Volume 21, Issue 1 (4-2024)
J Res Dev Nurs Midw 2024, 21(1): 24-30 |
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Aydemir A, Ayyildiz M. Emergency nursing approach to trauma cases in Türkiye. J Res Dev Nurs Midw 2024; 21 (1) :24-30
URL: http://nmj.goums.ac.ir/article-1-1486-en.html
URL: http://nmj.goums.ac.ir/article-1-1486-en.html
1- Department of Midwifery, Giresun Üniversitesi, Giresun, Turkey , azizeaydemir@hotmail.com
2- Department of Physiology, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey
2- Department of Physiology, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey
Abstract: (795 Views)
Background: Defining the emergency nursing approach to trauma patients and identifying deficiencies is crucial for providing effective, fast, safe, and high-quality emergency nursing care in the future. This study aimed to describe the nursing activities of emergency nurses working in a tertiary university hospital in the province of Samsun, located in the Eastern Black Sea Region of Türkiye, regarding the emergency nursing approach to trauma cases over a 1-year period.
Methods: The research was conducted with a mixed method using data from 2018. Both qualitative and quantitative methods were employed to define the emergency nursing approach to trauma cases in the emergency department (ED). Data were collected through a retrospective review of medical records of trauma patients (N=2540) in the ED and focus group discussions with 10 emergency nurses. The data extracted from the medical records of ED trauma patients were compared in terms of compliance with the emergency nursing job descriptions specified in the Nursing Regulation (NR) and the Emergency Nurses Association (ENA) emergency nursing guide. Quantitative data were reported using frequency and percentage, while content analysis was performed for qualitative data. Content analysis involved coding, identifying themes, and organizing data according to the codes and themes that were determined.
Results: The study revealed that ED nurses primarily assessed vital signs (81.5%) and consciousness (34.8%) and focused on activities related to the circulatory system (56%) in their nursing interventions. The research also indicated that the nurses' knowledge regarding the primary and secondary evaluation of emergency patients was insufficient. Although not currently a requirement in Türkiye, nurses expressed that obtaining emergency nursing education should be a prerequisite for working in the ED.
Conclusion: The study found that ED nurses in Türkiye lacked a systematic guideline for approaching trauma patients, and there was inadequate adherence to ENA guidelines in practice. Additionally, independent nursing interventions that enhance the influence, visibility, and autonomy of the nursing profession were not being implemented in the ED.
Methods: The research was conducted with a mixed method using data from 2018. Both qualitative and quantitative methods were employed to define the emergency nursing approach to trauma cases in the emergency department (ED). Data were collected through a retrospective review of medical records of trauma patients (N=2540) in the ED and focus group discussions with 10 emergency nurses. The data extracted from the medical records of ED trauma patients were compared in terms of compliance with the emergency nursing job descriptions specified in the Nursing Regulation (NR) and the Emergency Nurses Association (ENA) emergency nursing guide. Quantitative data were reported using frequency and percentage, while content analysis was performed for qualitative data. Content analysis involved coding, identifying themes, and organizing data according to the codes and themes that were determined.
Results: The study revealed that ED nurses primarily assessed vital signs (81.5%) and consciousness (34.8%) and focused on activities related to the circulatory system (56%) in their nursing interventions. The research also indicated that the nurses' knowledge regarding the primary and secondary evaluation of emergency patients was insufficient. Although not currently a requirement in Türkiye, nurses expressed that obtaining emergency nursing education should be a prerequisite for working in the ED.
Conclusion: The study found that ED nurses in Türkiye lacked a systematic guideline for approaching trauma patients, and there was inadequate adherence to ENA guidelines in practice. Additionally, independent nursing interventions that enhance the influence, visibility, and autonomy of the nursing profession were not being implemented in the ED.
perspective: Original Article |
Subject:
Nursing
References
1. Bonfim AKS, de Oliveira Passos ICM, Saleh CMR, Padilha KG, de Souza Nogueira L. Nursing workload of trauma patients in the emergency room: A prospective cohort study. Int Emerg Nurs. 2021;59:101071. [View at Publisher] [DOI] [PMID] [Google Scholar]
2. Morgan JM, Calleja P. Emergency trauma care in rural and remote settings: challenges and patient outcomes. Int Emerg Nurs. 2020;51.100880. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. Lee LK, Porter JJ, Mannix R, Rees CA, Schutzman SA, Fleegler EW, et al. Pediatric traumatic injury emergency department visits and management in US children's hospitals from 2010 to 2019. Ann Emerg Med. 2022;79(3):279-87. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Eastridge BJ, Holcomb JB, Shackelford S. Outcomes of traumatic hemorrhagic shock and the epidemiology of preventable death from injury. Transfusion. 2019;59(S2):1423-8. [View at Publisher] [DOI] [PMID] [Google Scholar]
5. Ahun E, Köksal Ö, Sığırlı D, Torun G, Dönmez SS, Armağan E. Value of the Glasgow Coma Scale, age, and arterial blood pressure (GAP) score for predicting the mortality of major trauma patients presenting to the emergency department. Ulus Travma Acil Cerrahi Derg. 2014;20(4):241-7. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. Henry S. ATLS 10th edition offers new insights into managing trauma patients. Bulletin of the American College of Surgeons. [View at Publisher] [Google Scholar]
7. Emergency Nurses Assocıation. 2019 [View at Publisher]
8. Ministry of Health. Nursing Regulation. 2011 [View at Publisher]
9. The Joint Commission Post Acute Care Requirements. 2019. [View at publisher]
10. Emergency Nurses Association. Sheehy's Emergency Nursing: Principles and Practice. Elsevier Health Sciences;2019. [View at Publisher]
11. Creswell JW, Clark VLP. Designing and conducting mixed methods research. Sage Publications; 2017. [View at Publisher] [Google Scholar]
12. Howard PK, Steinmann RA. Sheehy's Emergency Nursing: Principles and Practice. 6th ed. Mosby/Elsevier; 2010. [View at Publisher] [Google Scholar]
13. Butcher HK, Bulechek GM, Dochterman JM, Wagner CM. Nursing interventions classification (NIC). 7th ed. Elsevier Health Sciences; 2016. [View at Publisher]
14. Yıldırım A, Simsek H. Qualitative research in social sciences (Sosyal bilimlerde nitel araştırma yöntemleri (11 baski: 1999-2018). Ankara:Seçkin Yayıncılık;1999. [View at publisher] [Google Scholar]
15. Heidari M, Shahbazi S. Nurses' awareness about principles of airway suctioning. J Clin Diagn Res. 2017;11(8):LC17-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
16. Dabija M, Fedog F, Engström Å, Gustafsson S. Difficult airways: Key factors for successful management. J Perianesth Nurs. 2019;34(1):151-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
17. Flenady T, Dwyer T, Applegarth J. Accurate respiratory rates count: So should you!. Australas Emerg Nurs J. 2017;20(1):45-7. [View at Publisher] [DOI] [PMID] [Google Scholar]
18. Munroe B, Hutchinson C, Jones T. Patient assessment and essentials of care. In: Emergency and Trauma Care for Nurses and Paramedics. 3rd ed. Elsevier; 2019. [View at Publisher] [Google Scholar]
19. Broering B. Head Trauma. In: Emergency Nurses Association. Sheehy's emergency nursing: Principles and practice. 8rd ed. Elsevier Health Sciences;2019. [View at paplisher]
20. Lambe K, Currey J, Considine J. Frequency of vital sign assessment and clinical deterioration in an Australian emergency department. Australas Emerg Nurs J. 2016;19(4):217-22. [View at Publisher] [DOI] [PMID] [Google Scholar]
21. Bae KS, Roh YS. Training needs analysis of Korean nurses' neurological assessment competency. Nurs Health Sci. 2020;22(1):99-107. [View at Publisher] [DOI] [PMID] [Google Scholar]
22. Dancer S, Brown AJ, Yanase LR. National Institutes of Health Stroke Scale in plain English is reliable for novice nurse userswith minimal training. J Emerg Nurs. 2017;43(3):221-7. [View at Publisher] [DOI] [PMID] [Google Scholar]
23. Tang-Wai DF, Freedman M. Bedside approach to the mentalstatus assessment. Continuum: Lifelong Learning in Neurology. 2018;24(3):672-703. [View at Publisher] [DOI] [PMID] [Google Scholar]
24. Considine J, Jones D, Pilcher D, Currey J. Patient physiological status during emergency care and rapid response team or cardiac arrest team activation during early hospital admission. Eur J Emerg Med. 2017;24(5):359-65. [View at Publisher] [DOI] [PMID] [Google Scholar]
25. Asfour HI. Fluid balance monitoring accuracy in intensive care units. IOSR Journal of Nursing and Health Science (IOSR-JNHS). 2016;5(4):53-62. [View at Publisher] [DOI] [Google Scholar]
26. Cousins M, Lane-Krebs K, Matthews J, Johnston-Devin C. Student nurses' pain knowledge and attitudes towards pain management over the last 20 years: a systematic review. Nurse Educ Today. 2022;108:105169. [View at Publisher] [DOI] [PMID] [Google Scholar]
27. Özveren H, Faydalı S, Gülnar E, Dokuz, HF. Attitude and applications of nurses to evaluate pain. J Contemp Med. 2018;8(1):60-6. [View at Publisher] [DOI] [Google Scholar]
28. Kahsay DT, Pitkäjärvi M. Emergency nurses knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study. BMC Nurs. 2019;18(1):56. [View at Publisher] [DOI] [PMID] [Google Scholar]
29. Gumm K. Major trauma initial assessment and management. Emergency and Trauma Care for Nurses and Paramedics. 4 th Ed. In: Curtıs K, et al (editors). Australasia: College of Emergency Nursing Australasia Ltd. Elsevier;2019:s73-82. [View at publisher]
30. Sawyer M, Kool B, Hamill JK. Tertiary survey by trauma nurse specialist at a paediatric trauma centre. N Z Med J. 2021;134(1540):73-82. [View at Publisher] [PMID] [Google Scholar]
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