively synthesize the effectiveness of yoga interventions for psychological symptoms (posttraumatic stress disorder [PTSD], depression, anxiety symptoms) following potentially traumatic life events. The following electronic databases were systematically searched: PsycINFO, Ovid Medline/PubMed, Cumulative Index to Nursing and Allied Health Literature, and Embase/Embase Classic...
April 5, 2018: Psychological Services
https://www.readbyqxmd.com/read/29613935/the-use-of-emergency-physicians-to-deliver-anesthesia-for-orthopaedic-surgery-in-austere-environments-the-expansion-of-the-emergency-physician-s-general-anesthesia-syllabus-to-orthopaedic-surgery
#9
Ogedad Pierre, John F Lovejoy, Robert Stanton, Richard Skupski, Harold Previl, Jerry Bernard, Lia Losonczy, Mark Walsh
BACKGROUND: Five billion people, primarily in low-income and middle-income countries, cannot access safe, affordable surgical and anesthesia care, particularly for orthopaedic trauma. The rate-limiting step for many orthopaedic surgical procedures performed in the developing world is the absence of safe anesthesia. Even surgical mission teams providing surgical care are limited by the availability of anesthesiologists. Emergency physicians, who are already knowledgeable in airway management and procedural sedation, may be able to help to fulfill the need for anesthetists in disaster relief and surgical missions...
April 4, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29609792/-the-nurse-and-the-reconstruction-of-military-casualties-through-sport
#10
REVIEW
Marie-Hedwige Boutet-de Basquiat, Anne Paris, Aline Delalande, Lackhéna Sarhok, Aurore Nguyen, Marie Thomas-Pohl
Soldiers are confronted with physical and mental injuries which constitute a social trauma. The French army has put in place tools, notably sports courses, to favour resilience and the reintegration of casualties. Nurses and nurse assistants working in physical medicine and rehabilitation and psychiatry, play a key role using their skills to support this scheme which runs outside the hospital setting.
April 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29606685/en-route-critical-care-transfer-from-a-role-2-to-a-role-3-medical-treatment-facility-in-afghanistan
#11
Amanda M Staudt, Shelia C Savell, Kimberly A Biever, Jennifer D Trevino, Krystal K Valdez-Delgado, Mithun Suresh, Jennifer M Gurney, Stacy A Shackelford, Joseph K Maddry, Elizabeth A Mann-Salinas
BACKGROUND: En route care is the transfer of patients requiring combat casualty care within the US military evacuation system. No reports have been published about en route care of patients during transfer from a forward surgical facility (role 2) to a combat support hospital (role 3) for comprehensive care. OBJECTIVE: To describe patients transferred from a role 2 to a role 3 US military treatment facility in Afghanistan. METHODS: A retrospective review of data from the Joint Trauma System Role 2 Database was conducted...
April 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29605169/burnout-and-posttraumatic-stress-in-paediatric-critical-care-personnel-prediction-from-resilience-and-coping-styles
#12
Rocío Rodríguez-Rey, Alba Palacios, Jesús Alonso-Tapia, Elena Pérez, Elena Álvarez, Ana Coca, Santiago Mencía, Ana Marcos, Juan Mayordomo-Colunga, Francisco Fernández, Fernando Gómez, Jaime Cruz, Olga Ordóñez, Ana Llorente
INTRODUCTION: Our aims were (1) to explore the prevalence of burnout syndrome (BOS) and posttraumatic stress disorder (PTSD) in a sample of Spanish staff working in the paediatric intensive care unit (PICU) and compare these rates with a sample of general paediatric staff and (2) to explore how resilience, coping strategies, and professional and demographic variables influence BOS and PTSD. MATERIALS AND METHODS: This is a multicentre, cross-sectional study. Data were collected in the PICU and in other paediatric wards of nine hospitals...
March 28, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/29597063/implementing-a-novel-guideline-to-prevent-hospital-acquired-pressure-ulcers-in-a-trauma-population-a-patient-safety-approach
#13
Crystal Lam, Adel Elkbuli, Brenda Benson, Elizabeth Young, Orlando Morejon, Dessy Boneva, Shaikh Hai, Mark McKenney
BACKGROUND: The development of hospital acquired pressure ulcers (HAPUs) is a common complication associated with immobilization and prolonged hospitalization in trauma patients. Our semi-annual Trauma Quality Improvement Program (TQIP) report identified HAPUs as an outlier complication. We employed a hospital-wide initiative to reduce the incidence of HAPUs among our trauma patient population. Our study aimed to determine if the implemented measures would decrease HAPUs incidence rates...
March 26, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29596678/follow-the-blue-feet-nurse-implemented-postoperative-mobility-program
#14
E Shannon Walters, Kathryn Curtin, Melissa M McLawhorn, Katherine Lee, Jeffrey W Shupp
To establish the effectiveness of a nurse-led postoperative MOBILITY program implemented on the Burn/Surgical/Trauma unit at our facility to increase documentation of patient mobility and to develop nurse and patient understanding of the importance of movement in postoperative recovery while increasing patient satisfaction with mobility. The MOBILITY program was implemented on a 24-bed Burn/Surgical/Trauma unit. Lewin's Change Theory guided the development of the program, while the Iowa Model of Evidence-Based Practice for Quality Care was the framework for the project...
December 27, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29596291/interprofessional-simulations-promote-knowledge-retention-and-enhance-perceptions-of-teamwork-skills-in-a-surgical-trauma-burn-intensive-care-unit-setting
#15
Katie L George, Beth Quatrara
BACKGROUND: The current state of health care encompasses highly acute, complex patients, managed with ever-changing technology. The ability to function proficiently in critical care relies on knowledge, technical skills, and interprofessional teamwork. Integration of these factors can improve patient outcomes. Simulation provides "hands-on" practice and allows for the integration of teamwork into knowledge/skill training. However, simulation can require a significant investment of time, effort, and financial resources...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29596279/electronic-medical-record-in-the-ed-a-cross-sectional-survey-of-resuscitation-documentation-practices-and-perceptions-among-emergency-department-clinicians
#16
Marleny Franco, Janette Baird, Linda L Brown, Frank L Overly
OBJECTIVES: The aims of this study were to describe current practices in nursing documentation of trauma and medical resuscitations across emergency departments (EDs) and explore physicians' and nurses' perceptions of electronic medical record (EMR) use for nursing documentation of resuscitations. METHODS: An anonymous Web-based survey was developed and distributed to a convenience sample of ED physicians and nurses in the United States. RESULTS: Of 438 respondents, 154 were nurses; 97...
March 28, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29595368/the-care-of-patients-using-methamphetamine-in-the-emergency-department-perception-of-nurses-residents-and-faculty
#17
John R Richards, J Adam Hawkins, Eric W Acevedo, Erik G Laurin
BACKGROUND: To determine differences in perception between nurses, residents, and faculty regarding characteristics and treatment of patients who use methamphetamine (meth). METHODS: Survey study performed at an urban, university Level I trauma medical center. RESULTS: 80 nurses, 39 residents, and 45 faculty completed the survey. All groups agreed meth was a significant problem nationwide and in our emergency department (ED). Nurses estimated 33% of their patients used meth, which differed from residents (18%) and faculty (15%)...
March 29, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29587973/improved-utilization-of-operating-room-time-for-trainee-cataract-surgery-in-a-public-hospital-setting
#18
J Minjy Kang, Sriranjani P Padmanabhan, Julie Schallhorn, Neeti Parikh, Saras Ramanathan
PURPOSE: To examine the effect of group goal and group performance theories on operating room efficiency in resident-performed cataract surgery. SETTING: Zuckerberg San Francisco General Hospital and Trauma Center, Department of Ophthalmology, University of California, San Francisco, California, USA. DESIGN: Prospective case series. METHODS: This study assessed 4 specific segments of operating room utilization identified as room-to-incision time, incision-to-close time, close-to-exit time, and room turnover time...
February 2018: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/29587869/perspectives-of-health-professionals-on-the-best-care-settings-for-pediatric-trauma-casualties-a-qualitative-study
#19
Raya Madar, Bruria Adini, David Greenberg, Yehezkel Waisman, Avishay Goldberg
BACKGROUND: Critically-injured children are frequently treated by providers who lack specialty pediatric training in facilities that have not been modified for the care of children. We set out to understand the attitudes and perspectives of policy makers, and senior nursing and medical managers in the Israeli healthcare system, concerning the provision of medical care to pediatric trauma casualties in emergency departments. METHODS: We conducted semi-structured interviews with 17 health professionals from medical centers across Israel and the Ministry of Health...
March 28, 2018: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29579526/safe-and-collaborative-communication-skills-a-step-towards-mental-health-nurses-implementing-trauma-informed-care
#20
Sophie Isobel, Cynthia Delgado
Trauma Informed Care (TIC) acknowledges the presence and effects of trauma in the lives of many mental health service users and the responsibility of services to provide physical and emotional safety. One challenge of TIC is a lack of clarity about translating the philosophy into practice. This paper describes the delivery and evaluation of a trauma informed communication workshop for mental health nurses that aimed to increase their knowledge of the potential impacts of trauma on consumers, and translate TIC concepts into their communication approaches within the therapeutic relationship...
April 2018: Archives of Psychiatric Nursing
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