Patient experiences of initial trauma care

Granström, Anna Löf; Strömmer, Lovisa; Falk, Ann‐Charlotte; Schandl, Anna

doi:10.1016/j.ienj.2018.08.003

Cited by 12 publications

(10 citation statements)

References 53 publications

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“…To our knowledge this is the first study to combine both children and parents’ views from a broad cohort of injured patients. Previous studies have predominately included parents 4,5,9,10 specific age groups 19,38–41 or specific injuries. 3–8…”

Section: Discussionmentioning

confidence: 99%

The impact of injury: The experiences of children and families after a child’s traumatic injury

et al. 2020

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Objective: To explore the experiences of children and families after a child’s traumatic injury (Injury Severity Score >8). Design: Qualitative interview study. Setting: Two children’s major trauma centres in England. Participants: 32 participants: 13 children with traumatic injuries, their parents/guardians ( n = 14) and five parents whose injured child did not participate. Methods: Semi-structured interviews exploring the emotional, social, practical and physical impacts of children’s injuries, analysed by thematic analysis. Results: Interviews were conducted a median of 8.5 months (IQR 9.3) post-injury. Injuries affected the head, chest, abdomen, spine, limbs or multiple body parts. Injured children struggled with changes to their appearance, physical activity restrictions and late onset physical symptoms, which developed after hospital discharge when activity levels increased. Social participation was affected by activity restrictions, concerns about their appearance and interruptions to friendships. Psychological impacts, particularly post-traumatic stress type symptoms often affected both children and parents. Parents’ responsibilities suddenly increased, which affected family relationships and roles, their ability to work and carry out daily tasks. Rapid hospital discharge was wanted, but participants often felt vulnerable on return home. They valued continued contact with a healthcare professional and practical supports from family and friends, which enabled resumption of their usual lives. Conclusions: Injured children experience changes to their appearance, friendships, physical activity levels and develop new physical and mental health symptoms after hospital discharge. Such challenges can be addressed by the provision of advice about potential symptoms, alternative activities during recovery, strategies to build resilience and how to access services after hospital discharge.

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Section: Discussionmentioning

confidence: 99%

The impact of injury: The experiences of children and families after a child’s traumatic injury

et al. 2020

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“…The importance of positive communication and reassurance identified in this study as an important aspect of psychosocial care are common themes in hospital studies looking at the acute treatment of injured patients 25 26. In the published prehospital literature, there is generally a focus on the practical rather than the psychosocial aspects of emergency care and improved patient experience (eg, the treatment of pain) which is at odds to the needs identified by our participants 27.…”

Section: Discussionmentioning

confidence: 77%

Understanding people’s experiences of extrication while being trapped in motor vehicles: a qualitative interview study

Nutbeam

Brandling²,

Wallis

et al. 2022

BMJ Open

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ObjectiveTo explore patient’s experience of entrapment and subsequent extrication following a motor vehicle collision and identify their priorities in optimising this experience.DesignSemistructured interviews exploring the experience of entrapment and extrication conducted at least 6 weeks following the event. Thematic analysis of interviews.SettingSingle air ambulance and spinal cord injury charity in the UK.Participants10 patients were recruited and consented; six air ambulance patients and two spinal cord injury charity patients attended the interview. 2 air ambulance patients declined to participate following consent due to the perceived potential for psychological sequelae.ResultsThe main theme across all participants was that of the importance of communication; successful communication to the trapped patient resulted in a sense of well-being and where communication failures occurred this led to distress. The data generated three key subthemes: ‘on-scene communication’, ‘physical needs’ and ‘emotional needs’. Specific practices were identified that were of use to patients during entrapment and extrication.ConclusionsExtrication experience was improved by positive communication, companionship, explanations and planned postincident follow-up. Extrication experience was negatively affected by failures in communication, loss of autonomy, unmanaged pain, delayed communication with remote family and onlooker use of social media. Recommendations which will support a positive patient-centred extrication experience are the presence of an ‘extrication buddy’, the use of clear and accessible language, appropriate reassurance in relation to co-occupants, a supportive approach to communication with family and friends, the minimisation of onlooker photo/videography and the provision of planned (non-clinical) follow-up.

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“…Finally, unlike in other studies, a category emerged among our patients and professionals related to the healthcare setting, referring to the physical location surrounding the patient at the time of the care and/or transfer (Granström et al, 2019). This category includes the place where the emergency care is given (e.g., home, street, health centre) and the ambulance.…”

Section: Discussionmentioning

confidence: 99%

“…This also refers to the diligence with which professionals act and respond to the different situations that arise. Patients not only need to know how to notify someone if something happens to them or their condition worsens, but also that they will receive a fast, consistent response (Granström et al, 2019; Rathert et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Several studies following a quantitative methodology with questionnaires and scales (González‐Cabrera et al, 2014; Mira et al, 2009; Péculo‐Carrasco et al, 2013, 2019), and a qualitative methodology with focus group techniques and semi‐structured interviews (Granström et al, 2019; Lovink et al, 2015; Mollon, 2014; Oliveira Arruda et al, 2017; Prieto Rodríguez et al, 2008) have been published in recent years that aim to discover the opinions, perceptions and experiences of patients regarding clinical safety in different healthcare settings. Comparing the results of these studies with research in which healthcare professionals themselves revealed their perceptions of safety, the responses were seen to differ.…”

Section: Introductionmentioning

confidence: 99%

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Feeling safe or unsafe in prehospital emergency care: A qualitative study of the experiences of patients, carers and healthcare professionals

Péculo‐Carrasco

Sola

Casal‐Sánchez

et al. 2020

Journal of Clinical Nursing

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Aims and objectives: To determine the feelings of safety among patients taken to hospital after requesting urgent care, based on their experiences and those of their carers and prehospital emergency care professionals. Background: Little research has been performed into the perception of safety in prehospital emergency care settings worldwide, from either the perspective of the patients or from that of healthcare professionals. Design: Exploratory qualitative study using focus groups in Spain. Methods: The participants were patients that requested care through the emergency telephone service, their carers and the professionals of the emergency care teams. The structured sampling design was based on an intentional, nonprobability selection following pragmatic criteria. Seven groups of patients/carers and two groups of professionals were formed (65 participants). The recordings were fully transcribed before their validation and codes were assigned to ensure anonymity. The ATLAS.ti software was used for the analysis. The authors took into account the COREQ checklist for qualitative studies. Findings: Neither group provided a clear definition of the meaning of feeling safe. It appeared easier to give examples that had a positive or negative influence on their perception of feeling safe. During the analysis of the discourse, six categories were detected after grouping the related codes. Conclusions: For most of the patients' feeling of being safe or very safe arose from the perception of calmness, trust and protection. Defining the perception of safety was not easy. The factors with the greatest effect on feeling safe were related to Information and communication, Person-centred care and Professional competency, without losing sight of other factors such as Accessibility and response times of the emergency teams, Equipment and Healthcare setting.

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Patient experiences of initial trauma care

Cited by 12 publications

References 53 publications

The impact of injury: The experiences of children and families after a child’s traumatic injury

The impact of injury: The experiences of children and families after a child’s traumatic injury

Understanding people’s experiences of extrication while being trapped in motor vehicles: a qualitative interview study

Feeling safe or unsafe in prehospital emergency care: A qualitative study of the experiences of patients, carers and healthcare professionals

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