Evidence–practice gaps in initial neuro‐protective nursing care: A mixed methods study of Thai patients with moderate or severe traumatic brain injury

2020 ◽  
Author(s):  
Kesorn Promlek ◽  
Judy Currey ◽  
Jintana Damkliang ◽  
Julie Considine
Keyword(s):  
Traumatic Brain Injury ◽  
Mixed Methods ◽  
Brain Injury ◽  
Nursing Care ◽  
Severe Traumatic Brain Injury ◽  
Mixed Methods Study ◽  
Practice Gaps

Social participation and quality-of-life of patients with traumatic brain injury living in the community: A mixed methods study

Brain Injury ◽  
2016 ◽  
Vol 30 (13-14) ◽  
pp. 1590-1598 ◽  
Author(s):  
Kaoruko Takada ◽  
Hironobu Sashika ◽  
Hidetaka Wakabayashi ◽  
Yoshio Hirayasu
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Mixed Methods ◽  
Brain Injury ◽  
Social Participation ◽  
Mixed Methods Study

scholarly journals The pattern of hospital-community-home (HCH) nursing in tracheostomy patients with severe traumatic brain injury: is it feasible?

2020 ◽  
Author(s):  
Xiangyi Yin ◽  
Jie Wu ◽  
Lihui Zhou ◽  
Chunyan Ni ◽  
Minyan Xiao ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Nursing Care ◽  
Severe Traumatic Brain Injury ◽  
Barthel Index ◽  
Control Group ◽  
Term Care ◽  
Severe Tbi

Abstract Background: Tracheostomy is very common in patients with severe traumatic brain injury (TBI), and long-term nursing care are needed for those patients. We aimed to evaluate the effects of hospital-community-home (HCH) nursing in those patients. Methods: Tracheostomy patients with severe TBI needing long-term care were included. All patients underwent two months long follow-up. Glasgow coma score (GCS), Karnofsky, Self-Anxiety Scale (SAS) (SAS) and Barthel assessment at the discharge and two months after discharge were evaluated. The tracheostomy related complications were recorded and compared.Results: A total of 60 patients were included. There weren’t significant differences between two groups in the GCS, Karnofsky, SAS and Barthel index at discharge((all p>0.05), the GCS, Karnofsky and Barthel index was all significantly increased after two months follow-up for two groups (all p<0.05), and the GCS, Karnofsky and Barthel index at two months follow-up in HCH group was significantly higher than that of control group(all p<0.05), but the SAS at two months follow-up in HCH group was significantly less than that of control group(p=0.009). The incidence of block of artificial tracheal cannula and readmission in HCH group were significant less than that of control group (all p<0.05).Conclusion: HCH nursing care is feasible in tracheostomy patients with severe TBI, future studies are needed to further evaluate the role of HCH nursing care.

scholarly journals Nursing Care in Severe Traumatic Brain Injury

2019 ◽  
Vol 6 (12) ◽  
pp. 432-438
Author(s):  
Daniele Melo Sardinha ◽  
Gabriel Fazzi Costa ◽  
Luana Conceição Cunha ◽  
Ingrid Naiana Pinto Mafra ◽  
Marcelina Ribeiro da Silva ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Nursing Care ◽  
Severe Traumatic Brain Injury

scholarly journals A mixed-methods needs assessment of traumatic brain injury care in a low- and middle-income country setting: building neurocritical care capacity at two major hospitals in Cambodia

2019 ◽  
pp. 1-7 ◽  
Author(s):  
Ariana S. Barkley ◽  
Laura J. Spece ◽  
Lia M. Barros ◽  
Robert H. Bonow ◽  
Ali Ravanpay ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Mixed Methods ◽  
Brain Injury ◽  
Neurocritical Care ◽  
Capacity Development ◽  
Mixed Methods Study ◽  
Assessment Tools ◽  
World Health ◽  
Middle Income ◽  
Low And Middle Income

OBJECTIVEThe high global burden of traumatic brain injury (TBI) disproportionately affects low- and middle-income countries (LMICs). These settings also have the greatest disparity in the availability of surgical care in general and neurosurgical care in particular. Recent focus has been placed on alleviating this surgical disparity. However, most capacity assessments are purely quantitative, and few focus on concomitantly assessing the complex healthcare system needs required to care for these patients. The objective of the present study was to use both quantitative and qualitative assessment data to establish a comprehensive approach to inform capacity-development initiatives for TBI care at two hospitals in an LMIC, Cambodia.METHODSThis mixed-methods study used 3 quantitative assessment tools: the World Health Organization Personnel, Infrastructure, Procedures, Equipment, Supplies (WHO PIPES) checklist, the neurosurgery-specific PIPES (NeuroPIPES) checklist, and the Neurocritical Care (NCC) checklist at two hospitals in Phnom Penh, Cambodia. Descriptive statistics were obtained for quantitative results. Qualitative semistructured interviews of physicians, nurses, and healthcare administrators were conducted by a single interviewer. Responses were analyzed using a thematic content analysis approach and coded to allow categorization under the PIPES framework.RESULTSOf 35 healthcare providers approached, 29 (82.9%) participated in the surveys, including 19 physicians (65.5%) and 10 nurses (34.5%). The majority had fewer than 5 years of experience (51.7%), were male (n = 26, 89.7%), and were younger than 40 years of age (n = 25, 86.2%). For both hospitals, WHO PIPES scores were lowest in the equipment category. However, using the NCC checklist, both hospitals scored higher in equipment (81.2% and 62.7%) and infrastructure (78.6% and 69.6%; hospital 1 and 2, respectively) categories and lowest in the training/continuing education category (41.7% and 33.3%, hospital 1 and 2, respectively). Using the PIPES framework, analysis of the qualitative data obtained from interviews revealed a need for continuing educational initiatives for staff, increased surgical and critical care supplies and equipment, and infrastructure development. The analysis further elucidated barriers to care, such as challenges with time availability for experienced providers to educate incoming healthcare professionals, issues surrounding prehospital care, maintenance of donated supplies, and patient poverty.CONCLUSIONSThis mixed-methods study identified areas in supplies, equipment, and educational/training initiatives as areas for capacity development for TBI care in an LMIC such as Cambodia. This first application of the NCC checklist in an LMIC setting demonstrated limitations in its use in this setting. Concomitant qualitative assessments provided insight into barriers otherwise undetected in quantitative assessments.

scholarly journals Post-Acute Traumatic Brain Injury Rehabilitation Treatment Variables: A Mixed Methods Study

2017 ◽  
Vol 2 (3) ◽  
pp. 209-213 ◽  
Author(s):  
Victoria Hardin ◽  
Cynthia O’Donoghue ◽  
Cara Meixner ◽  
Frank Lewis ◽  
Gordon Horn ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Mixed Methods ◽  
Brain Injury ◽  
Mixed Methods Study ◽  
Injury Rehabilitation ◽  
Rehabilitation Treatment ◽  
Acute Traumatic Brain Injury

Barriers and strategies for coordinating care among veterans with traumatic brain injury: a mixed methods study of VA polytrauma care team members

Brain Injury ◽  
2018 ◽  
Vol 32 (6) ◽  
pp. 755-762 ◽  
Author(s):  
Bridget M. Smith ◽  
Rachael N. Martinez ◽  
Charlesnika T. Evans ◽  
Karen L. Saban ◽  
Salva Balbale ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Mixed Methods ◽  
Brain Injury ◽  
Care Team ◽  
Mixed Methods Study ◽  
Team Members
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