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Pediatric Traumatic Brain Injury: Families and Healthcare Team Interaction Trajectories During Acute Hospitalization.

Publication ,  Journal Article
Reuter-Rice, K; Doser, K; Eads, JK; Berndt, S
Published in: Journal of pediatric nursing
May 2017

To identify common or unique family-healthcare team interactions during acute hospitalization for pediatric patients with a traumatic brain injury (TBI) using a life course trajectory (LCT) theoretical approach.A 3-year prospective observational study of 35 children, ages 5 days to 15 years who were admitted to an urban Level-1 trauma hospital for a TBI. We defined brain injury severity using the admission Glasgow Coma Scale score (mild 13-15, moderate 9-12, and severe 3-8). Using a life course trajectory theoretical approach, we extracted from the patient's electronic health record the first eight-days of hospitalization and plotted the number and type of daily family-healthcare team interactions to visualize patterns or phases.A general trajectory for each severity group was determined. When individually compared, family trajectories were similar based on injury severity. Visual interpretations of family-healthcare interactions based on the brain injury severity yielded three phases. The interactions phases included: (1) information seeking, (2) watchful waiting and (3) decision making.Using a LCT approach, phases identified based on injury severity and family interactions support the need for proper timing of tailored communication and support. The findings also support the development of future best care practices that facilitate family's needs, decrease caregiver burden to improve functional outcomes.

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Published In

Journal of pediatric nursing

DOI

EISSN

1532-8449

ISSN

0882-5963

Publication Date

May 2017

Volume

34

Start / End Page

84 / 89

Related Subject Headings

  • Watchful Waiting
  • Urban Population
  • Treatment Outcome
  • Trauma Centers
  • Risk Assessment
  • Prospective Studies
  • Prognosis
  • Professional-Family Relations
  • Patient Care Team
  • Nursing
 

Citation

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ICMJE
MLA
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Reuter-Rice, K., Doser, K., Eads, J. K., & Berndt, S. (2017). Pediatric Traumatic Brain Injury: Families and Healthcare Team Interaction Trajectories During Acute Hospitalization. Journal of Pediatric Nursing, 34, 84–89. https://doi.org/10.1016/j.pedn.2016.12.017
Reuter-Rice, Karin, Karoline Doser, Julia K. Eads, and Suzanna Berndt. “Pediatric Traumatic Brain Injury: Families and Healthcare Team Interaction Trajectories During Acute Hospitalization.Journal of Pediatric Nursing 34 (May 2017): 84–89. https://doi.org/10.1016/j.pedn.2016.12.017.
Reuter-Rice K, Doser K, Eads JK, Berndt S. Pediatric Traumatic Brain Injury: Families and Healthcare Team Interaction Trajectories During Acute Hospitalization. Journal of pediatric nursing. 2017 May;34:84–9.
Reuter-Rice, Karin, et al. “Pediatric Traumatic Brain Injury: Families and Healthcare Team Interaction Trajectories During Acute Hospitalization.Journal of Pediatric Nursing, vol. 34, May 2017, pp. 84–89. Epmc, doi:10.1016/j.pedn.2016.12.017.
Reuter-Rice K, Doser K, Eads JK, Berndt S. Pediatric Traumatic Brain Injury: Families and Healthcare Team Interaction Trajectories During Acute Hospitalization. Journal of pediatric nursing. 2017 May;34:84–89.
Journal cover image

Published In

Journal of pediatric nursing

DOI

EISSN

1532-8449

ISSN

0882-5963

Publication Date

May 2017

Volume

34

Start / End Page

84 / 89

Related Subject Headings

  • Watchful Waiting
  • Urban Population
  • Treatment Outcome
  • Trauma Centers
  • Risk Assessment
  • Prospective Studies
  • Prognosis
  • Professional-Family Relations
  • Patient Care Team
  • Nursing