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Impact of Pharmacy Students on a Level II Trauma Center. 药学专业学生对二级创伤中心的影响。
Pub Date : 2017-01-01 DOI: 10.1097/JTN.0000000000000306
Lindsey J. Smith, Kathryn E. Samai, Stephanie C. Peshek, Brian J Kimbrell
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引用次数: 0
Establishing Standards for Trauma Nursing Education: The Central Ohio Trauma System's Approach. 建立创伤护理教育标准:俄亥俄州中部创伤系统的方法。
Pub Date : 2017-01-01 DOI: 10.1097/JTN.0000000000000266
7. The COTS trauma nursing education committee concluded that all prioritized trauma nursing topics would be written as a. structured lesson plans. b. educational learning objectives. c. long-term goals. 8. The COTS trauma nursing education guidelines include the learning objective: The RN caring for the injured patient will be able to a. define predictable clinical manifestations relative to the mechanism of injury. b. provide safe and effective care to patients experiencing all levels of traumatic injury. c. identify immediate interventions needed to maximize long-term care outcomes.
7. COTS创伤护理教育委员会得出结论,所有优先的创伤护理主题都应以结构化课程计划的形式编写。B.教育学习目标。C.长期目标。8. COTS创伤护理教育指南包括学习目标:护理受伤患者的注册护士将能够定义与损伤机制相关的可预测的临床表现。B.为经历各种程度创伤的患者提供安全有效的护理。C.确定需要立即采取的干预措施,以最大限度地提高长期护理效果。
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引用次数: 0
What Motivates You? 什么激励着你?
Pub Date : 2016-03-01 DOI: 10.1097/JTN.0000000000000185
M. McMahon
50 WWW.JOURNALOFTRAUMANURSING.COM Volume 23 | Number 2 | March-April 2016 W hy do we do what we do? What moves us in such a way that makes us say “I have to do this”? Motivation comes in many forms. There are times when we accomplish tasks or do everyday things that are a part of our lives without thinking twice about what motivates us to do it. These things have an end point. It is motivation with a finite goal. Then there is the motivation that comes from life experiences that are bigger and more impactful. These influences can cause our path to immediately change and motivate us to do something entirely different. Webster’s Dictionary defines motivation as, “the force or influence that causes someone to do something”. It is the element that influences whether you get up early and go to the gym before work or hang out on a day off and read a book. It determines the level at which something is done; whether someone does just enough to do the job or whether they go the extra mile. It is the foundation for success; the crucial element in setting and attaining goals. Motivation is the desire, drawn from deep within, to do something. It is what makes me get up at 4:30 in the morning and go running before work. One of my best friends is a runner. It comes easy for her. It is not so easy for me. I need a reason, something to motivate me. I ran the Marine Corps Marathon, my first marathon, for my son and his comrades who were deployed in Iraq. It is what I did to show my support. Then I ran the Boston Marathon to show support for the first responders, hospital staff, the people who were injured, and for the families of those who lost their life after the bombings. What motivated me was the strength I felt deep within. But they are events that happen and then they are gone. The goal was accomplished. What motivates someone to take care of an injured person, a father, mother, son, or daughter? What motivates someone to educate a preadolescent to wear a helmet when they ride a bike when all of their friends do not? Or, to teach a teenager the dangers of texting and driving? There are many factors. Some are a part of our fabric, a part of us that has been there since we were small children. For others it may What Motivates You?
50 WWW.JOURNALOFTRAUMANURSING.COM第23卷|第2期| 2016年3月- 4月我们为什么要做我们所做的?是什么让我们如此感动,让我们说“我必须这么做”?动机有很多种形式。有时候,我们完成任务或做日常的事情是我们生活的一部分,而不去想是什么激励我们去做。这些事情都有一个终点。这是一个目标有限的动机。还有一种动力来自更大、更有影响力的生活经历。这些影响可以使我们的道路立即改变,并激励我们做一些完全不同的事情。《韦氏词典》将动机定义为“促使某人做某事的力量或影响”。它是影响你是早起上班前去健身房,还是在休息日闲逛看书的因素。它决定了某件事的完成程度;一个人是否做了足够的工作,或者他们是否做了额外的工作。它是成功的基础;设定和实现目标的关键因素。动机是发自内心深处想要做某事的欲望。它让我在早上4:30起床,在工作前跑步。我最好的朋友之一是一个跑步者。这对她来说很容易。这对我来说并不容易。我需要一个理由,一些激励我的东西。我参加了海军陆战队马拉松比赛,这是我的第一次马拉松比赛,是为了我的儿子和他被派往伊拉克的战友们。我这么做是为了表示我的支持。然后,我参加了波士顿马拉松比赛,以表示对急救人员、医院工作人员、受伤者以及爆炸事件遇难者家属的支持。激励我的是我内心深处的力量。但它们是发生过的事件,然后就消失了。目标实现了。是什么促使人们去照顾受伤的人,父亲、母亲、儿子或女儿?是什么促使有人教育一个青春期前的孩子在骑车时戴头盔,而他们所有的朋友都不戴头盔?或者,教育青少年边开车边发短信的危险?有很多因素。有些是我们身体结构的一部分,是我们从小就存在的一部分。对其他人来说可能是这样。
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引用次数: 1
Prioritizing and Making Time. 安排优先级和时间。
Pub Date : 2016-03-01 DOI: 10.1097/JTN.0000000000000184
J. Nash
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引用次数: 0
What Is Your Superpower As a Trauma Nurse? 作为一名创伤护士,你的超能力是什么?
Pub Date : 2016-01-01 DOI: 10.1097/JTN.0000000000000225
J. Pirrung
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引用次数: 0
Pilot Study: A Pediatric Pedestrian Safety Curriculum for Preschool Children. 试点研究:学龄前儿童儿童行人安全课程。
Pub Date : 2016-01-01 DOI: 10.1097/JTN.0000000000000237
Stephanie E. Bovis, T. Harden, G. Hotz
I n 2012, there were a total of 33,561 traffic fatalities and 2,362,000 traffic-related injuries in the United States ( U.S. Department of Transportation, National Highway Traffic Safety Administration, 2014a ). Both traffic fatalities and injuries saw an increase of 3% and 6%, respectively, when compared with the previous year ( U.S. Department of Transportation, National Highway Traffic Safety Administration, 2014b ). Pedestrian-related traffic crashes accounted for 14% ( n = 4,743) of all traffic fatalities and 3% (76,000) of all traffic injuries. Pedestrian fatalities in 2012 increased by 6% when compared with 2011 and displayed the greatest number of fatalities within the past 5 years ( U.S. Department of Transportation, National Highway Traffic Safety Administration, 2014b ). Motor vehicle crashes were the leading cause of death for children aged 4 years and children aged 11–14 years ( U.S. Department of Transportation, National Highway Traffic Safety Administration, 2014a ). Although there has been a 34% decrease in pedestrian fatalities of children younger than 14 years from 2003 to 2012, both the 1to 3-year-old and 4to 7-year-old age groups showed an increase of about 37% since 2011. This increase represents a jump in pedestrian fatalities for these age groups that have not occurred since 2006 ( U.S. Department of Transportation, National Highway Traffic Safety Administration, 2014a ). According to the Centers for Disease Control and Prevention (CDC) WISQARS (2014) , last reported in 2011, unintentional pedestrian was the seventh leading cause of injury/death for children aged 1 to 4 year in the United States. In 2012, 73% of pedestrian fatalities occurred in an urban setting versus a rural setting ( U.S. Department of Transportation, National Highway Traffic Safety Administration, 2014b ). Numerous findings reveal that pedestrian injuries and fatalities are more prevalent in low-income, denser, and urban neighborhoods. Consistent with these characteristics, urban areas within the state of Florida ABSTRACT To evaluate and implement the WalkSafe Pre-Kindergarten Pedestrian Safety Curriculum. A quasi-experimental pretest–posttest design without a control group was used to measure children’s pedestrian safety knowledge. Knowledge assessments consisting of multiple-choice and short-answer questions were administered preand post-curriculum implementation by classroom teachers. Knowledge assessments gauged prekindergarten students’ knowledge of pedestrian safety activities prior to safety curriculum implementation and, again, after the students received the curriculum. A total of 605 children (aged 3to 5-year) from 38 prekindergarten classrooms in 16 randomly selected elementary schools participated in the pedestrian safety education pilot program. Subjects were of multiethnic and diverse backgrounds from the Miami-Dade County Public School District. Of the 605 educated subjects, 454 children completed both preand posttests. A statistically si
2012年,美国共发生33,561起交通死亡事故和2,362,000起交通伤害事故(美国交通部,国家公路交通安全管理局,2014a)。与前一年相比,交通死亡人数和伤害人数分别增加了3%和6%(美国交通部,国家公路交通安全管理局,2014年b)。行人相关的交通事故占所有交通死亡人数的14% (n = 4,743),占所有交通伤害人数的3%(76,000)。与2011年相比,2012年的行人死亡人数增加了6%,是过去5年中死亡人数最多的一年(美国交通部,国家公路交通安全管理局,2014年b)。机动车碰撞事故是4岁儿童和11-14岁儿童死亡的主要原因(美国交通部,国家公路交通安全管理局,2014a)。虽然从2003年到2012年,14岁以下儿童的行人死亡人数减少了34%,但自2011年以来,1至3岁和4至7岁年龄组的行人死亡人数都增加了约37%。这一增长表明,自2006年以来,这些年龄组的行人死亡人数从未出现过大幅上升(美国交通部,国家公路交通安全管理局,2014年a)。根据疾病控制和预防中心(CDC) WISQARS(2014)的最新报告(2011年),无意行人是美国1至4岁儿童受伤/死亡的第七大原因。2012年,73%的行人死亡事故发生在城市环境,而不是农村环境(美国交通部,国家公路交通安全管理局,2014年b)。许多研究结果表明,行人受伤和死亡在低收入、人口密集和城市社区更为普遍。根据这些特点,在佛罗里达州的城市地区评估和实施WalkSafe学前行人安全课程。采用准实验前测后测设计,不设对照组对儿童行人安全知识进行测量。由课堂教师在课程实施前和课程实施后对多项选择题和简答题进行知识评估。知识评估评估了学龄前学生在安全课程实施前和学生接受课程后对行人安全活动的知识。随机抽取16所小学的38个学前班共计605名儿童(3 - 5岁)参加了行人安全教育试点项目。研究对象是来自迈阿密-戴德县公立学区的多种族和不同背景的人。在605名受教育对象中,454名儿童完成了前后测试。454名被试的前测知识(M = 5.49, SD = 1.54)与后测知识(M = 6.64, SD = 1.35)评估得分差异有统计学意义,t (452) = - 16.22, p < 0.001, 95% CI[- 1.29, - 1.01]。先前的研究表明,对4岁的儿童进行课堂培训可以显著提高他们的交通安全知识。WalkSafe学前行人安全课程的统计结果显示,这些幼儿的行人安全知识有统计学上的显著改善。未来的研究工作将集中在这些学生的纵向行为变化和行人安全行为的增加(例如,利用人行横道或人行道)。
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引用次数: 3
Diving Into Blunt Aortic Injury: A Case Review. 钝性主动脉损伤:一例回顾。
Pub Date : 2016-01-01 DOI: 10.1097/JTN.0000000000000183
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引用次数: 0
Creating a Geriatric-Focused Model of Care in Trauma With Geriatric Education. 创建以老年教育为中心的创伤护理模式。
Pub Date : 2015-11-01 DOI: 10.1097/JTN.0000000000000162
Kai L Bortz
The literature suggests that by 2050, about 40% of all trauma patients will be over age 65 years. We already exceeded this prediction at Lehigh Valley Health Network in 2013, with 46.6% of the Pennsylvania trauma registry qualifiers being age 65 or greater, and 17.7% age 85 and greater. Currently, only 8.8% of trauma centers incorporate Geriatric Resource Programs into trauma care. Our trauma team has incorporated geriatric education for nurses by incorporating an educational nursing program called Nurses Improving Care for Healthsystem Elders, to improve outcomes, reduce hospital complications, and reduce health care costs for this high-risk population. The older adult population is on the rise and trauma nurses must be provided the tools to care for this high-risk patient group.
文献显示,到2050年,大约40%的创伤患者将超过65岁。2013年,利哈伊谷健康网络已经超过了这一预测,46.6%的宾夕法尼亚州创伤登记合格者年龄在65岁及以上,17.7%的人年龄在85岁及以上。目前,只有8.8%的创伤中心将老年资源项目纳入创伤护理。我们的创伤团队通过一个名为“护士改善健康系统长者护理”的教育护理项目,将老年医学教育纳入护士队伍,以改善结果,减少医院并发症,并降低这一高危人群的医疗成本。老年人口正在上升,创伤护士必须提供工具来照顾这一高危患者群体。
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引用次数: 7
Employee Engagement: How to Motivate Your Team? 员工敬业度:如何激励团队?
Pub Date : 2015-11-01 DOI: 10.1097/JTN.0000000000000161
Karen A. Macauley
E mployee engagement. Without question, a corporate buzz word. But, what does engaging employees mean? How can you do it? Does it matter to your bottom line? Why does it matter if you have engaged employees on your team? Nursing leaders play an integral role in employee satisfaction, patient satisfaction, and employee productivity. Satisfied and engaged nurses provide safer and higher quality patient care. Engaged nurses strive for higher patient satisfaction. Engaged employees have more motivation and interest in participating in department activities and in improving patient safety and patient care initiatives. Employee engagement often starts with a nursing leader. Nursing leaders have significant impact on the way an employee feels about their career, their patients, and their organization. Carnegie 1 describes employee engagement as an emotional and functional commitment to the employee’s organization. Leiter and Maslach 2 note that engagement requires energy, involvement, and efficacy. Kahn 3 adds 3 conditions of work associated with employee engagement: meaningfulness, safety, and availability. Engaged employees are committed to their organization. They are high performers who are enthusiastic, empowered, inspired, and confident. 1 Engaged employees are emotionally and cognitively immersed in their job allowing a sense of meaningfulness and value in the work leading to higher sensitivity to the organization’s mission and to organizational change. 4
员工敬业度。毫无疑问,这是一个企业流行语。但是,吸引员工意味着什么呢?你怎么能做到呢?这对你的底线有影响吗?为什么你的团队中是否有敬业的员工很重要?护理领导在员工满意度、患者满意度和员工生产力方面发挥着不可或缺的作用。满意和敬业的护士提供更安全和更高质量的患者护理。敬业的护士努力提高病人的满意度。敬业的员工更有动力和兴趣参与部门活动,改善患者安全和患者护理计划。员工敬业度通常从护理领导开始。护理领导对员工对自己的职业、病人和组织的看法有着重要的影响。卡内基1将员工敬业度描述为对员工所在组织的情感和功能承诺。Leiter和Maslach指出,参与需要精力、投入和效率。Kahn 3增加了与员工敬业度相关的3个工作条件:意义、安全性和可用性。敬业的员工致力于他们的组织。他们是高绩效的人,热情、有能力、有灵感、自信。敬业的员工在情感上和认知上都沉浸在他们的工作中,使他们在工作中感受到意义和价值,从而对组织的使命和组织变革更加敏感。4
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引用次数: 19
Are You a Leader? 你是领导者吗?
Pub Date : 2015-01-01 DOI: 10.1097/JTN.0000000000000160
Sean Elwell, Amy E. Krichten, Sarah L Mattocks
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引用次数: 0
期刊
STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses
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