Orthopaedic nursing challenges in poly-traumatised patient management: A critical analysis of an Orthopaedic and Trauma Unit

Biz, Carlo; Buffon, Lisa; Marin, Roberto; Petrova, Н.

doi:10.1016/j.ijotn.2016.04.003

Cited by 14 publications

(15 citation statements)

References 35 publications

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“…This agree with Shehab, et al, (2018), who reported that there is a positive correlation between nurses" knowledge and practice. Also in the same line with Shahin, Mohamed, and Sayed, (2012) and Seliman, (2014), who stated that a highly statistical significant correlation between participants' scores of knowledge and practice in preprogram, post-program, following the instructional program . Biz, Buffon, Marin and Petrova (2016) highlighted the need of a nursing assessment guideline for multiple trauma patients admitted to the trauma ward.…”

Section: Nursingsupporting

confidence: 63%

Impact of Nursing Intervention Protocol about Polytrauma Care during the Golden Hour on Nurses’ Performance

Mohamed

Khalifa

Eltaib

2020

Egyptian Journal of Health Care

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Background: The golden hour following a traumatic event is characterized by the need for rapid assessment and immediate resuscitation treatment, which represent the fundamental principles of Advanced Trauma Life Support. Aim: This study aimed to assess the impact of nursing intervention protocol about polytrauma care during the golden hour on nurses" performance. Research hypothesis: This study was hypothesized that the nurses" knowledge and practice will be significantly improved after implementing nursing intervention protocol. Research Design: A quasi-experimental design study with one group pre-test post-test approach was used to achieve the aim of the present study. Setting: it was conducted at Emergency departments affiliated to Ain Shams university hospitals. Subjects: A Convenient sample of all available nurses (thirty) working in Emergency departments. Tools: I-Self-administered nurses" polytrauma care knowledge questionnaire, it was used to assess nurses" knowledge regarding management of patient with polytrauma during the golden hour and II-Nurses" polytrauma care practice observational checklist: to assess nurses" practice regarding management of patients with polytrauma during the golden hours. Results: it was found that two thirds of the nurses were between twenty five to forty years, and less than half of them were graduated from nursing institute. There were highly statistically significant differences in knowledge and practice regarding care of patients with polytrauma during the golden hour with marked improvement post implementation among studied nurses. There was a significant relation between studied nurses' knowledge & practice and gender & education. Conclusion: there was an improvement in knowledge and practice post nursing intervention protocol implementation among studied nurses with statistically significant differences between pre-and post-knowledge, and practice. Recommendations: Replication of the study on a large probability sample for results generalization and Improve and update nurses" knowledge and skills about management of patients with polytrauma during the golden hour.

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Section: Nursingsupporting

confidence: 63%

Impact of Nursing Intervention Protocol about Polytrauma Care during the Golden Hour on Nurses’ Performance

Mohamed

Khalifa

Eltaib

2020

Egyptian Journal of Health Care

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“…Unlike in other countries [ 9 , 10 ], in China there was no national protocol for closed fracture treatment during the pandemic. Multiple trauma care is often challenging too [ 11 ]. The present study explored a reasonable treatment protocol for patients with closed fractures during the COVID-19 pandemic by evaluating the results from 3 hospitals in Wuhan, China.…”

Section: Discussionmentioning

confidence: 99%

Customized treatment protocols for patients with closed fracture in hospitals at varying coronavirus disease 2019 (COVID-19) risk

Guo

Wu³

et al. 2021

BMC Musculoskelet Disord

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Background To determine an optimized treatment protocol during the COVID-19 epidemic for patients with closed fracture and delayed surgery. Methods The epidemic data of three hospitals, randomly selected from different administrative regions of Wuhan, were analyzed retrospectively from 23 January to 31 March 2020. Changes in the number of confirmed cases per day (cumulative and new) of each region were tracked as a reflection of changing epidemic risk levels. The risk level map was drawn. The epidemic status, treatment protocols, and treatment efficiencies for patients with closed fracture in the three hospitals were compared. Results Overall, 138 patients with closed fracture were admitted. Each hospital had established its own protocol, according to the initial perceived risk. Based on the risk level map, over the study period, the risk levels of the three regions changed independently and were not in sync. All patients recovered and were timely discharged. No staff member was detected with COVID-19. Conclusions The COVID-19 risk level of each area is dynamic. To optimize medical resources, avoid cross-infection, and improve efficiency, changes in epidemic risk should be monitored. For patients with closed fracture, treatment protocols should be adjusted according to changes in epidemic risk.

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“…Traumatic injury situations account for about 50.0% of the worldwide rates of mortality and motor and sensory impairment in populations of developed countries, especially among young people and adults aged between 15 and 44 years. (18,19) This reality places traumatic events as a remarkable global health problem and contributes to a great burden of disability and suffering. (19,20) Given this situation, implementing measures for the safe and quality care to polytrauma patients is key.…”

Section: Discussionmentioning

confidence: 99%

“…(18,19) This reality places traumatic events as a remarkable global health problem and contributes to a great burden of disability and suffering. (19,20) Given this situation, implementing measures for the safe and quality care to polytrauma patients is key.…”

Section: Discussionmentioning

confidence: 99%

Validação de protocolos gráficos para avaliação da segurança do paciente politraumatizado

et al. 2018

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Resumo Objetivo: Validar o conteúdo e a aparência dos protocolos gráficos para avaliação da estrutura, processo e resultado do cuidado seguro de enfermagem ao paciente politraumatizado em situação de emergência. Métodos: Estudo metodológico e quantitativo. Para a coleta de dados, aplicou-se a técnica de Delphi em duas rodadas (Delphi I e Delphi II). A amostra do Delphi I consistiu em 15 juízes e o Delphi II arrolou 13 juízes. Considerou-se válidos aqueles itens dos protocolos com Índice de Validação de Conteúdo (IVC) maior que 0.78 e consenso de mais de 70,0% na técnica de Delphi. Os dados foram analisados por meio de estatística descritiva e inferencial (Teste de Wilcoxon e Binomial). Adotou-se o ρ-valor ≤ 0,05 para a significância estatística. Além disso, aplicou-se o Alfa de Cronbach (α) para avaliar a consistência interna dos protocolos. Considerou-se confiável aquele item que apresentasse o α ≥ 0,7. Resultados: Todos os requisitos de avaliação dos protocolos alcançaram concordância entre os juízes superior a 80,0%, bem como todos os itens alcançaram níveis de avaliação estatisticamente significativos. Ao final do Delphi II, os três protocolos se apresentaram expressivamente válidos (estrutura [IVC = 0,92]; processo [IVC = 0,96]; e, resultado [IVC = 0,96]) e confiáveis (estrutura [α = 0,95]; processo [α = 0,95]; e, resultado [α = 0,89]). Conclusão: Atingiu-se a validação de conteúdo e de aparência dos protocolos integralmente, assim como, a validação interna com exímio.

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Orthopaedic nursing challenges in poly-traumatised patient management: A critical analysis of an Orthopaedic and Trauma Unit

Cited by 14 publications

References 35 publications

Impact of Nursing Intervention Protocol about Polytrauma Care during the Golden Hour on Nurses’ Performance

Impact of Nursing Intervention Protocol about Polytrauma Care during the Golden Hour on Nurses’ Performance

Customized treatment protocols for patients with closed fracture in hospitals at varying coronavirus disease 2019 (COVID-19) risk

Validação de protocolos gráficos para avaliação da segurança do paciente politraumatizado

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