Decreasing Trauma Readmission Rates by Implementing a Callback Program
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. Callback data included length of call, unsolicited patient comments, and education provided. Chi-square and Fis...
Source: Journal of Trauma Nursing - January 1, 2019 Category: Nursing Tags: QUALITY IMPROVEMENT Source Type: research
Using Opioids With Surgical Patients: Nurses' Attitudes and Experiences
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. Qualitative analysis revealed 2 major th...
Source: Journal of Trauma Nursing - January 1, 2019 Category: Nursing Tags: RESEARCH Source Type: research
Cohorting Trauma Patients in a Medical/Surgical Unit at a Level I Pediatric Trauma Center to Enhance Interdisciplinary Collaboration 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. Pre- and postcohorting surveys related to safety attitudes, comfort with caring for trauma patients, and the efficacy of cohorting we...
Source: Journal of Trauma Nursing - January 1, 2019 Category: Nursing Tags: INNOVATIONS AND OPERATIONS Source Type: research
In-hospital Complications in Trauma Patients According to Injury Severity
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...
Source: Journal of Trauma Nursing - January 1, 2019 Category: Nursing Tags: RESEARCH Source Type: research
Comfort or Care: Why Do We Have to Choose? Implementing a Geriatric Trauma Palliative Care Program
No abstract available (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - January 1, 2019 Category: Nursing Tags: CE Tests Source Type: research
