Using an evidence‐based care bundle to improve initial emergency nursing management of patients with severe traumatic brain injury

Damkliang, Jintana; Considine, Julie; Kent, Bridie; Street, Maryann

doi:10.1111/jocn.12923

Cited by 13 publications

(24 citation statements)

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“…Quanto ao período de permanência dos pacientes no ambiente hospitalar variou de 00 a 1.111 dias, sendo que, houve predominância do período compreendido de 00 a 10 dias (57,0% (14) . Existe uma questão multifatorial (15)(16)(17) relacionada à mortalidade de pacientes vítimas de traumas tais como: a gravidade do trauma sofrido e ao estado crítico que o usuário chega à unidade hospitalar. Assim como fatores relacionados aos extremos etários; as doenças pré-existentes ao trauma, bem como as condições envolvidas no contexto extra e intra-hospitalar a saber: a espera pelo primeiro atendimento, o transporte e toda a conjuntura hospitalar, de leitos especializados e a preparação dos profissionais que prestam os cuidados críticos (15) .…”

Section: Discussionunclassified

Time of internment and outcome of trauma victims for external causes / Tempo de internamento e desfecho de vítimas de traumas por causas externas / Estancia en el hospital y desenlace de las víctimas de trauma de causas externas

et al. 2016

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Objective: To characterize patients who are victims of trauma due to external causes regarding hospitalization time and outcome of a tertiary hospital in Fortaleza / CE. Method: descriptive, quantitative, documentary and retrospective study. Sample of 151 medical records. The research took place in the period from February to September 2016, through a pre-elaborated form. The project was approved by the institution's Ethics Committee. Data later analyzed by the Statistical Package of Social Sciences (SPSS) software. Results: Most of the patients in the study are from other municipalities of Ceará. Motorcycle accidents were the main cause of hospitalizations. Regarding the time of permeation in the hospital, it was a period of 0 to 10 days, in most cases. It should be noted that this number ZERO (0) is due to the patients who are admitted to the hospital but did not complete nor 24 hours of hospitalization and died. The period varied from 0 to 1,111 days. Conclusion: The high percentage of deaths demonstrates, in part, the severity of these cases. Keywords: Emergencies; Trauma; Critical Patients. RESUMO Objetivo: Caracterizar pacientes vítimas de traumas por causas externas quanto ao tempo de internamento e desfecho de um hospital terciário de Fortaleza/CE. Método: estudo descritivo, quantitativo, documental e retrospectivo. Amostra de 151 prontuários. A pesquisa ocorreu no período de fevereiro a setembro de 2016, por meio de um formulário pré-elaborado. O projeto foi aprovado pelo Comitê de Ética da instituição. Dados posteriormente analisados pelo software Statistical Package of Social Sciences (SPSS). Resultados: A maioria dos pacientes em estudo é oriundo de outros municípios cearenses. Os acidentes de moto foram a principal causa dos internamentos. Em se tratando do tempo de permeância no hospital, tratou-se de um período de 0 a 10 dias, na maioria dos casos. Cabe ressaltar que esse número ZERO (0) se deve aos pacientes que são admitidos no hospital mas não completaram nem 24 horas de internamento e foram à óbito. Sendo que o período variou de 0 a 1.111 dias. Conclusão: O alto percentual de óbitos demonstra, em parte, a gravidade desses casos. Descritores: Emergências; Trauma; Pacientes críticos. RESUMEN Objetivo: Caracterizar los pacientes víctimas de trauma por causas externas como la duración de la estancia hospitalaria y el resultado de un hospital terciario de Fortaleza/CE. Método: Estudio descriptivo, cuantitativo, documental y retrospectivo. La muestra de 151 registros. La investigación se llevó a cabo en el período de febrero a septiembre de 2016, a través de un formulario previamente preparado. El proyecto fue aprobado por el Comité de Ética de la institución. Los datos analizados posteriormente por el software Statistical Package for the Social Sciences (SPSS). Resultados: La mayoría de los pacientes en el estudio provienen de otros municipios de Ceará. Los accidentes de motocicleta fueron la principal causa de ingresos hospitalarios. En términos de la permeancia de tiempo en el hospital, s...

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Section: Discussionunclassified

Time of internment and outcome of trauma victims for external causes / Tempo de internamento e desfecho de vítimas de traumas por causas externas / Estancia en el hospital y desenlace de las víctimas de trauma de causas externas

et al. 2016

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“…Pengukuran GCS menjadi salah satu intervens penting yang harus dilakukan oleh perawat di ruang IGD ketika memberikan asuhan keperawatan pada pasien dengan cedera kepala. Pada cedera kepala yang parah, nilai GCS cenderung cepat menurun karena mekanisme kompensasi tubuh manusia ketika terjadi peningkatan tekanan intra kranial (Damkliang et al 2014).…”

Section: Hubungan Peralatan Dan Obat -Obatan Gawat Darurat Dengan Outunclassified

ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN OUTCOME PASIEN CEDERA KEPALA YANG DIRUJUK DI IGD RSUD dr. ISKAK TULUNGAGUNG MELALUI PENDEKATAN MODEL INTERPERSONAL NURSINGHELDEGRAD E. PEPLAU

Sasmito

Wihastuti²,

Kristianto³

2017

mesencephalon

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Head injuries will affect more serious disorder compared with other organ traumatic. Lack of nurse competences, particularly on identify the early sign of critical head injuries and misunderstood of onset head injuries happened with the patient, will cause delays to give precise treatment and decision for the patient, such as giving reference to other hospital. The objective of this study is to analyze the influencing factor related to outcome of head injury patient in RSUD dr. Iskak Tulungagung using Interpersonal Interpersonal Nursing Model by Heldegrad E. Peplau approach. This research used analytical analytics comparative with cross-sectional approch. The data collected by purposive sampling and finally 78 respondent were included in this research. With regard to outcome of head injury patient whose referenced in, the bivariat analysis result showed conditions patients a head injury (p-value 0,005), assistance referral (p-value 0,042), the distnace referral (p value 0,020), and time referral (p value 0,006). In addition, the regression analysis showed variable pattients condition the most dominant relating to outcome patients a head injury referred (p value 0,001 and OR 16.184). The decrease of GCS value for patients who reference at other hospital indicated the deterioration of their condition. Hence, the values of GCS was important indication to be noticed.When in every phase in interpersonal nursing implementation well in patients referred to a head injury, so outcome head injuries with the glasgow outcome scale would be good.Abstrak : Cedera kepala akan memberikan gangguan yang sifatnya lebih kompleksbila dibandingkan dengan trauma pada organ tubuh lainnya. Minimnya kompetensi yang dimiliki perawat dalam mengenali tanda dini kegawatan cedera kepala dan tidak memahami onset cedera kepala yang dialami oleh korban memberi dampak pada keterlambatan tindakan segara yang harus diberikan kepada pasien cedera kepala, salah satunya dalam membuat keputusan rujukan.Beberapa hal yang dapat mengurangi dampak dari pelaksanaanrujukan pasien yang tidak optimal, perlu disusun manajemenrujukan pasien gawat darurat yang berfungsi sebagai kerangka acuan bagi petugas kesehatan terlebih lagiperawat. Salah satu teori model keperawatan yang menunjang dan mengembangkan pelaksanaan rujukan adalah teori interpersonal relations in nursingdari Heldegard E Peplau. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan outcome pasien cedera kepala yang dirujuk di IGD RSUDdr. Iskak Tulungagung melalui pendekatan model interpersonal nursing Heldegrad E. Peplau. Metode dalam penelitian ini adalah analitik komparatif dengan pendekatan cross-sectional. Jumlah sampel sebanyak 78 responden dengan menggunakan purposive sampling. Dari analisis bivariat faktor yang berhubungan dengan outcome pasien cedera kepala yang dirujuk adalah tingkat kesadaran pasien cedera kepala (p value 0,005), pendampingan saat merujuk (p value 0,042), jarak rujukan (p value 0,020) dan faktor waktu yang ditempuh (p value 0,006). Hasil analis...

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“…• Avaliar dor em idosos por meio de escalas de avaliação (SPILMAN et al, 2014;GREGORY, 2017) e tratar a dor (DAMKLIANG et al, 2014), em pacientes com fraturas, contusões, lesões de tecidos moles, tratar com repouso, gelo, compressão e elevação (SCHOLTEN et al, 2015) • Avaliar o nível de consciência com Escala de Coma de Glasgow, com ênfase no nível de alerta e se obedece ou não a comandos (WASSERMAN et al, 2015;DAMKLIANG et al, 2014). Avaliar a reação da pupila (DAMKLIANG et al, 2014;DAMKLIANG et al, 2015).…”

Section: Disfunção Estado Neurológicounclassified

“…No do estudo 4, realizado por Clemen et al (2012) SPILMAN et al, 2014;SCHOLTEN et al, 2015;GREGORY, 2017) e três a respeito da avaliação do estado neurológico do paciente (estudos 12, 15 e 19) (DAMKLIANG et al, 2014;DAMKLIANG et al, 2015;WASSERMAN et al, 2015).…”

Section: Intervenções De Enfermagem: Circulação Com Controle Da Hemorunclassified

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Atendimento pré-hospitalar móvel avançado para idosos pós-trauma: evidências para a construção de um protocolo assistencial de enfermagem

Degani¹

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Using an evidence‐based care bundle to improve initial emergency nursing management of patients with severe traumatic brain injury

Abstract: The study suggests that a care bundle approach can be used as a strategy to improve emergency nursing care of patients with severe traumatic brain injury.

Cited by 13 publications

References 24 publications

Time of internment and outcome of trauma victims for external causes / Tempo de internamento e desfecho de vítimas de traumas por causas externas / Estancia en el hospital y desenlace de las víctimas de trauma de causas externas

Time of internment and outcome of trauma victims for external causes / Tempo de internamento e desfecho de vítimas de traumas por causas externas / Estancia en el hospital y desenlace de las víctimas de trauma de causas externas

ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN OUTCOME PASIEN CEDERA KEPALA YANG DIRUJUK DI IGD RSUD dr. ISKAK TULUNGAGUNG MELALUI PENDEKATAN MODEL INTERPERSONAL NURSINGHELDEGRAD E. PEPLAU

Atendimento pré-hospitalar móvel avançado para idosos pós-trauma: evidências para a construção de um protocolo assistencial de enfermagem

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