Abstract:
AIM:The aim of this ethnographic study was to explore the culture of a trauma team in relation to human factors. BACKGROUND:Traumatic injury is the leading cause of death in the first four decades of life in the western world. Evidence suggests that the initial assessment and resuscitation of trauma victims is most successfully carried out by an organized trauma team. Most trauma teams use Advanced Trauma Life Support principles which focus on rapid assessment and management of the patient's injuries. Similarly, most trauma education focuses on Advanced Trauma Life Support principles, concentrating firmly on the patient's physical status. Nevertheless, contemporary literature about emergency teams suggests that human factors, such as communication and interprofessional relationships, can affect the team's performance regardless of how clinically skilled the team members are. METHOD:Focused ethnography was used to explore the culture of a trauma team in one teaching hospital. Six periods of observation were undertaken followed by 11 semi-structured interviews with purposively chosen key personnel. Data from transcripts of the observation field notes and interviews were analysed using open coding, followed by formation of categories resulting in the emergence of six central categories. RESULTS:Findings suggest that leadership, role competence, conflict, communication, the environment and the status of the patient all influence the culture of the trauma team. Interpretation of these categories suggests that trauma team education should include human factor considerations such as leadership skills, team management, interprofessional teamwork, conflict resolution and communication strategies. RELEVANCE FOR CLINICAL PRACTICE:The findings suggest that support systems for role development of junior team leaders should be formalized. The proven airline industry techniques of Crew Resource Management, focusing on teamwork and effective communication, could be implemented into continuing professional development for trauma teams to engender collaboration and interprofessional practice.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Cole E,Crichton Ndoi
10.1111/j.1365-2702.2006.01566.xsubject
Has Abstractpub_date
2006-10-01 00:00:00pages
1257-66issue
10eissn
0962-1067issn
1365-2702pii
JCN1566journal_volume
15pub_type
杂志文章abstract:AIM:The aim of this study was to examine the relationship between heart failure and specific cognitive abilities in octogenarians with regard to level and change over time. BACKGROUND:Cognitive impairment is influenced by many factors, and the impact of heart failure is debated. Intact cognitive ability is crucial for...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03817.x
更新日期:2012-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study aimed to explore the experiences of patients with difficult asthma, who take corticosteroid therapy, and provide insight into why some patients comply with therapy, whilst others do not. BACKGROUND:Asthma is growing in prevalence and affects more than 100 million people worldwide. Cortic...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01750.x
更新日期:2007-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the knowledge, attitudes and practices of paediatric nurses in Hong Kong towards adolescent sexual health issues. BACKGROUND:In Hong Kong, teens are becoming more sexually permissive. As a result, early sexual activity, Sexually transmitted diseases (STD) and unplanned pregnancies among ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12869
更新日期:2015-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate a bundle of interventions, developed and implemented by nurses, to reduce medication administration error rates and improve nurses' medication administration practice. BACKGROUND:Medication administration errors are a problematic issue worldwide, despite previous attempts to reduce them...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15374
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Routine lateral turning of patients has become an accepted standard of care to prevent complications of immobility. The haemodynamic and oxygenation effects for patients in both lateral positions (45°) are still a matter of debate. We aimed to study the effect of these positions on blood pressure, heart rate...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03840.x
更新日期:2012-07-01 00:00:00
abstract:AIM:The purpose of the study is to examine factors associated with do-not-resuscitate orders, do-not-hospitalise orders and hospice care in older nursing home residents at admission. BACKGROUND:Although hospice care is viewed as the 'gold standard,' geographic availability and financial reimbursement limits its use. T...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03346.x
更新日期:2011-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to test a process model that assesses the relationship of sexual health knowledge and normative beliefs to sexual health behavioural intention, with sexual self-concept as a mediating variable. The model is intended to assist in the prediction of which adolescents would...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.04035.x
更新日期:2012-07-01 00:00:00
abstract:AIM:To establish levels of mental health at a community level and to model the relationship between mental health difficulty, health-related impact and health related quality of life in school pupils aged 11-18 years old. BACKGROUND:The issue of psychosocial and mental health in school pupils is a topic of considerabl...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02653.x
更新日期:2010-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To understand how prognostic information is communicated by Jordanian doctors and nurses to the families of dying patients in intensive care units, with an emphasis on exploring how hope and truth telling about patients' poor prognosis are managed. BACKGROUND:Improving end-of-life care requires a f...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15630
更新日期:2020-12-30 00:00:00
abstract::Psychological stressors are said to be an important influence on the outcome of chronic illness such as rheumatoid arthritis (Engel, 1977). Helping patients to cope with stressors is identified as a central concept in the delivery of nursing care (Khan et al., 1994). It is thus reasonable to suggest that rheumatology ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.1996.tb00270.x
更新日期:1996-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate whether gender, age and their interaction affect health-related quality of life and overall health status following kidney transplantation. BACKGROUND:Some investigators have examined the main effects of gender and/or age on health-related quality of life following kidney transplantatio...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01745.x
更新日期:2008-01-01 00:00:00
abstract::A recent randomized controlled trial evaluated the effects of specialist nurses providing information, advice and support to caregivers and patients at home during the first year after a stroke. Reported here are the results of a complementary study which used qualitative methods to examine the experience of patients ...
journal_title:Journal of clinical nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2702.2000.00411.x
更新日期:2000-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore expectant and new parents' reasons not to participate in parental education (PE) groups in antenatal care or child health care. BACKGROUND:In Sweden, expectant and new parents are offered PE groups in antenatal care and in child health care. Although many parents feel unprepared for pare...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14912
更新日期:2019-09-01 00:00:00
abstract:AIM OF THE STUDY:To understand the critical illness trajectory from patient and relative perspectives. BACKGROUND:In the context of increasing survivorship from critical illness, it is important to enhance our understanding of the subjective experience of survivors and their families. The need to consider the legacy o...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14655
更新日期:2019-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:Secondary analysis was conducted to interpret the causes of illness stories told by patients living with chronic obstructive pulmonary disease. BACKGROUND:Despite the abundance of quantitative evidence regarding the causal relationship between smoking and chronic obstructive pulmonary disease, ther...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02719.x
更新日期:2009-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To systematically identify, appraise and synthesise existing qualitative studies exploring nurses' lived experiences of workplace violence by patients, families and hospital visitors, identifying their support needs following workplace violence. BACKGROUND:Workplace violence against nurses is a sig...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.15492
更新日期:2020-09-16 00:00:00
abstract:AIMS AND OBJECTIVES:This study develops a new instrument, the Spiritual Care Intervention-Provision Scale, and assesses its psychometric properties in an Arab Muslim nurse sample. The Spiritual Care Intervention-Provision Scale was developed to measure the frequency with which nurses provided aspects of spiritual care....
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13174
更新日期:2016-08-01 00:00:00
abstract:AIM:To identify the types and frequencies of communication issues (communication pairs, person related, institutional, structural, process and prescription-related issues) detected in medication incident reports and to compare communication issues that caused moderate or serious harm to patients. BACKGROUND:Communicat...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.15263
更新日期:2020-07-01 00:00:00
abstract::The primary health care team (PHCT) has a critical role to play in the care of people with mental health problems. However, little attention has been paid to the mental health training and preparation required by primary health care nurses. This paper reports on a training needs assessment undertaken in one London hea...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.1999.00308.x
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:Earlier research has shown that physicians and nurses are motivated to provide good palliative care, but several factors prevail that prevent the best care for dying patients. To provide good palliative care it is vital that the relationship between nurses and physicians is one based on trust, respect and so...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2004.00816.x
更新日期:2004-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore nursing home residents' perspectives on their relationships with other residents, family members and staff. BACKGROUND:The cultivation of social relationships is central to promoting well-being in nursing homes, as these relationships allow residents, family members and staff to be value...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.15174
更新日期:2020-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To analyse the perceived characteristics of an effective nursing clinical instructor and methods for measure instructor effectiveness. This review also examined importance of characteristics based on student age. BACKGROUND:The clinical instructor has a vital role in clinical education. While the r...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13931
更新日期:2018-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To gain insight into the lived experience of adults with overweight/obesity and chronic musculoskeletal pain. Knowledge gained will inform healthcare professionals about the complexity of the weight-pain relationship and enable more effective engagement with this population. BACKGROUND:Quantitative...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14178
更新日期:2018-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine nurses' perceptions of barriers to and facilitators of end-of-life care, as well as their association with the quality of end-of-life care. BACKGROUND:Often, dying patients and their families receive their care from general nurses. The quality of end-of-life care in hospital wards is ina...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14130
更新日期:2018-02-01 00:00:00
abstract::Nurses' self-esteem affects patient care. This study measured self-esteem of pre-registration nursing students over their 3-year training programme. Quantitative data were measured by the Professional Self-Concept Nursing Inventory and the Tennessee Self-Concept Scale. Students's self-esteem decreased during their tra...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2003.00679.x
更新日期:2003-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To generate a descriptive theoretical framework for experiences among obstructive sleep apnoea (OSA) patients undergoing continuous positive airway pressure (CPAP) therapy. BACKGROUND:Insufficient information is available about subjective experiences among OSA patients undergoing CPAP therapy. This...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12414
更新日期:2014-01-01 00:00:00
abstract:AIM AND OBJECTIVE:To generate content for a new questionnaire, based on the 10 Principles of Dignity in Care. BACKGROUND:Older people in hospital are vulnerable and at risk of harm, including indignity. The 10 Principles of Dignity in Care, which undergird the United Kingdom's Dignity in Care Campaign, have been used ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15462
更新日期:2020-08-16 00:00:00
abstract:AIMS AND OBJECTIVES:To summarise the literature describing new graduate nurse transition to professional practice within the primary health care (PHC) setting. BACKGROUND:There is a plethora of research literature spanning several decades about new graduate nurse transition in the acute care setting. Yet, the experien...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13297
更新日期:2016-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To understand the challenges faced by patients with heart failure. BACKGROUND:Heart failure is a clinical syndrome that is increasing across the globe. People affected with it encounter various problems that reduce their quality of life and well-being. Therefore, identifying the challenges faced by...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13729
更新日期:2017-11-01 00:00:00
abstract:AIMS & OBJECTIVES:The purpose of this study was to elucidate the barriers and enablers to adherence to anticoagulation in individuals with chronic heart failure (CHF) with concomitant atrial fibrillation (AF) from the perspective of patients and providers. BACKGROUND:CHF and AF commonly coexist and are associated with...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13759
更新日期:2017-12-01 00:00:00