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The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
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Moving Toward Standardized Pediatric Performance Improvement Measures in Child Physical Abuse: A Modified Delphi

Todd Nickoles1, Jodie Greenberg, LeAnne Young

  • 1Phoenix Children's Hospital, Phoenix, Arizona (Mr Nickoles and Ms Greenberg); Memorial Hospital South Bend, South Bend, Indiana (Ms Young); C.S. Mott Children's Hospital, Ann Arbor, Michigan (Ms Randall); Children's Hospital St Louis, St Louis, Missouri (Ms Herndon); Children's Hospital of Los Angeles, Los Angeles, California (Ms Bautista Durand); Boston Children's Hospital, Boston, Massachusetts (Ms McMahon); and EGAN School of Nursing and Health Studies, Fairfield University, Fairfield, Connecticut (Dr Roney).

Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses
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Pediatric trauma centers (PTCs) need better guidance for child physical abuse performance improvement (PI). This study found consensus on PI importance and benefits of standardized guidelines, identifying areas for improvement in child abuse care.

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Area of Science:

  • Trauma Surgery
  • Pediatric Surgery
  • Child Abuse Pediatrics

Background:

  • Pediatric trauma centers (PTCs) lack standardized performance improvement (PI) guidance for child physical abuse cases.
  • Current practices for measuring and reviewing PI in this population are inconsistent across US PTCs.

Purpose of the Study:

  • To assess current practices and identify points of consensus for PI in child physical abuse among US PTCs.
  • To establish a foundation for standardized PI guidelines in pediatric child abuse care.

Main Methods:

  • A modified Delphi methodology with two rounds of electronic surveys was used.
  • Surveys were distributed to program managers and coordinators at 125 PTCs nationwide.
  • Data collected included demographics, coding, definitions, PI measures, and opinions on guideline components.

Main Results:

  • Responses were received from 90 PTCs (72% response rate).
  • 87% of respondents deemed national consensus on child physical abuse PI important; 92% believed standardized guidelines would benefit their institution.
  • While PI processes varied, key areas of consensus were achieved.

Conclusions:

  • Survey results reveal both consistency and diversity in current PI practices among PTCs.
  • There is a clear need and support for standardizing PI across centers to improve child physical abuse care.