DepartmentNGNA SectionPilot testing of the function focused care intervention on an acute care trauma unit
Section snippets
Background
Trauma is the fifth leading cause of death in the geriatric population. One-third of trauma related hospital expenses are utilized treating the older adult.1 Trauma encompasses any event that compromises the physical integrity of the body. This can include injuries from falls, automobiles, stabbings, etc. Older adults are leading more active lives, thus increasing their risk for injury. It is anticipated that by 2050 at least 40% of all trauma patients in the United States will be over the age
Design
This study was approved by a hospital based institutional review board. A single group repeated measures design was used to test the feasibility and impact of implementing FFC-AC on nurses knowledge about FFC, beliefs in their ability to provide this care, their beliefs in the benefits or risks associated with FFC and objective changes in the way in which they provided care to patients. Nurses were recruited from an acute care trauma unit in a 510 bed academic, tertiary care hospital in a
Results
The mean age of nursing participants was 35.96 (SD = 12.53) years old with a range of 23–63. The majority of the sample was comprised of registered nurses with only one nurse being a licensed practical nurse. Among the initially sampled nurses, ten were diploma school graduates, five had associate degrees, 16 had baccalaureate degrees, and one had a graduate degree. On average the nurses had 7.45 years of nursing (SD = 10.43). The mean baseline self-efficacy for FFC was 6.45 (SD = 1.30, range
Discussion
This small feasibility study provided some support for implementation of a function focused care intervention on an acute trauma unit. Overall, we believe the unit culture was influenced to create a more function-friendly environment. Nurses were interested and willing to participate in the study, and attended the educational sessions. They incorporated new knowledge into direct patient care, as demonstrated by the increase in the number of care interactions in which function focused care
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