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  4. Care needs of adults with spinal trauma in the prehospital and hospital setting from the perspective of patient care team: A qualitative research

Care needs of adults with spinal trauma in the prehospital and hospital setting from the perspective of patient care team: A qualitative research

Journal of Education and Health Promotion, 2024 · DOI: 10.4103/jehp.jehp_282_23 · Published: March 28, 2024

Spinal Cord InjuryTraumaResearch Methodology & Design

Simple Explanation

This study explores the necessary care for adults with spinal trauma, focusing on the prehospital and hospital phases, as perceived by the patient care team. It highlights the importance of understanding the needs from the perspective of those providing the care. The research involved in-depth interviews with emergency personnel from various universities, aiming to identify the essential care needs for patients with spinal trauma. The findings emphasize that emergency care and managing secondary complications in both prehospital and hospital settings can greatly impact treatment outcomes, quality of life, and reduce mortality and healthcare costs. Thus, identifying these needs is crucial for effective planning.

Study Duration
September to December 2021
Participants
36 participants: emergency medical technicians, nurses, general practitioners, and specialists
Evidence Level
Not specified

Key Findings

  • 1
    The study identified two main themes: prehospital care and hospital care, each with two main categories: emergency care and management of secondary complications of spinal trauma.
  • 2
    Emergency care needs in the prehospital stage include having an experienced medical team, safety management, spine stabilization, triage based on ABCDE, psychosocial support, and pain management.
  • 3
    In the hospital setting, emergency care involves safety management, assessment and treatment based on ABCDE, stabilization of the injured spine, diagnostic therapeutic interventions, and pain management.

Research Summary

This qualitative study aimed to discover the care needs of adult patients with spinal trauma in the prehospital and hospital stages from the perspective of the patient care team. During the data analysis, two themes of prehospital care with two main categories (emergency care and management of secondary complications of spinal trauma) and hospital care with two main categories (emergency care and management of secondary complications of spinal trauma) emerged. Identification of the care needs of adults with spinal trauma in the prehospital and hospital stages from the perspective of the healthcare team can help authorities plan appropriate interventions to manage complications; prevent secondary injuries, illness, and death; improve quality of life; and reduce healthcare costs.

Practical Implications

Improved Treatment Outcomes

Focusing on emergency care and managing secondary complications can significantly improve patient outcomes and quality of life.

Reduced Healthcare Costs

Effective interventions based on identified care needs can lead to a reduction in healthcare costs associated with spinal trauma.

Informed Policy Planning

Understanding the care needs from the healthcare team's perspective enables authorities to plan appropriate and effective interventions.

Study Limitations

  • 1
    Risk of bias due to the researcher’s subjective interpretation.
  • 2
    Inadequate assessment of care needs from the perspective of patients.
  • 3
    Not specified

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