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Trauma Nursing

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https://www.readbyqxmd.com/read/28342711/epidemiological-profile-and-vaccination-coverage-in-splenectomy-patients-in-a-health-area-of-murcia-1993-2012
#1
Yolanda Molina-Salas, Francisco José Romera-Guirado, Jaime Jesús Pérez-Martín, María Nieves Peregrín-González, David Góngora-Soria
OBJECTIVE: Splenectomy patients have a high risk of suffering severe infections, many of them preventable by vaccination. The aim of the study was to analyse the clinical epidemiological characteristics and vaccine coverage of these patients in Health Area III of the Region of Murcia. METHOD: A cross-sectional study was conducted on a population of patients that were splenectomised during the period 1993-2012, according to the Register of the Basic Minimum Data Set...
March 22, 2017: Enfermería Clínica
https://www.readbyqxmd.com/read/28339769/incidence-and-potential-risk-factors-for-hospital-acquired-pneumonia-in-an-emergency-department-of-surgery
#2
Marie Stenlund, Rune Sjödahl, R N Pia Yngman-Uhlin
Objective: Hospital-acquired pneumonia (HAP) is associated with high mortality and is the second most common nosocomial infection. The aim of this study was to calculate the incidence and to identify potential risk factors for HAP in an emergency ward for surgical patients admitted because of acute abdomen or trauma. Design: A structured review of medical records was conducted. Patients diagnosed with pneumonia >48 h after admittance, were compared with a randomly chosen age-matched reference group...
February 23, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28333788/nursing-interruptions-in-a-trauma-intensive-care-unit-a-prospective-observational-study
#3
Nicole C Craker, Robert A Myers, Jessy Eid, Priti Parikh, Mary C McCarthy, Kathy Zink, Pratik J Parikh
OBJECTIVE: The aims of this study were to identify and analyze elements that affect duration of an interruption and likelihood of activity switch as experienced by nurses in an ICU. BACKGROUND: Although interruptions in the ICU impact patient safety, little is known regarding the complex situations that drive them. METHODS: RNs were observed in a 23-bed surgical ICU. We observed 206 interruptions, and analyzed for duration and activity switch...
April 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28328684/eastern-association-for-the-surgery-of-trauma-society-of-trauma-nurses-advanced-practitioner-position-paper-optimizing-the-integration-of-advanced-practitioners-in-trauma-and-critical-care
#4
Jonathan Messing, Jasmine Garces-King, Dennis Taylor, Jonathan Van Horn, Babak Sarani, A Britton Christmas
Nurse Practitioners and Physician Assistants, collectively known as advanced practitioners (APs), enhance the provision of care for the acutely injured patient. Despite their prevalence, institutions employ, train, and utilize these providers with significant variability. The Eastern Association for the Surgery of Trauma (EAST), the Society of Trauma Nurses (STN), and the American Association of Surgical Physicians Assistants (AASPA) acknowledge the value of APs and support their utilization in the management of injured and critically ill patients...
March 21, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28327274/physician-extenders-on-surgical-services-a%C3%A2-systematic-review
#5
Jagdeep Johal, Andrew Dodd
BACKGROUND: With the introduction of resident duty hour restrictions and the resulting in-house trainee shortages, a long-term solution to ensure safe and efficient patient care is needed. One solution is the integration of nurse practitioners (NPs) and physician assistants (PAs) in a variety of health care settings. We sought to examine the use of NPs and PAs on surgical/trauma services and their effect on patient outcomes and resident workload. METHODS: We performed a systematic review of EMBASE, Medline, CINAHL, and the Cochrane Central Register of Controlled Trials...
April 1, 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28325517/post-traumatic-stress-disorder-and-20-year-physical-activity-trends-among-women
#6
Ashley Winning, Paola Gilsanz, Karestan C Koenen, Andrea L Roberts, Qixuan Chen, Jennifer A Sumner, Eric B Rimm, M Maria Glymour, Laura D Kubzansky
INTRODUCTION: Post-traumatic stress disorder (PTSD) may be associated with physical inactivity, a modifiable lifestyle factor that contributes to risk of cardiovascular and other chronic diseases; however, no study has evaluated the association between PTSD onset and subsequent physical activity (PA) changes. METHOD: Analyses were conducted between October 2014 and April 2016, using data from the ongoing Nurses' Health Study II (N=50,327). Trauma exposure and PTSD symptoms were assessed using two previously validated measures, the Brief Trauma Questionnaire and Short Screening Scale for DSM-IV PTSD...
March 18, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28301646/traumatic-facial-injuries-among-elderly-nursing-home-residents-never-event-or-frequent-occurrence
#7
Michael Bobian, Nour El-Kashlan, Curtis J Hanba, Peter F Svider, Adam J Folbe, Jean Anderson Eloy, Giancarlo F Zuliani, Michael Carron
Importance: As the nursing home population continues to increase, an understanding of preventable injuries becomes exceedingly important. Although other fall-related injuries have been characterized, little attention has been dedicated to facial trauma. Objectives: To estimate the incidence of facial trauma among nursing home residents and detail mechanisms of injury, injury characteristics, and patient demographic data. Design, Setting, and Participants: The National Electronic Injury Surveillance System was used to calculate a weighted national incidence of facial trauma among individuals older than 60 years from a nationally representative collection of emergency departments from January 1, 2011, through December 31, 2015...
March 16, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28295746/posttraumatic-stress-disorder-in-the-perinatal-period-pptsd-a-concept-analysis
#8
REVIEW
Julie Vignato, Jane M Georges, Ruth A Bush, Cynthia D Connelly
AIMS AND OBJECTIVES: To report an analysis of the concept of perinatal posttraumatic stress disorder (PPTSD). BACKGROUND: Prevalence of PPTSD is rising in the United States, with 9% of the U.S. perinatal population diagnosed with the disorder and an additional 18% being at risk for the condition. Left untreated, adverse maternal-child outcomes result in increased morbidity, mortality, and healthcare costs. DESIGN: Concept analysis via Walker and Avant's approach...
March 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28293996/effective-pain-management-in-patients-in-hospital
#9
Candy McCabe
Chronic pain is experienced by between one third and one half of the UK population. Nurses should ensure that patients' pain is assessed and managed when they present to hospital, including pre-existing chronic pain and acute pain as a result of trauma or surgical interventions. Acute pain that is inadequately managed may result in chronic pain, impeding the patient's return to normal function and daily activities. Depression and increasing age affect the likelihood of patients experiencing chronic pain. Nurses should be familiar with the pain assessment tools available for use with older people and be aware of the potential issues of polypharmacy and altered sensitivity to medication in older people...
March 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28286528/evaluation-of-a-pilot-project-to-introduce-simulation-based-team-training-to-pediatric-surgery-trauma-room-care
#10
Markus Lehner, Ellen Heimberg, Florian Hoffmann, Oliver Heinzel, Hans-Joachim Kirschner, Martina Heinrich
Introduction. Several studies in pediatric trauma care have demonstrated substantial deficits in both prehospital and emergency department management. Methods. In February 2015 the PAEDSIM collaborative conducted a one and a half day interdisciplinary, simulation based team-training course in a simulated pediatric emergency department. 14 physicians from the medical fields of pediatric surgery, pediatric intensive care and emergency medicine, and anesthesia participated, as well as four pediatric nurses. After a theoretical introduction and familiarization with the simulator, course attendees alternately participated in six simulation scenarios and debriefings...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28284405/-head-trauma-patients-and-their-life-course
#11
Charlotte Gilart de Keranflec'h, François Décaillet
A traumatic brain injury constitutes a complex treatment situation. Nurses are on the frontline having to assume a difficult position between idealism and fatalism with regard to the care pathway and quality of life. Taking a long-term approach to the care and systemised feedback from the patients form simple and economical levers for improvement.
March 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28283143/outcomes-of-planned-home-visits-of-intern-public-health-nurses-an-example-from-turkey
#12
Ozlem Ozkan, Saadet Ozdemir
OBJECTIVE: This study aimed at evaluating the outcomes of planned home visits of intern public health nurses enrolled to a school of health over 8 educational years. METHOD: The descriptive research consisted of 181 families (N = 745 individuals) who received primary services through the planned home visits undertaken by 431 intern public health nurses at Kocaeli province in Turkey. The data were collected from Family Nursing Process Records and Family Health Achievement Forms...
September 2016: Annals of Global Health
https://www.readbyqxmd.com/read/28281431/the-accuracy-of-nurse-performance-of-the-triage-process-in-a-tertiary-hospital-emergency-department-in-gauteng-province-south-africa
#13
L N Goldstein, L M Morrow, T A Sallie, K Gathoo, K Alli, T M M Mothopeng, F Samodien
BACKGROUND: Triage in the emergency department (ED) is necessary to prioritise management according to the severity of a patient's condition.The South African Triage Scale (SATS) is a hospital-based triage tool that has been adopted by numerous EDs countrywide.Many factors can influence the outcome of a patient's triage result, and evaluation of performance is therefore pivotal. OBJECTIVES: To determine how often patients were allocated to the correct triage category and the extent to which they were incorrectly promoted or demoted, and to determine the main reasons for errors in a nurse-led triage system...
February 27, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28281430/provision-of-an-emergency-theatre-in-tertiary-hospitals-is-cost-effective-audit-and-cost-of-cancelled-planned-elective-general-surgical-operations-at-pietersburg-hospital-limpopo-province-south-africa
#14
M M Z U Bhuiyan, R Mavhungu, A Machowski
BACKGROUND: Cancellations of planned elective surgical operations increase financial cost to the patient and the hospital. OBJECTIVES: To determine the rate and reasons for cancellations, estimate the cost incurred by such cancellations and recommend possible solutions. METHODS: We did a prospective descriptive study of cancellations of elective general surgical operations over the 1-year period January - December 2014 in the main theatre at Pietersburg (PTB) Hospital, Limpopo Province, South Africa...
February 27, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28280734/saving-the-on-scene-time-for-out-of-hospital-cardiac-arrest-patients-the-registered-nurses-role-and-performance-in-emergency-medical-service-teams
#15
Ming-Wei Lin, Che-Yu Wu, Chih-Long Pan, Zhong Tian, Jyh-Horng Wen, Jet-Chau Wen
For out-of-hospital cardiac arrest (OHCA) patients, every second is vital for their life. Shortening the prehospital time is a challenge to emergency medical service (EMS) experts. This study focuses on the on-scene time evaluation of the registered nurses (RNs) participating in already existing EMS teams, in order to explore their role and performance in different EMS cases. In total, 1247 cases were separated into trauma and nontrauma cases. The nontrauma cases were subcategorized into OHCA (NT-O), critical (NT-C), and noncritical (NT-NC) cases, whereas the trauma cases were subcategorized into collar-and-spinal board fixation (T-CS), fracture fixation (T-F), and general trauma (T-G) cases...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28279112/tips-on-building-resilience-and-improving-well-being
#16
Liz Crowe
Poor staff retention in emergency nursing is unsurprising given that nurses who work in emergency departments (EDs) can often experience compassion fatigue, burnout and post-traumatic stress disorder. Can a passion for a profession that involves so much illness, trauma and death be enough to sustain people through their working days?
March 10, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28277998/intensive-care-unit-nurses-perceived-barriers-towards-pressure-ulcer-prevention-in-south-east-iran
#17
L Mirshekari, B Tirgari, M A Forouzi
OBJECTIVE: Pressure ulcer (PU) prevention is one of the most important roles of nurses in intensive care units (ICUs). This study was conducted to identify intensive care registered nurses' perceived barriers towards PU prevention in south east Iran. METHOD: This study employed a descriptive cross-sectional design. A convenience sample consisted of registered nurses working in trauma intensive care units affliated by Zahedan Medical University participated in this study...
March 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28272188/the-nurse-s-role-in-supporting-patients-and-family-in-sharing-personal-accounts-of-traumatic-events-a-personal-experience
#18
Jill Donaldson-Andersen
Life-changing events unfold quickly as trauma nurses provide care for patients during the most vulnerable time of their lives. Nurses also bear the weight of simultaneously caring and providing emotional support for the families of trauma victims. Trauma nurses have a profound responsibility to assist patients and families through this process, as well as having a unique opportunity to encourage families to share their personal stories and experiences. On occasion, some high-profile traumas make their way to the local news and inquiries from the media soon follow...
March 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/28272187/life-interrupted-the-trauma-caregiver-experience
#19
Anna B Newcomb, Robert A Hymes
Traumatic injury frequently leads to an abrupt change in physical and psychological functioning; informal caregivers play a significant role in the recovery process in the hospital and at home. The purpose of this study was to describe the range of stressors and burdens experienced by orthopedic trauma family caregivers in the acute care setting, as well as responses and strategies employed. Qualitative, in-depth interviews were conducted in the hospital with 12 family caregivers of severely injured orthopedic trauma patients...
March 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/28272185/secondary-posttraumatic-stress-and-nurses-emotional-responses-to-patient-s-trauma
#20
(no author information available yet)
No abstract text is available yet for this article.
March 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
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