Patient Experiences of Trauma Resuscitation

Kaufman, Elinore J.; Richmond, Therese S.; Wiebe, Douglas J.; Jacoby, Sara F.; Holena, Daniel N.

doi:10.1001/jamasurg.2017.1088

Cited by 16 publications

(27 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They trusted the organisation and experienced it to be mostly well-organised and efficient, mainly because of what they considered to be a wellfunctioning system, but also due to caring actions from doctors and nurses. This has been confirmed by other studies in similar settings 31,54,57,58,[80][81][82] and is re-assuring. What is alarming is that patients experienced fear, pain, lack of information and some patients felt excluded from what was going on.…”

Section: Resultssupporting

confidence: 86%

“…The patients wanted to be involved in their care pathway. 31,54,57 We find it of outmost importance to communicate the findings to doctors and nurses who treat trauma patients, in order to strengthen patient-centred care and include the patients in their care to a greater extent than what is shown in study II. To keep focus on the patient during the whole period in the trauma room is important to improve patient satisfaction and avoid uncertainties among patients.…”

Section: Resultsmentioning

confidence: 92%

“…It seems as if health care personnel in acute settings, such as the ED and trauma units, tend to lose interest in the patient when the patients' injuries are not life-threatening. 31,57 The trauma team consists of personnel trained in ATLS and TNCC where the focus should be on finding and treating life-threatening injuries quickly. This may not be clear to the patients, who in some cases believed they were going to die.…”

Section: Resultsmentioning

confidence: 99%

“…8,20,26,28 In most trauma centres worldwide and at Karolinska University Hospital, full trauma teams consist of a multi professional group, supervised by a trauma leader, and up to at least 10 health-care professionals present during the first examination at the trauma centre. 7,8,[29][30][31][32] The full trauma team assesses the patient in the trauma room which is situated close to computed tomography (CT)-scan and the operating theatre. The multi professional team at a level 1 trauma centre, consists of surgeons, orthopaedic surgeons, anaesthesiologists, radiologists, theatre nurses, nurse anaesthetists, emergency department (ED) nurses, radiology nurses and are called from other tasks and gathered at the trauma room to meet the incoming trauma patient.…”

Section: Trauma Teamsmentioning

confidence: 99%

See 3 more Smart Citations

Patient experiences of initial trauma care

Granström

Strömmer²,

Falk

et al. 2019

International Emergency Nursing

View full text Add to dashboard Cite

Section: Resultssupporting

confidence: 86%

Section: Resultsmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Section: Trauma Teamsmentioning

confidence: 99%

See 2 more Smart Citations

Patient experiences of initial trauma care

Granström

Strömmer²,

Falk

et al. 2019

International Emergency Nursing

View full text Add to dashboard Cite

“…Patients' experiences mainly included emotional responses of being generally happy about still being alive despite the trauma and residual deficits. Kaufman et al 14 examined different aspects of trauma patients' experiences during the acute phase and found that their experiences were dependent largely on trauma team members' demeanour, expertise, and efficiency and they valued clear clinical communication. These positive experiences may largely be influenced by the initial, longer term and holistic management provided by the MTC.…”

Section: Discussionmentioning

confidence: 99%

Major trauma in the elderly: Frailty decline and patient experience after injury

Koizia

Kings

Koizia

et al. 2018

Trauma

View full text Add to dashboard Cite

IntroductionThe prevalence of major trauma in the elderly is increasing with ageing western societies. Frailty is now a well-recognised predictor of poor outcome after injury; however, few studies have focused on the progression of frailty and patients’ perceptions of their injuries after discharge.AimWe hypothesised that the number of elderly patients that survive major trauma is low and, of those that do, frailty post injury worsens with overall negative views about quality of life. To investigate this, we examined mortality, frailty and patient experience for elderly major trauma admissions to a level 1 trauma centre at one year after admission.MethodAll consecutive patients > 75 with an injury severity score of > 15 were included in the study. Patients were invited to participate in a structured telephone interview to assess change in frailty status as well as assess patient experience after injury.ResultsA total of 79 patients met inclusion criteria; 34 patients had died and 17 were uncontactable; 88% had become more frail (p < 0.05), and more than half commented positively on their overall quality of life following injury.ConclusionsThese findings highlight the elevated mortality in elderly major trauma patients, but also indicate that preconceived opinions on quality of life, post injury, might not be appropriate.

show abstract

The Myth of Patient Centeredness in the Trauma Bay

Sanders

Santry

2017

JAMA Surg

View full text Add to dashboard Cite

Patient-centered care is lauded as a cornerstone of patient satisfaction. 1 The literature supporting this is largely derived from studies in clinical settings where there is no imminent life threat, typically within the primary care, cancer, or chronic illness domains. 2 In this issue of JAMA Surgery, Kaufman and colleagues 3 report their findings from a qualitative study designed to understand trauma resuscitation, where there is a potential life threat, from a patient-centered perspective. The authors report variability in patients' experiences of pain, treatments, and communication within the trauma bay and downstream effects on patient satisfaction. 3 We are reminded that different patients can perceive the same set of physician words and actions in vastly different ways.Patient centeredness addresses psychosocial aspects of illness ("biopsychosocial perspective"), unraveling the personal meaning of illness ("patient as person"), and incorporating patient preferences ("power sharing") while developing a "therapeutic alliance" and allowing the patient to view the "physician-as-person." 4 Conceptually, applying principles of patient-centered care should serve as the goal for every clinical encounter. 4 However, trauma resuscitation requires reordering of priorities to quickly and systematically assess, and potentially intervene, for life-threatening injuries. Without the luxury of time, the ability to engage in thoughtful conversation and incorporate shared decision making becomes a challenging proposition. 5 Furthermore, with the looming risk of death immediately after serious

show abstract

Patient Experiences of Trauma Resuscitation

Cited by 16 publications

References 39 publications

Patient experiences of initial trauma care

Patient experiences of initial trauma care

Major trauma in the elderly: Frailty decline and patient experience after injury

The Myth of Patient Centeredness in the Trauma Bay

Contact Info

Product

Resources

About