The effect of trauma advanced practice nurse programme at a Level I regional trauma centre in mainland China
Abstract Aims Trauma is the fifth‐leading cause of death in China. Despite the establishment of the Chinese Regional Trauma Care System (CRTCS) in 2016, advanced trauma nurse practice has not been incorporated. This study aimed to identify the roles and responsibilities of trauma advanced practice n...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-09-01
|
| Series: | Nursing Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/nop2.1911 |
| _version_ | 1797730722036842496 |
|---|---|
| author | Wang Sa Chen Shuihong Jin Jingfen Zhang Mao Guo Zhiting Yan Danping Huang Chang Wang Yuwei |
| author_facet | Wang Sa Chen Shuihong Jin Jingfen Zhang Mao Guo Zhiting Yan Danping Huang Chang Wang Yuwei |
| author_sort | Wang Sa |
| collection | DOAJ |
| description | Abstract Aims Trauma is the fifth‐leading cause of death in China. Despite the establishment of the Chinese Regional Trauma Care System (CRTCS) in 2016, advanced trauma nurse practice has not been incorporated. This study aimed to identify the roles and responsibilities of trauma advanced practice nurse (APN), and to investigate the impact on patient outcomes in a Level I regional trauma centre in mainland China. Design A single‐centre pre‐ and post‐control design was used. Methods The trauma APN programme was established based on multidisciplinary experts' consultation. A retrospective study was conducted on all Level I trauma patients over a period of 5 years, spanning from January 2017 to December 2021, with a sample size of 2420. The data were divided into two comparison groups: a pre‐APN programme (January 2017–December 2018; n = 1112) and post‐APN programme (January 2020–December 2021; n = 1308). A comparison analysis was conducted to evaluate the effectiveness of trauma APN who were integrated into the trauma care team, with a focus on patient outcomes and time‐efficiency indicators. Results The certification of the regional Level I trauma centre resulted in a 17.63% increase in the number of trauma patients. The integration of advanced practice nurses (APN) into the trauma care system led to significant improvements in time‐efficiency indicators, with the exception of advanced airway establishment time (p < 0.05). The average emergency department length of stay (LOS) decreased 21%, from 168 to 132 min (p < 0.001); additionally, the mean intensive care unit LOS decreased by nearly 1 day (p = 0.028). Trauma patients who were treated by trauma APN had a higher likelihood of survival, with an odds ratio of 1.816 (95%CI: 1.041, 3.167; p = 0.033), compared to patients who received care prior to the implementation of the trauma APN program. Conclusion A trauma APN programme has the potential to enhance the quality of trauma care in the CRTCS. Impact This study elucidates the roles and responsibilities of trauma advanced practice nurses (APN) in a Level I regional trauma centre in mainland China. Trauma care quality was significantly improved after the application of a trauma APN programme. In regions with inadequate medical resources, the utilization of advanced practice trauma nurses can enhance the quality of trauma care. In addition, trauma APN can provide a trauma nursing education programme within the regional centres as a strategy to augment the proficiency of regional trauma nursing. No patient or public contribution, the research data all from trauma data bank. |
| first_indexed | 2024-03-12T11:48:22Z |
| format | Article |
| id | doaj.art-2c022508045649ec8cc20d129b997992 |
| institution | Directory Open Access Journal |
| issn | 2054-1058 |
| language | English |
| last_indexed | 2024-03-12T11:48:22Z |
| publishDate | 2023-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Open |
| spelling | doaj.art-2c022508045649ec8cc20d129b9979922023-08-31T11:40:43ZengWileyNursing Open2054-10582023-09-011096559656510.1002/nop2.1911The effect of trauma advanced practice nurse programme at a Level I regional trauma centre in mainland ChinaWang Sa0Chen Shuihong1Jin Jingfen2Zhang Mao3Guo Zhiting4Yan Danping5Huang Chang6Wang Yuwei7Nursing Department Zhejiang University School of Medicine Second Affiliated Hospital Hangzhou ChinaQuality Management Department Zhejiang University School of Medicine Second Affiliated Hospital Hangzhou ChinaNursing Department Zhejiang University School of Medicine Second Affiliated Hospital Hangzhou ChinaKey Laboratory of The Diagnosis and Treatment of Severe Trauma and Burn of Zhejiang Province Hangzhou ChinaNursing Department Zhejiang University School of Medicine Second Affiliated Hospital Hangzhou ChinaNursing Department Zhejiang University School of Medicine Second Affiliated Hospital Hangzhou ChinaNursing Department Zhejiang University School of Medicine Second Affiliated Hospital Hangzhou ChinaNursing Department Zhejiang University School of Medicine Second Affiliated Hospital Hangzhou ChinaAbstract Aims Trauma is the fifth‐leading cause of death in China. Despite the establishment of the Chinese Regional Trauma Care System (CRTCS) in 2016, advanced trauma nurse practice has not been incorporated. This study aimed to identify the roles and responsibilities of trauma advanced practice nurse (APN), and to investigate the impact on patient outcomes in a Level I regional trauma centre in mainland China. Design A single‐centre pre‐ and post‐control design was used. Methods The trauma APN programme was established based on multidisciplinary experts' consultation. A retrospective study was conducted on all Level I trauma patients over a period of 5 years, spanning from January 2017 to December 2021, with a sample size of 2420. The data were divided into two comparison groups: a pre‐APN programme (January 2017–December 2018; n = 1112) and post‐APN programme (January 2020–December 2021; n = 1308). A comparison analysis was conducted to evaluate the effectiveness of trauma APN who were integrated into the trauma care team, with a focus on patient outcomes and time‐efficiency indicators. Results The certification of the regional Level I trauma centre resulted in a 17.63% increase in the number of trauma patients. The integration of advanced practice nurses (APN) into the trauma care system led to significant improvements in time‐efficiency indicators, with the exception of advanced airway establishment time (p < 0.05). The average emergency department length of stay (LOS) decreased 21%, from 168 to 132 min (p < 0.001); additionally, the mean intensive care unit LOS decreased by nearly 1 day (p = 0.028). Trauma patients who were treated by trauma APN had a higher likelihood of survival, with an odds ratio of 1.816 (95%CI: 1.041, 3.167; p = 0.033), compared to patients who received care prior to the implementation of the trauma APN program. Conclusion A trauma APN programme has the potential to enhance the quality of trauma care in the CRTCS. Impact This study elucidates the roles and responsibilities of trauma advanced practice nurses (APN) in a Level I regional trauma centre in mainland China. Trauma care quality was significantly improved after the application of a trauma APN programme. In regions with inadequate medical resources, the utilization of advanced practice trauma nurses can enhance the quality of trauma care. In addition, trauma APN can provide a trauma nursing education programme within the regional centres as a strategy to augment the proficiency of regional trauma nursing. No patient or public contribution, the research data all from trauma data bank.https://doi.org/10.1002/nop2.1911advanced practice nursepatient outcomequality improvementregional trauma centretime‐efficiencytrauma care |
| spellingShingle | Wang Sa Chen Shuihong Jin Jingfen Zhang Mao Guo Zhiting Yan Danping Huang Chang Wang Yuwei The effect of trauma advanced practice nurse programme at a Level I regional trauma centre in mainland China Nursing Open advanced practice nurse patient outcome quality improvement regional trauma centre time‐efficiency trauma care |
| title | The effect of trauma advanced practice nurse programme at a Level I regional trauma centre in mainland China |
| title_full | The effect of trauma advanced practice nurse programme at a Level I regional trauma centre in mainland China |
| title_fullStr | The effect of trauma advanced practice nurse programme at a Level I regional trauma centre in mainland China |
| title_full_unstemmed | The effect of trauma advanced practice nurse programme at a Level I regional trauma centre in mainland China |
| title_short | The effect of trauma advanced practice nurse programme at a Level I regional trauma centre in mainland China |
| title_sort | effect of trauma advanced practice nurse programme at a level i regional trauma centre in mainland china |
| topic | advanced practice nurse patient outcome quality improvement regional trauma centre time‐efficiency trauma care |
| url | https://doi.org/10.1002/nop2.1911 |
| work_keys_str_mv | AT wangsa theeffectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT chenshuihong theeffectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT jinjingfen theeffectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT zhangmao theeffectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT guozhiting theeffectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT yandanping theeffectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT huangchang theeffectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT wangyuwei theeffectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT wangsa effectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT chenshuihong effectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT jinjingfen effectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT zhangmao effectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT guozhiting effectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT yandanping effectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT huangchang effectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina AT wangyuwei effectoftraumaadvancedpracticenurseprogrammeataleveliregionaltraumacentreinmainlandchina |