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Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses

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https://read.qxmd.com/read/30624384/evaluation-of-functional-outcomes-for-adult-patients-after-distal-radius-fracture-treated-with-volar-plate-fixation-versus-nonsurgical-care
#1
Rachel Heidgerd, Jacqueline Morgan, Denise Schentrup
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. A retrospective chart analysis was performed in the public university hospital setting on a sample of 60 patient health records divided equally into those treated surgically and nonsurgically...
January 2019: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30624383/increasing-referrals-to-a-community-paramedicine-fall-prevention-program-through-implementation-of-a-daily-management-system
#2
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30624382/increasing-referrals-to-a-community-paramedicine-fall-prevention-program-through-implementation-of-a-daily-management-system
#3
Julianne B Ontengco
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%. Compliance with referrals after the retirement of the key performance indicator remained high at 95...
January 2019: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30624381/a-psychometric-analysis-of-ciwa-ar-in-acutely-ill-and-injured-hospitalized-patients
#4
Jacob Higgins, Andrew A Bugajski, Dirk Church, Doug Oyler, Sara Parli, Paula Halcomb, Lisa Fryman, Andrew C Bernard
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. We performed a retrospective chart review of 479 cases of screening and treatment of AWS using CIWA-Ar, of which 118 were admitted to a trauma/orthopedic (T/O) service and 361 to an internal medicine (IM) service...
January 2019: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30624380/decreasing-trauma-readmission-rates-by-implementing-a-callback-program
#5
Jennifer Bath, Daniel Freeman, Mariana Salamoun, Ellen Harvey, Andrea Wright, Mark Hamill, Daniel Lollar, Katie Love Bower, Bryan Collier
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. A postdischarge callback protocol was implemented in 2014, with a mature protocol in place in 2015. The precall and callback groups were compared regarding demographics, injury severity, and trauma readmission...
January 2019: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30624379/using-opioids-with-surgical-patients-nurses-attitudes-and-experiences
#6
Noordeen Shoqirat, Deema Mahasneh, Omar Al-Khawaldeh, Charleen 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. A total of 123 questionnaires were distributed, and 120 were returned, achieving a response rate of 96%. Focus group discussions (n = 4) were conducted with surgical nurses (n = 34). The majority of nurses believe that the addiction is the most serious side effects of opioids...
January 2019: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30624378/cohorting-trauma-patients-in-a-medical-surgical-unit-at-a-level-i-pediatric-trauma-center-to-enhance-interdisciplinary-collaboration-and-documentation
#7
Loreen K Meyer, Autumn D Nanassy, Heather Lavella, L Grier Arthur, Harsh 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...
January 2019: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30624377/in-hospital-complications-in-trauma-patients-according-to-injury-severity
#8
Maria Carolina Barbosa Teixeira Lopes, Wagner de Aguiar, Iveth Yamaguchi Whitaker
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. The injury and trauma severity was measured using the Abbreviated Injury Scale (AIS) and the Injury Severity Score (ISS), respectively...
January 2019: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30624376/comfort-or-care-why-do-we-have-to-choose-implementing-a-geriatric-trauma-palliative-care-program
#9
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30624375/comfort-or-care-why-do-we-have-to-choose-implementing-a-geriatric-trauma-palliative-care-program
#10
Kristie L Brown, Alyce S 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. The trauma program implemented the American College of Surgeons (ACS) Trauma Quality Improvement Program Palliative Care Best Practices Guidelines () to better care for acute traumatic injuries as well as the specific spiritual, emotional, and psychiatric needs of the geriatric trauma palliative care patient and family...
January 2019: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30624374/a-resolution-to-keep
#11
Sean M Elwell
No abstract text is available yet for this article.
January 2019: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30395040/mission-zero
#12
Nathan A M Christopherson
No abstract text is available yet for this article.
November 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30395039/a-narrative-inquiry-into-the-experience-of-being-a-victim-of-gun-violence
#13
Mary Francis
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. The interview format comprised open-ended interview questions that encouraged participants to tell their stories. The method was narrative inquiry; the victims were encouraged to tell their story. The interview was recorded and transcribed. The transcripts of the interviews were the data for the study...
November 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30395038/collaborative-team-reflective-practice-in-trauma-service-to-improve-health-care
#14
Hilary McDermott, Alaina Husbands, Lisa Brooks-Lewis
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...
November 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30395037/targeting-catheter-associated-urinary-tract-infections-in-a-trauma-population-a-5-s-bundle-preventive-approach
#15
Adel Elkbuli, Ashley Miller, Dessy Boneva, Salomon Puyana, Eileen Bernal, Shaikh Hai, Mark 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. A 5-S CAUTI bundle was implemented. Its effects were measured on a prospectively collected dataset of adult trauma patients using our Trauma Registry during the 4-year study period...
November 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30395036/analgesics-administered-for-pain-during-hospitalization-following-lower-extremity-fracture-a-review-of-the-literature
#16
Mari A Griffioen, Grace OʼBrien
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...
November 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30395035/factors-affecting-urinary-retention-in-critically-ill-trauma-patients
#17
Susan Fowler, Stephanie Urban, Holly Taggart
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. Male gender, orthopedic trauma, and anesthesia were possible contributing factors for urinary retention in our sample population...
November 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30395034/impacting-delirium-in-the-trauma-icu-utilizing-the-icu-liberation-collaborative-benchmark-report
#18
(no author information available yet)
No abstract text is available yet for this article.
November 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30395033/impacting-delirium-in-the-trauma-icu-utilizing-the-icu-liberation-collaborative-benchmark-report
#19
Jennifer Sweeney
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. Based on these PAD guidelines, the ABCDEF bundle was created. Research is lacking on how adherence to the ABCDEF bundle elements impacts specific populations such as trauma patients...
November 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/30395032/complications-and-mortality-among-correctly-triaged-and-undertriaged-severely-injured-older-adults-with-traumatic-brain-injuries
#20
(no author information available yet)
No abstract text is available yet for this article.
November 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
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