Evidence-Based Nursing Care for Spinal Nursing Immobilization: A Systematic Review

Area of Science:

• Emergency Medicine
• Trauma Care
• Nursing Research

Background:

• Spinal immobilization is a common intervention for suspected spinal injury in trauma patients.
• This practice aims to prevent further neurological damage.

Purpose of the Study:

• To systematically review nursing interventions for trauma patients with suspected spinal injury.
• To evaluate the evidence for spinal immobilization practices.

Main Methods:

• Systematic search of online databases in April 2019.
• Eligibility criteria and Critical Appraisal Skills Programme tool used for study selection and quality appraisal.

Main Results:

• Spinal immobilization may negatively impact pulmonary function and airway management.
• It can lead to pain and pressure ulcers, and may be unsuitable for penetrating trauma.
• Insufficient evidence supports the safety and efficacy of hard neck collars and long backboards.

Conclusions:

• A more selective and cautious approach to spinal immobilization is recommended.
• Emergency nurses should weigh the benefits against potential harms, considering patient needs and values.