Showing 4 results for Wounds and Injuries
Azize Aydemir, Mustafa Ayyildiz,
Volume 21, Issue 1 (4-2024)
Abstract
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.
Luana Bastos Araújo, Maria Zélia de Araújo Madeira, Ana Maria Ribeiro Dos Santos, Odinéa Maria Amorim Batista, Pedro Venicius de Sousa Batista, Sandra Valéria Nunes Barbosa, Liliane Moretti Carneiro, André Luiz Silva Alvim,
Volume 21, Issue 3 (10-2024)
Abstract
Background: Injuries resulting from surgical positioning are preventable, yet they remain prevalent, causing temporary or permanent harm, extending hospital stays, and increasing the risk of hospital-acquired infections. Identifying patients at risk for these injuries is critical. This study aimed to assess the risk of developing surgical positioning injuries in orthopedic surgeries within teaching hospitals.
Methods: This cross-sectional study was conducted between February and July 2023 in two teaching hospitals in Brazil. It involved a convenience sample of 147 patients who underwent orthopedic surgery. The study used the Risk Assessment Scale for the Development of Injuries Due to Surgical Positioning. Data analysis was performed using SPSS software, version 21, with the Chi-squared test applied to assess significance at the 0.05 level.
Results: Most participants were male (51.70%), with a mean (±SD) age of 54.52±20.34 years. Of the total sample, 85% were at low risk of developing injuries. Women were three times more likely to be at high risk (OR=3.39, 95% CI=1.24 to 9.24). The presence of comorbidities increased the likelihood of high risk approximately sixfold (OR=5.56, 95% CI=2.06 to 15.57). Spinal anesthesia increased the likelihood of high risk fourfold (OR=4.08, 95% CI=1.14 to 14.53).
Conclusion: Identifying risk factors allows for a more targeted approach to preventing surgical positioning injuries. Incorporating this knowledge into the development of institutional protocols is essential for improving patient safety and outcomes.
Manizhe Otaghi, Mohamadreza Bastami, Yousef Veisani, Hamid Taghinejad, Alireza Vasiee, Arman Azadi,
Volume 21, Issue 3 (10-2024)
Abstract
Background: Despite receiving training on caring for burn wounds in the undergraduate nursing program, nursing students do not acquire enough knowledge and skills in wound dressing and debridement. This research was carried out to determine the effect of a training package on the nursing interns’ knowledge and executive functions regarding the dressing and mechanical debridement of burn wounds.
Methods: This quasi-experimental study was conducted on 60 nursing internship students in their 7th semester in Ilam, Iran, in 2023. A convenience sampling method was used, and participants were randomly assigned to groups using dice-throwing for simple randomization. Over six weeks, the intervention group received training on dressing burn wounds through a learning package, virtual gamification, a simulator, and clinical and real exercises. The control group received routine content through oral education by the same lecturer. Knowledge and executive function in mechanical debridement of burn wounds were assessed using the KMDBWT and EFMDBWT tools before and two weeks after the intervention. Data were analyzed with a standard error of 0.05 using Kolmogorov-Smirnov, independent t, paired t, chi-square, and analysis of covariance tests by SPSS V.16.
Results: Before the intervention, no significant difference was observed between the mean and standard error of the control and intervention groups' knowledge and executive performance scores. However, after the intervention, the knowledge scores significantly increased in the intervention group (16.35 ± 0.288) compared to the control group (10.00 ± 0.356) (P=0.001). Moreover, after the intervention, the executive function scores in the intervention group (105.00 ± 0.939) were significantly increased compared to the control group (56.81 ± 0.738) (P=0.001).
Conclusion: The burn wound dressing and mechanical debridement training increased nursing students' knowledge and executive function. Hence, this educational package is recommended as a supplementary teaching resource.
Şükran Başgöl, Semra Elmas, Saliha Yurtçiçek Eren,
Volume 21, Issue 4 (12-2024)
Abstract
Background: Natural disasters, such as earthquakes, can traumatize survivors and affect various aspects of their lives, including mental health and quality of life. This study explores religious attitudes, mental well-being, and post-earthquake trauma among female survivors of the 2023 Kahramanmaraş earthquake in Türkiye.
Methods: This cross-sectional study was conducted from 18 May to 18 June 2023, involving 618 female survivors aged 18 and older affected by the 2023 Kahramanmaraş Earthquake. Participants voluntarily completed an online survey via social media platforms and group forums. The data were collected using a “sociodemographic form,” “The Ok-Religious Attitude Scale,” “The Warwick-Edinburgh Mental Well-being Scale,” and “Post-Earthquake Trauma Level Determination Scale.” Data analysis was conducted using SPSS 25.0. Descriptive statistics were presented using numbers, percentages, means, and standard deviations. Independent samples t-tests and one-way ANOVA were conducted to compare the means between groups. Pearson’s correlation was used to assess relationships between continuous variables, and linear regression was performed for further analysis. The significance level for all analyses was set at p < 0.05.
Results: Female survivors demonstrated strong religious beliefs, maintained good mental well-being, and reported below-average levels of post-earthquake trauma. A significant positive relationship was found between women's religious attitudes and mental well-being (r=0.57, p=0.0001). Additionally, there was a significant positive relationship between religious attitudes and trauma levels (r=0.20, p=0.0001). Furthermore, mental well-being and trauma levels were significant predictors of religious attitudes.
Conclusion: Healthcare professionals should consider the role of religious beliefs in coping with trauma and maintaining mental well-being in counseling, intervention, and support strategies.
