کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2609412 1134546 2011 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Perceived facilitators and barriers to clinical clearance of the cervical spine by emergency department nurses: A major step towards changing practice in the emergency department
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
پیش نمایش صفحه اول مقاله
Perceived facilitators and barriers to clinical clearance of the cervical spine by emergency department nurses: A major step towards changing practice in the emergency department
چکیده انگلیسی

ObjectivesWe conducted a validation study on use of the Canadian C-Spine Rule (CCR) by emergency department (ED) nurses to clear the c-spine in alert and stable trauma patients (N = 3633). This survey sought to identify potential facilitators and barriers to an implementation policy that would allow nurses to clinically clear the c-spine of minor trauma patients.MethodsWe conducted a prospective quantitative survey of ED nurses in six hospitals. Questions were developed from a previous qualitative survey at the same validation study EDs.Results158 ED nurses were surveyed and 137 (86.7%) responded. Nurses strongly endorsed potential facilitators for nursing clearance of the c-spine, including ‘Like to try new things at work’ (96.4%) and ‘Easy for me to take on new responsibilities’ (96.4%). Most respondents were comfortable applying the rule (89.1%). Nurses endorsed potential barriers but at much lower rates, with the most common being ‘Heavy workload makes it difficult to use the rule’ (37.2%). Variation existed among hospitals for the facilitator ‘Use of the rule would be useful to my practice’, ranging from 81.8% to 100% endorsement (P = 0.004).ConclusionsThis survey was an important step towards the goal of empowering ED nurses to clinically clear the c-spine of alert and stable trauma patients. There was a high rate of endorsement of facilitators and a low rate of endorsement of barriers. We found variation between hospitals, emphasizing the importance of understanding local beliefs when seeking to change clinical practice. We are conducting an implementation trial based on this feedback.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Emergency Nursing - Volume 19, Issue 1, January 2011, Pages 44–52
نویسندگان
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