Journal of trauma nursing : the official journal of the Society of Trauma Nurses
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Randomized Controlled Trial Multicenter Study
Feasibility and Efficacy of Function-Focused Care for Orthopedic Trauma Patients.
To overcome challenges associated with optimizing function and physical activity among hospitalized older adults, we developed function-focused care for acute care (FFC-AC). The purpose of this study was to test the feasibility and preliminary effectiveness of this intervention. We hypothesized that hospitalized trauma patients exposed to FFC-AC would (1) maintain or improve function, spend more time in physical activity, and have fewer adverse events between admission and discharge; and (2) maintain or improve function, have less fear of falling, fewer depressive symptoms, less pain, be more physically resilient, and be less likely to experience adverse events at 1 month postdischarge compared with those exposed to FFC-education only (EO). ⋯ The sample included 89 older orthopedic trauma patients the majority of whom were female (N = 59, 66%), white (N = 82, 92%), and not married (N = 53, 59%). At discharge and/or 30 days postdischarge, participants in the treatment site showed greater improvement in function, less fear of falling, and better physical resilience when compared with those in the FFC-EO site. Future research is needed to continue to work on engaging staff in function-focused care approaches and optimizing the hospital environment and policies to support nurses in this type of care approach.
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Randomized Controlled Trial Comparative Study
Pediatric trauma nurse practitioners increase bedside nurses' satisfaction with pediatric trauma patient care.
Our Level I Pediatric Trauma Center employs pediatric nurse practitioners (PNP) to manage inpatients. We hypothesized that the involvement of a PNP would lead to increased nursing staff satisfaction with patient care. ⋯ Involvement of the PNP leads to higher nursing satisfaction scores compared with residents while providing equivalent care for injured children.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparative study of risk factors for skin breakdown with cervical orthotic devices: Philadelphia and Aspen.