Onset, incidence, and associated patient and nurse behaviors related to treatment interference in trauma patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/160743
Type:
Presentation
Title:
Onset, incidence, and associated patient and nurse behaviors related to treatment interference in trauma patients
Abstract:
Onset, incidence, and associated patient and nurse behaviors related to treatment interference in trauma patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2001
Author:Shreve, Wendy, MSN
P.I. Institution Name:St. Vincent Mercy Medical Center
Title:Research Scientist
Contact Address:2213 Cherry Street, Toledo, OH, 43608, USA
Contact Telephone:4192514471
The purpose of this retrospective descriptive study based on a middle range theory was to (1) describe the phenomenon of treatment interference (TI) in critically ill trauma patients, (2) examine alternative cases, patients who do not interfere with treatments, and (3) describe patient behaviors and nurse responses to treatment interference. The sample was taken from a Level I urban trauma center. Incidence of TI was 49.4%. Patients with TI had significantly more procedures, were longer in the ICU and were more severely injured. Restraint use was significantly correlated with treatment interference. Of the patients experiencing TI 36% were combative at the site of the injury or in the emergency department. Onset of TI occurred day 1.88. The TI group and the patient participation group did not differ on resuscitation before admission, documentation of pain, gender, age, race, or mechanism of injury. Exploratory factor analysis yielded 3 factors. The five patient TI behavior themes were self-removal of devices, threat of self-removal of devices, distress from devices, rejecting care, and involuntary treatment. Nurse behaviors in response to TI were reassurance and reorientation, medication, restraint use, and comfort measures. Cervical spine precautions seemed to contribute to TI.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOnset, incidence, and associated patient and nurse behaviors related to treatment interference in trauma patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160743-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Onset, incidence, and associated patient and nurse behaviors related to treatment interference in trauma patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Shreve, Wendy, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. Vincent Mercy Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Scientist</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2213 Cherry Street, Toledo, OH, 43608, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">4192514471</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">wshreve@toledolink.com</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this retrospective descriptive study based on a middle range theory was to (1) describe the phenomenon of treatment interference (TI) in critically ill trauma patients, (2) examine alternative cases, patients who do not interfere with treatments, and (3) describe patient behaviors and nurse responses to treatment interference. The sample was taken from a Level I urban trauma center. Incidence of TI was 49.4%. Patients with TI had significantly more procedures, were longer in the ICU and were more severely injured. Restraint use was significantly correlated with treatment interference. Of the patients experiencing TI 36% were combative at the site of the injury or in the emergency department. Onset of TI occurred day 1.88. The TI group and the patient participation group did not differ on resuscitation before admission, documentation of pain, gender, age, race, or mechanism of injury. Exploratory factor analysis yielded 3 factors. The five patient TI behavior themes were self-removal of devices, threat of self-removal of devices, distress from devices, rejecting care, and involuntary treatment. Nurse behaviors in response to TI were reassurance and reorientation, medication, restraint use, and comfort measures. Cervical spine precautions seemed to contribute to TI.</td></tr></table>en_GB
dc.date.available2011-10-26T23:09:56Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:09:56Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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