Predictors of Posttraumatic Growth: Insights From a Comparison Between Assault Victims and Nonassault Victims
Posttraumatic growth (PTG) has been investigated in many different areas of trauma, including cancer, occupation-related injuries, and crimes. In the current study, we aimed to examine the effects of traumatic events on the victims' PTG. The current study was a survey study with group comparison. We recruited 143 victims of trauma (74 nonassault victims and 69 assault victims) and compared victims' PTG and its related factors according to the trauma type. Nonassault victims showed better outcomes in terms of adverse childhood experience, depression, anxiety, and acceptance than assault victims. Only for assault victims, PT...
Source: Journal of Trauma Nursing - May 1, 2020 Category: Nursing Tags: RESEARCH Source Type: research
Trauma Nurses' Experience With Decontamination: Opportunities for Improvement
Trauma patients are unique in their potential for exposure to dangerous chemicals or material, placing staff in the emergency department (ED) or trauma unit at risk for exposure themselves. The purpose of this study was to describe one centers' trauma nursing experience with decontamination and to identify opportunities for improvement. This was a cross-sectional descriptive study of decontamination practices using an anonymous online survey of trauma nurses at a single Midwestern verified Level I trauma center and burn center. A total of 82 nurses completed the survey with a 48% response rate. Overall, 57% reported having...
Source: Journal of Trauma Nursing - May 1, 2020 Category: Nursing Tags: RESEARCH Source Type: research
A Randomized Clinical Trial on the Use of Antiseptic Solutions for the Pin-Site Care of External Fixators: Chlorhexidine–Alcohol Versus Povidone–Iodine
This study aimed to investigate the superiority of chlorhexidine–alcohol solution versus povidone–iodine solution for external fixator pin-site care in pin-site infection. This prospective randomized clinical trial using an open, parallel-group design was conducted in a single Spanish hospital. Eligible consenting patients from November 2018 to May 2019 who underwent placement of an external fixator were included. Patients were randomly assigned to receive pin-site care using either a 2% chlorhexidine–alcohol solution or a 10% povidone–iodine solution. The primary endpoint was the development of a pin-site infectio...
Source: Journal of Trauma Nursing - May 1, 2020 Category: Nursing Tags: RESEARCH Source Type: research
Electrolyte Analysis and Replacement: Challenging a Paradigm in Surgical Patients
Postoperative patients are susceptible to alterations in electrolyte homeostasis. Although electrolytes are replaced in critically ill patients, stable asymptomatic non-intensive care unit (ICU) patients often receive treatment of abnormal electrolytes. We hypothesize there is no proven benefit in asymptomatic patients. In 2016, using the electronic medical records and pharmacy database at a university academic medical center, we conducted a retrospective cost analysis of the frequency and cost of electrolyte analysis (basic metabolic panel [BMP], ionized calcium [Ca], magnesium [Mg], and phosphorus [P]) and replacement (p...
Source: Journal of Trauma Nursing - May 1, 2020 Category: Nursing Tags: RESEARCH Source Type: research
Accelerated Biologic Aging, Chronic Stress, and Risk for Sepsis and Organ Failure Following Trauma
No abstract available (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - May 1, 2020 Category: Nursing Tags: CE Tests Source Type: research
Accelerated Biologic Aging, Chronic Stress, and Risk for Sepsis and Organ Failure Following Trauma
Chronic stress and accelerated aging have been shown to impact the inflammatory response and related outcomes like sepsis and organ failure, but data are lacking in the trauma literature. The purpose of this study was to investigate potential relationships between pretrauma stress and posttrauma outcomes. The hypothesis was that pretrauma chronic stress accelerates aging, which increases susceptibility to posttrauma sepsis and organ failure. In this prospective, correlational study, chronic stress and accelerated biologic aging were compared to the occurrence of systemic inflammatory response syndrome, sepsis, and organ fa...
Source: Journal of Trauma Nursing - May 1, 2020 Category: Nursing Tags: RESEARCH Source Type: research
In the Arena
No abstract available (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - May 1, 2020 Category: Nursing Tags: PRESIDENT'S MESSAGE Source Type: research
Comparing Opinions on Meaningful Recognition: Do Views of Trauma Nursing Leaders and Staff Align?
This study included 46 RN/support staff (RN/SS group) and 10 nurse leaders (leaders group) from a Level 1 trauma center. Mean values from 5-point Likert scale survey on 31 forms of recognition (grouped into 6 categories) and demographics (age, nursing experience, and gender) were compared. All participants were separated into groups: 35 years of age and younger (millennials; n = 29) and older than 35 years (Gen X/boomers; n = 27). Majority of RN/SS were 26–35 years of age (43.5%) and 50.0% had less than 3 years of nursing experience. Half of the leaders were 36–45 years of age (p = .01 vs. RN/SS), and 70.0% had 16 year...
Source: Journal of Trauma Nursing - March 1, 2020 Category: Nursing Tags: LEADERSHIP Source Type: research
Postmortem Analysis of Fall Victims According to Age Groups: A Comparative Study
This study is a cross-sectional, comparative study analyzing autopsy reports of fatal victims due to fall, admitted to the Medical Legal Institute of Sao Paulo, Sao Paulo, Brazil, in 2015. The following age groups were: adults (≥18 and (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - March 1, 2020 Category: Nursing Tags: RESEARCH Source Type: research
The Effects of Pre-Burn Center Intubation on Rates of Pneumonia, Early Extubation, and Death: A Systematic Review
The objective of this research review is to compare pre-burn center intubations with those performed at burn centers and compare rates of pneumonia, mortality, and time to extubation. A systematic review of articles from MEDLINE and CINAHL Plus was performed to identify eligible trials and observational studies that compared pre-burn center intubations with those performed at burn centers between the years 2014 and 2018. Four studies met eligibility requirements. There were mixed results on the correlation of pre-burn center intubation with pneumonia and death; however, pre-burn center patients were more likely to have ear...
Source: Journal of Trauma Nursing - March 1, 2020 Category: Nursing Tags: RESEARCH REVIEW Source Type: research
A Multidisciplinary Approach to Improve Pain Management and Satisfaction in a Trauma Population
No abstract available (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - March 1, 2020 Category: Nursing Tags: CE Tests Source Type: research
A Multidisciplinary Approach to Improve Pain Management and Satisfaction in a Trauma Population
An adult trauma center identified pain management as a potential area for improvement. Pain management is at the height of discussion in medical centers across the United States. The Hospital Consumer Assessment of Healthcare Provider and System (HCAHPS) scores relating to pain management were consistently low ( (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - March 1, 2020 Category: Nursing Tags: QUALITY IMPROVEMENT Source Type: research
Correlation of Nasal Cannula End-Tidal Carbon Dioxide Concentration With Need for Critical Resources for Blunt Trauma Patients Triaged to Lower-Tier Trauma Activation
Patients assigned lower-tier trauma activation may be undertriaged. Delayed recognition and intervention may adversely affect outcome. For critically injured intubated patients, research shows that abnormally low end-tidal carbon dioxide (EtCO2) values correlate with need for blood transfusion, surgery, and mortality. The purpose of this study was to evaluate EtCO2 monitoring for patients triaged to lower-tier trauma activation. EtCO2 monitoring may aid in the recognition of patients who have greater needs than anticipated. This is a prospective observational study conducted at a Level I trauma center. Potential subjects p...
Source: Journal of Trauma Nursing - March 1, 2020 Category: Nursing Tags: RESEARCH Source Type: research
Resuscitative Endovascular Balloon Occlusion of the Aorta Process Improvement: Examining a Novel Case Evaluation Tool and Standardized Simulations
The objectives of this study were to describe an original case evaluation tool, discuss barriers encountered, present a standardized simulation course, and evaluate the efficacy of this course. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emerging adjunct in the trauma bay for patients with noncompressible subdiaphragmatic hemorrhage. Compared with the alternative (emergency department thoracotomy), it is less invasive and allows for continuation of chest compressions, and early studies suggest a positive effect on mortality. Infrequent utilization of REBOA limits provider and support staff expos...
Source: Journal of Trauma Nursing - March 1, 2020 Category: Nursing Tags: QUALITY IMPROVEMENT Source Type: research
Elderly Patients With Isolated Hip Fracture Requiring Surgical Intervention: Does Admitting Service Matter?
The American College of Surgeons requires trauma centers to track the number of injured patients admitted to a surgical service as well as nonsurgical admissions (NSAs) as a quality marker. We aim to compare the relationship between admitting service and outcomes in patients with isolated hip fracture (IHF). A 4-year retrospective cohort review of data collected from a single institution's trauma registry for adult patients with IHF was done. Patients were stratified into 2 groups based on admission to a surgical service versus NSA. Demographic and outcome variables including age, gender, Injury Severity Score (ISS), inten...
Source: Journal of Trauma Nursing - March 1, 2020 Category: Nursing Tags: RESEARCH Source Type: research
