Nurse's perspective regarding the Trauma FastTrack
PDF (Português (Portugal))

Keywords

trauma center; emergency; nurse; continuous education; injuries

How to Cite

Almeida, A., Ribeiro, C. ., Paes, P., Mota, L. ., & Príncipe, F. . (2020). Nurse’s perspective regarding the Trauma FastTrack. Journal of Health Research & Innovation, 3(1), 55–66. https://doi.org/10.37914/riis.v3i1.74

Abstract

Background: according to the World Health Organization (WHO), trauma is one of the biggest health problems worldwide and is responsible for increased mortality and morbidity of the population. Recognizing Nurses as important actors in the primary intervention to the trauma victim, we consider it pertinent to know their perspective on Trauma Fast Track, as this is a measure considered positively relevant for the improvement of care for the trauma victim. Objective: to explore the difficulties of implementation of the Trauma Fast Track and the health gains that this methodology brings in the perspective of the nurse. Also we intend to reflect on the reasons for the low implementation of this Trauma Fast Track in the hospitals in Portugal. Methodology: qualitative, exploratory study using focus groups as a data collection method. Non-probabilistic sample, data analysis according to Bardin's content analysis method. Results: after analysis of the transcriptions, three categories emerged: identification of advantages, training needs and identification of hindering factors that highlight the nurse's perspective on the Trauma Fast Track. Conclusion: nurses consider the Trauma Fast Track as a tool that has important advantages in terms of care for trauma victims, recognizing the training needs and hindering factors that may exist.

https://doi.org/10.37914/riis.v3i1.74
PDF (Português (Portugal))

References

Administração Regional de Saúde do Norte. (2009). Um ano de Reflexão e Mudança: Comissão Regional do Doente Crítico. Porto: ARSN

Bardin, L. (2015). Análise de Conteúdo. Lisboa: Edições 70

Campos, L., Saturno, P., & Carneiro, A.V., (2010). Plano Nacional de Saúde 2011-2016: a qualidade dos cuidados e dos serviços. Lisboa: Direção Geral da Saúde, 2010. Retirado de: http://pns.dgs.pt/files/2010/07/Q2.pdf

Celso, B., Tepas, J., Langland-Orban, B., Pracht, E., Papa, L., Lottenberg, L., & Flint, L. (2006). A Systematic Review and Meta-Analysis Comparing Outcome of Severely Injured Patients Treated in Trauma Centers Following the Establishment of Trauma Systems. The Journal of Trauma, Injury, Infection, and Critical Care, 60, 371-378.

Despacho n.º 8977/2017 de 11 de outubro (2017). Diário da República n.º 196/2017. Série II. Gabinete do Secretário de Estado Adjunto e da Saúde

Direção Geral da Saúde. (2012). Comissão de reavaliação da rede nacional de emergência e urgência, Relatório CRRNEU. Retirado de: https://www.dgs.pt/ficheiros-de-upload-2013/cnt-rel-crrneu-pdf.aspx.

Direção Geral da Saúde. (2010). Circular. Normativa Nº 7/DQS/DQCO de 31/03/2010

ENA. Emergency Nurses Assotiation. (2019). Trauma Nursing Core Course. The premier trauma nursing course for nurses and hospitals worldwide. Retirado de: https://www.ena.org/education/tncc

ENA. Emergency Nurses Assotiation. (2007). Trauma Nursing Core Course. Emergency Nurses Assotiation.

Farias, L.O. (2002). Interaction and conflict among professional categories in public hospitals. Cad. Saúde Pública, 18(5), 1229-1241.Retirado de: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102311X2002000500015&lng=en&nrm=iso>.

Georgiou, A. & Lockey, D.J. (2010) The performance and assessment of hospital trauma teams.Scandinavian Journal of Trauma. Resuscitation and Emergency Medicine, 18, 66.

Gomes, E., Araújo, R., Carneiro, A., Dias, C., Lecky, F., & Costa-Pereira, A. (2008). Mortality Distribution in a Trauma System: From Data to Health Policy Recommendations. European Journal of Trauma and Emergency Surgery, 561-569.

Krueger, R. A. & Casey, M. A. (2009) Focus groups: A pratical guide for applied research (4th Ed.). Thousand Oaks, California: Sage.

Lansink, K., & Leenen, L. (2007). Do designated trauma systems improve outcome?. Current Opinion in Critical Care, 13, 686-690.

Massada, S. (2002). Avaliação e ressuscitação do doente com trauma grave. Normas de orientação clínica e administrativa. Porto: Grupo de Trauma do Hospital de São João.

Miller, S. (2010). How Trauma Networks Can Improve Patient Care. Emergency Nurse, 18, 14-18.

Mock, C., Juillard, C., Brundage, S., Goosen, J., & Joshipura, M. (2009). Guidelines for Trauma Quality Improvement Programmes. Geneva: World Health Organization.

Morgan, D.L. (1997). Focus group as qualitative research (2nd ed.). Thousand Oaks, California: Sage.

Ordem dos Médicos. (2009). Normas de Boa Prática em Trauma. Lisboa: Ordem dos Médicos.

Organização Mundial de Saúde. (2004). Guidelines for essential trauma care. Geneva.

Verão, P. (2013). Abordagem à vítima de trauma na fase pré-hospitalar: Avaliação do papel das equipas de bombeiros (Dissertação de Mestrado). Covilhã: Universidade da Beira Interior. Retirado de Disponível em: http://hdl.handle.net/10400.6/1503

Wehbe, G., & Galvão, C. M. (2001). O enfermeiro de unidade de emergência de hospital privado: algumas considerações. Revista Latino Americana de Enfermagem, 9(2), 86-90. doi:10.1590/s0104-11692001000200012