Veterans Health Administration nurses’ training and beliefs related to care of patients with traumatic brain injury
Autoři:
Tolu O. Oyesanya aff001
Působiště autorů:
Duke University School of Nursing, Durham, NC, United States of America
aff001
Vyšlo v časopise:
PLoS ONE 14(9)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0222585
Souhrn
Background
Veteran patients with traumatic brain injury (TBI) and their family members regularly receive care from nurses. Understanding nurses’ training and beliefs can provide direction for intervention work aimed at ensuring the best possible care is delivered to this population.
Aims
We examined Veterans Health Administration (VHA) nurses’ training and beliefs related to care of patients with moderate-to-severe TBI.
Design and methods
We conducted an exploratory, cross-sectional survey with 211 VHA nurses and analyzed data using descriptive statistics.
Results
The average years of nursing experience was 18 years, and 90% reported ever caring for a patient with TBI. Most nurses (70%) reported only seeing patients with TBI ≤1–2 times per year in their current role; 20% reported seeing these patients 1–2 times per month. Even with infrequent care, almost 50% reported previously receiving TBI-related training. Beliefs items with the highest accuracy indicated nurses agreed that they need specialized training to care for patients with TBI and that TBI recovery may continue for several years (96.39% accuracy respectively). The beliefs item with the lowest accuracy indicated focus on whether nurses agreed that TBI severity was important in developing care plans (27.84% accuracy). Nurses reported the need for clarity of the nursing role in caring for patients with TBI (77.32% agreement).
Conclusion
VHA nurses do have accurate beliefs about caring for Veteran patients with moderate-to-severe TBI; however, there is the need for further role clarification regarding nursing care of patients with TBI.
Impact
These findings have implications for development of education and training interventions for nurses who care for Veteran patients with TBI.
Klíčová slova:
People and places – Population groupings – Professions – Medical personnel – Medicine and health sciences – Health care – Health care providers – Nurses – Patients – Outpatients – Veteran care – Critical care and emergency medicine – Trauma medicine – Traumatic injury – Neurotrauma – Traumatic brain injury – Rehabilitation medicine – Neurology – Cognitive neurology – Cognitive impairment – Biology and life sciences – Neuroscience – Cognitive science – Cognitive neuroscience – Social sciences – Political science – Governments – Armed forces – Military personnel – Veterans
Zdroje
1. Defense and Veterans Brain Injury Center, “TBI & the military,” 2014. [Online]. Available: http://dvbic.dcoe.mil/about/tbi-military.
2. Defense Medical Surveillance System (DMSS), Theater Medical Data Store (TMDS), and Armed Forces Health Surveillance Center (AFHSC), “DoD Worldwide Numbers for TBI,” 2014. [Online]. Available: http://dvbic.dcoe.mil/dod-worldwide-numbers-tbi.
3. Corrigan J. D. and Hammond F. M., “Traumatic brain injury as a chronic health condition,” Arch. Phys. Med. Rehabil., vol. 94, no. 6, pp. 1199–1201, 2013. doi: 10.1016/j.apmr.2013.01.023 23402722
4. Babikian T. and Asarnow R., “Neurocognitive outcomes and recovery after pediatric TBI: meta-analytic review of the literature.,” Neuropsychology, vol. 23, no. 3, p. 283, 2009. doi: 10.1037/a0015268 19413443
5. Corwin D. J. et al., “Characteristics of prolonged concussion recovery in a pediatric subspecialty referral population,” J. Pediatr., vol. 165, no. 6, pp. 1207–1215, 2014. doi: 10.1016/j.jpeds.2014.08.034 25262302
6. Rao V. et al., “Predictors of new-onset depression after mild traumatic brain injury,” J. Neuropsychiatry Clin. Neurosci., vol. 22, no. 1, pp. 100–104, 2010. doi: 10.1176/appi.neuropsych.22.1.100 20160216
7. Farhad K., Khan H. M., Ji A. B., Yacoub H. A., Qureshi A. I., and Souayah N., “Trends in outcomes and hospitalization costs for traumatic brain injury in adult patients in the United States,” J. Neurotrauma, vol. 30, no. 2, pp. 84–90, 2013. doi: 10.1089/neu.2011.2283 22978433
8. Hoge C. W., Goldberg H. M., and Castro C. A., “Care of war veterans with mild traumatic brain injury-flawed perspectives,” DTIC Document, 2009.
9. Millis S. R. et al., “Long-term neuropsychological outcome after traumatic brain injury,” J. Head Trauma Rehabil., vol. 16, no. 4, pp. 343–355, 2001. 11461657
10. DeKosky S. T., Blennow K., Ikonomovic M. D., and Gandy S., “Acute and chronic traumatic encephalopathies: Pathogenesis and biomarkers,” Nat. Rev. Neurol., vol. 9, no. 4, pp. 192–200, 2013. doi: 10.1038/nrneurol.2013.36 23558985
11. Masel B. E. and DeWitt D. S., “Traumatic brain injury: A disease process, not an event,” J. Neurotrauma, vol. 27, no. 8, pp. 1529–1540, 2010. doi: 10.1089/neu.2010.1358 20504161
12. Pedersen E. R., Eberhart N. K., Williams K. M., Tanielian T., Epley C., and Scharf D. M., “Public-private partnerships for providing behavioral health care to veterans and their families,” Robert R McCormick Found. N. Y. State Health Found., 2015.
13. Department of Veteran Affairs, Veterans Informatics Computing Infrastructure. Washington, DC: Veterans Health Administration, 2016.
14. Ernst W. J., Trice A. D., Gilbert J. L., and Potts H., “Misconceptions about traumatic brain injury and recovery among nursing students,” J. Head Trauma Rehabil., vol. 24, no. 3, pp. 213–220, 2009. doi: 10.1097/HTR.0b013e3181a7ecd8 19461368
15. Watts D. D., Gibbons S., and Kurzweil D., “Mild traumatic brain injury: A survey of perceived knowledge and learning preferences of military and civilian nurses,” J. Neurosci. Nurs., vol. 43, no. 3, pp. 122–129, 2011. doi: 10.1097/JNN.0b013e3182135af6 21796028
16. Oyesanya T. O., Thomas M. A., Brown R. L., and Turkstra L. S., “Nurses’ beliefs about caring for patients with traumatic brain injury,” West. J. Nurs. Res., vol. 38, no. 9, pp. 1114–1138, 2016. doi: 10.1177/0193945916636629 26955844
17. Linden M. A. and McClure J., “The causal attributions of nursing students toward adolescent survivors of brain injury,” Nurs. Res., vol. 61, no. 1, pp. 58–65, 2012. doi: 10.1097/NNR.0b013e31823ca253 22166910
18. Linden M. A. and Redpath S. J., “A comparative study of nursing attitudes towards young male survivors of brain injury: A questionnaire survey,” Int. J. Nurs. Stud., vol. 48, no. 1, pp. 62–69, 2011. doi: 10.1016/j.ijnurstu.2010.05.011 20965077
19. Jaimes L. M., Thompson H. J., Landis C. A., and Warms C. A., “Nurses’ knowledge of pain management for patients with combat-related traumatic brain injuries on rehabilitation units,” vol. 40, no. 2, pp. 74–83, 2015. doi: 10.1002/rnj.156 24711148
20. Melnyk B. M. et al., “Nurses’ perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: Implications for accelerating the paradigm shift,” Worldviews Evid. Based Nurs., vol. 1, no. 3, pp. 185–193, 2004. doi: 10.1111/j.1524-475X.2004.04024.x 17163896
21. Baker M. J., “Education requirements for nurses working with people with complex neurological conditions: Relatives’ perceptions,” Nurse Educ. Pract., vol. 11, no. 4, pp. 268–272, 2011. doi: 10.1016/j.nepr.2010.11.020 21167781
22. Edwards G., “The training and education of nurses working in stroke care,” Br. J. Nurs., vol. 15, no. 21, pp. 1180–1184, 2006. doi: 10.12968/bjon.2006.15.21.22377 17170693
23. Seel R. T. et al., “Institutional variation in traumatic brain injury acute rehabilitation practice,” Arch. Phys. Med. Rehabil., vol. 96, no. 8, pp. S197–S208, 2015.
24. Oyesanya T. O., Brown R. L., and Turkstra L. S., “Caring for patients with traumatic brain injury: A survey of nurses’ perceptions,” J. Clin. Nurs., no. 11–12, pp. 1562–1574, 2016.
25. Oyesanya T. O., Royer H. R., Turkstra L. S., and Bowers B. J., “Nurses’ concerns about caring for patients with acute and chronic traumatic brain injury,” J. Clin. Nurs., 2017.
26. American Association of Neuroscience Nurses, “Nursing management of adults with severe traumatic brain injury,” 2008.
27. Carney N. et al., “Guidelines for the management of severe traumatic brain injury,” Neurosurgery, vol. 80, no. 1, pp. 6–15, 2017. doi: 10.1227/NEU.0000000000001432 27654000
28. Department of Veterans Affairs, “Polytrauma systems of care.,” in VHA Handbook 1172.01, Washington, D.C.: Veterans Health Administration, 2013.
29. Haddad S. H. and Arabi Y. M., “Critical care management of severe traumatic brain injury in adults,” Scand. J. Trauma Resusc. Emerg. Med., vol. 20, no. 1, p. 12, 2012.
30. Joint Theater Trauma System, “Clinical Practice Guideline: Management of patients with severe head trauma,” 2014.
31. Sharp S. J., Poulaliou M., Thompson S. G., White I. R., and Wood A. M., “A review of published analyses of case-cohort studies and recommendations for future reporting,” PloS One, vol. 9, no. 6, p. e101176, 2014. doi: 10.1371/journal.pone.0101176 24972092
32. McQuillan K. A. and Mitchell P. H., “Traumatic brain injuries,” 3rd edition., McQuillan K. A., Von Rueden K., Hartstock R. L., Flynn M. B., and Whalen E., Eds. Philadelphia, PA: W. B. Saunders Company, 2002, pp. 394–461.
33. Oyesanya T. O., Turkstra L. S., and Brown R. L., “Pyschometric properties of the Perceptions of Brain Injury Survey,” J. Nurs. Meas., in press.
34. Maydeu-Olivares A., Fairchild A. J., and Hall A. G., “Goodness of fit in item factor analysis: Effect of the number of response alternatives,” Struct. Equ. Model. Multidiscip. J., vol. 24, no. 4, pp. 495–505, 2017.
35. StataCorp L. P. and others, “Stata data analysis and statistical Software,” Spec. Ed. Release, vol. 10, 2007.
36. White I. R., Royston P., and Wood A. M., “Multiple imputation using chained equations: issues and guidance for practice,” Stat. Med., vol. 30, no. 4, pp. 377–399, 2011. doi: 10.1002/sim.4067 21225900
37. Shih T.-H. and Fan X., “Comparing response rates in e-mail and paper surveys: A meta-analysis,” Educ. Res. Rev., vol. 4, no. 1, pp. 26–40, 2009.
38. Veterans Health Administration, “Veterens health initiative: Traumatic brain injury web course.,” in VHA Direction 2010–012, March 8, 2009. Screening and Evaluation of Possible TBI on OEF/OIF Veternas, 2009.
39. Mansour A., Lajiness-O’Neill R., and others, “Call for an integrative and multi-disciplinary approach to traumatic brain injury (TBI),” Psychology, vol. 6, no. 04, p. 323, 2015.
40. LeCroy T. and McMahon J., “Traumatic injuries: Traumatic brain injury and spinal cord injury,” in The Specialty Practice of Rehabilitation Nursing: A Core Curriculum, 7th ed., Chicago, IL: Association of Rehabilitation Nurses, 2015, pp. 511–551.
41. Sandoval W. A., Greene J. A., and Br I.\a aten, “Understanding and promoting thinking about knowledge: Origins, issues, and future directions of research on epistemic cognition,” Rev. Res. Educ., vol. 40, no. 1, pp. 457–496, 2016.
42. Thoroddsen A., Ehnfors M., and Ehrenberg A., “Nursing specialty knowledge as expressed by standardized nursing languages,” Int. J. Nurs. Terminol. Classif., vol. 21, no. 2, pp. 69–79, 2010. doi: 10.1111/j.1744-618X.2010.01148.x 20500613
Článek vyšel v časopise
PLOS One
2019 Číslo 9
- S diagnostikou Parkinsonovy nemoci může nově pomoci AI nástroj pro hodnocení mrkacího reflexu
- Je libo čepici místo mozkového implantátu?
- Pomůže v budoucnu s triáží na pohotovostech umělá inteligence?
- AI může chirurgům poskytnout cenná data i zpětnou vazbu v reálném čase
- Nová metoda odlišení nádorové tkáně může zpřesnit resekci glioblastomů
Nejčtenější v tomto čísle
- Graviola (Annona muricata) attenuates behavioural alterations and testicular oxidative stress induced by streptozotocin in diabetic rats
- CH(II), a cerebroprotein hydrolysate, exhibits potential neuro-protective effect on Alzheimer’s disease
- Comparison between Aptima Assays (Hologic) and the Allplex STI Essential Assay (Seegene) for the diagnosis of Sexually transmitted infections
- Assessment of glucose-6-phosphate dehydrogenase activity using CareStart G6PD rapid diagnostic test and associated genetic variants in Plasmodium vivax malaria endemic setting in Mauritania
Zvyšte si kvalifikaci online z pohodlí domova
Všechny kurzy