Towards Sustainable Traumatic Brain Injury Care Systems: Healthcare Leadership Imperatives in Canada

Caro, Denis

doi:10.1016/j.hcmf.2010.10.002

Cited by 4 publications

(2 citation statements)

References 29 publications

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“…The responsibility for the evolution of integrated care systems rests with leadership [46]. Proactive vision and strategic leadership unlocks the power of innovative technologies to transform care systems for traumatic brain injury patients.…”

Section: • Transformational Health Leadership and Visionmentioning

confidence: 99%

The Yin and Yang of Integrated Care: Systemic Imperatives for Traumatic Brain Injuries

H.J.

2014

TOPHJ

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Traumatic brain injuries remain a 21st century scourge that remains subterranean and mostly invisible in our societies. Integrated care systems for traumatic brain injury patients effectively integrate the key systemic components horizontally and vertically so as to improve patient outcomes and systemic performance. This review paper briefly identifies the nature of traumatic brain injuries in Canada and the European Union. Internationally, there is a wide spectrum of health care systems and supporting infrastructures that reflect a very diverse and complex range of societal values, political ideologies, and states of economic and social development. As a consequence, each nation or political entity will have a different response or ability to respond to traumatic brain injuries. The manuscript underscores the need to recognize traumatic brain injuries as a universal public health challenge and briefly identifies the systemic components of care in Canada and the European Union that are sociopolitical entities that have a blend of both government-directed and marketeconomies. The paper posits that there are four evolving systemic imperatives that should be considered in providing effective care to the traumatic brain injury patients for the 21 st century. These include: integrated care planning; integrated information systems; virtualized continuity of care and health leadership imperatives. How each socioeconomic entity integrates these building blocks will vary, as will the effectiveness to these types of injuries. The paper concludes with a brief discussion of public health choices that lie at the heart of the scourge of traumatic brain injuries.

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Section: • Transformational Health Leadership and Visionmentioning

confidence: 99%

The Yin and Yang of Integrated Care: Systemic Imperatives for Traumatic Brain Injuries

H.J.

2014

TOPHJ

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“…Still, it has been well documented that TBI-impacted caregivers have highlighted a diminished life satisfaction, high level of caregiver burden, anxiety, social isolation, depression, and emotional difficulties (Manskow et al, 2017 ). Hence, it is necessary to provide continuity of care to the patients with TBI and their caregivers after being discharged from the hospital (Caro, 2011 ).…”

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confidence: 99%

Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis

2021

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Background: Effective nursing interventions for caring for patients with moderate to severe traumatic brain injury are still challenging during a transition from hospital to home. Since traumatic brain injury has deep-rooted sequelae, patients and their caregivers require better arrangement and information on the condition to achieve improved outcomes after discharge. Objective: This study aimed to assess transitional care programs to improve outcomes of patients with traumatic brain injury and their caregivers. Methods: A systematic review and meta-analysis were performed on studies retrieved from ProQuest, PubMed, Science Direct, CINAHL, and Google Scholar from January 2010 to July 2021. RevMan 5.4.1 software was used for meta-analysis. Results: Nine studies were systematically selected from 1,137 studies. The standard approaches of interventions used in patients with traumatic brain injury and their caregivers were education, mentored problem-solving, home-and community-based rehabilitation, counseling, skill-building, and psychological support. We observed that there was significant evidence indicating beneficial effects of intervention in increasing the physical functioning of patients with traumatic brain injury (SMD = -0.44, 95% CI -0.60 to -0.28, p <0.001), reducing the psychological symptoms among caregivers (SMD = -0.42, 95% CI -0.59 to -0.24, p <0.001), and increasing the satisfaction (SMD = -0.35, 95% CI -0.60 to -0.11, p = 0.005). Conclusion: Education, skill-building, and psychological support should be the main components in transitional care nursing programs for patients with traumatic brain injury and their caregivers. Funding: Faculty of Nursing, Prince of Songkla University, Hat Yai, Thailand.

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The West Atlantic Ecosphere

Denis

2021

Transforming Nations After the COVID-19 Pandemic

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Towards Sustainable Traumatic Brain Injury Care Systems: Healthcare Leadership Imperatives in Canada

Cited by 4 publications

References 29 publications

The Yin and Yang of Integrated Care: Systemic Imperatives for Traumatic Brain Injuries

The Yin and Yang of Integrated Care: Systemic Imperatives for Traumatic Brain Injuries

Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis

The West Atlantic Ecosphere

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