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

Mohamed, Yosreah Mohamed; Khalifa, Arzak Mohamed; Eltaib, Fatma Abdou

doi:10.21608/ejhc.2020.119015

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Poly-trauma is mostly used to describe trauma patients whose injuries comprise several regions of the body, compromise the physiology of the patient, and potentially cause dysfunction of uninjured organs. Individuals suffering from polytrauma are at a higher risk of morbidity and mortality than patients with single-injury (Mohamed, Khalifa, & Eltaib, 2020). The impact of poly-trauma on society among severely injured or poly-traumatized patients is more than the isolated trauma patients.…”

Section: Polytraumatized Patientsmentioning

confidence: 99%

Evidence Related to Predictive Scales for Trauma Patients' Outcome: Literature Review

Hassan

Ahmed

Kandeel

2022

Mansoura Nursing Journal

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Background Trauma is a serious public health problem and one of the most common causes of disability and mortality all over the world. Globally, roads mortality continues to be unacceptably high, with an estimated 1.35 million people dying each year. This high prevalence leads to increased treatment costs, disease burden, and workload of treatment staff, particularly nurses. In intensive care units, numerous scoring systems are used to predict patients' morbidity and mortality which is significant for better treatment planning and improving the overall patient care quality. This review aimed to present an overview summary of trauma, its incidence, and the current evidence related to the use of the Glasgow coma scale and the full outline of unresponsiveness score in the prediction of traumatized patients' outcomes in intensive care units.

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Section: Polytraumatized Patientsmentioning

confidence: 99%

Evidence Related to Predictive Scales for Trauma Patients' Outcome: Literature Review

Hassan

Ahmed

Kandeel

2022

Mansoura Nursing Journal

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Development and validation of assessment instruments for cervical collar and spinal board placement in simulated environments for nursing students in the care of polytrauma patients

Perpiñá-Galvañ,

Montoro-Pérez,

Gutiérrez-García

et al. 2024

BMC Med Educ

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Background Multiple trauma injuries are the leading cause of death and disability in people under the age of 45 and require prompt and specialised care. However, medical and nursing education programmes do not always include specific training in emergency pre-hospital care, resulting in a lack of basic practical skills in trauma management. Objective To develop and validate two instruments for assessing nursing students’ competence in cervical collar and spinal board application in simulated pre-hospital emergency scenarios. Method This is an instrumental study that involves the development of two assessment instruments and the evaluation of their psychometric properties in a sample of 392 nursing students. Content validity was assessed using expert judgement, by calculating the content validity ratio (CVR) for each item and the scale level content validity index average (S-CVI/Ave) for the instruments. Exploratory factor analysis using the MINRES extraction method and Promax rotation was performed to analyse the performance of the items and structure of the rubrics. Internal consistency was analysed using the Omega coefficient and inter-rater agreement was assessed using Cohen’s Kappa coefficient. Results Initially, two rubrics were obtained: one with six items for cervical collar placement (S-CVI/Ave = 0.86) and one with nine items for spinal board placement (S-CVI/Ave = 0.81). Both had a single-factor structure, with all items having factor loadings greater than 0.34 for the cervical collar rubric and 0.56 for the spinal board rubric, except for item 2 of the cervical collar rubric (λ = 0.24), which was subsequently removed. The final cervical collar rubric (five items) had an overall internal consistency of 0.84 and the spinal board rubric had an overall internal consistency of 0.90, calculated using the Omega statistic. The weighted Kappa coefficient for each item ranged from acceptable (0.32) to substantial (0.79). These results show that we have successfully developed two sufficiently valid instruments to assess the immobilisation competencies proposed in the objective of the study. Conclusion Whilst further research is needed to fully establish their psychometric properties, these instruments offer a valuable starting point for evaluating nursing students' competence in cervical collar and spinal board application in simulated pre-hospital scenarios. Supplementary Information The online version contains supplementary material available at 10.1186/s12909-024-06061-2.

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

Cited by 2 publications

References 4 publications

Evidence Related to Predictive Scales for Trauma Patients' Outcome: Literature Review

Evidence Related to Predictive Scales for Trauma Patients' Outcome: Literature Review

Development and validation of assessment instruments for cervical collar and spinal board placement in simulated environments for nursing students in the care of polytrauma patients

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