A model to advance nursing science in trauma practice and injury outcomes research

Abstract

Aims: This discussion paper reports development of a model to advance nursing science and practice in trauma care based on an analysis of the literature and expert opinion.Background: The continuum of clinical care provided to trauma patients extends from the time of injury through to long-term recovery and final outcomes. Nurses bring a unique expertise to meet the complex physical and psychosocial needs of trauma patients and their families to influence outcomes across this entire continuum.

Indicators of injury recovery identified by patients, family members and clinicians

“…Yet, recovery is a subjective, personal and multi-dimensional process that changes as each person progresses through the journey and extends from days to years depending on the severity and type of traumatic injury, as well as personal and contextual factors 9,10 . There are a few examples of groups consulting with patients or their families to determine what aspects of recovery are a priority or should be measured to indicate success, as well as to identify concerns in recovery 8 .…”

Acute burns of the hands – physiotherapy perspective

“…Richmond and Aitken (2011) proposed a Trauma Outcomes Model, based on the Quality Health Outcomes Model (QHOM), to provide a framework in the management of patients across the trauma continuum 22 . Three priority long term outcomes have been identified in this model which incorporates firstly early phase interventions (pre-hospital, emergency and critical care) to promote survival and reduce morbidity; secondly that humanity and individual dignity is maintained during care and thirdly to ensure that the physical, psychological, functional recovery and quality of life is maximised.…”

Evolución del proceso de afrontamiento y adaptación en adultos hospitalizados que experimentaron un trauma músculo esquelético por accidentes de tránsito

“…El trauma músculo esquelético que experimentan las personas, se produce cuando el cuerpo recibe un impacto que altera las funciones propias de los órganos que resultan afectados (1) , puede ser causado por una variedad de mecanismos, pero cualquiera que sea su causa, el punto en común es el daño celular, en tejidos y órganos a causa de la transmisión externa de fuerzas al cuerpo (2) . Estos traumas constituyen para las personas un importante problema de salud durante toda la vida.…”

“…Estos traumas constituyen para las personas un importante problema de salud durante toda la vida. Actualmente proyectados a convertirse en la cuarta causa de discapacidad ajustada a los años de vida para el 2030 a nivel mundial según Mathers et al (2) , se clasifican dentro de las diez primeras causas de muerte a nivel global (2) y se ha reportado que una de sus principales causas de aparición son los accidentes automovilísticos.…”