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Trauma Patient Transitional Work: A Multidisciplinary Feasibility Survey of Planned Behavior Elements.
Jason A Saucier1, Mary S Dietrich, Cathy Maxwell
1Author Affiliations: Penn Medicine, Department of Advanced Practice & Trauma Surgical Critical Care (Dr Saucier), Biostatistics, Hearing, & Speech, Ingram Cancer Center, Vanderbilt University School of Medicine (Dr Dietrich), School of Nursing, Vanderbilt University (Drs Maxwell and Minnick), Nashville, Tennessee; David E. Longnecker Associate Professor of Anesthesiology and Critical Care (Dr Lane-Fall), Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; and Surgical Service Line (Dr Messing), Inova Health System, Falls Church, Virginia.
This study explored provider behavior during trauma patient transfers using the Theory of Planned Behavior. Findings reveal variations in attitudes and intentions, highlighting opportunities for improving critical care transitions.
Area of Science:
- Healthcare delivery
- Patient safety
- Behavioral science
Background:
- Effective patient transitions in critical care are vital for safety.
- Provider behavior significantly impacts patient transfer quality.
- Understanding provider actions can inform interventions to enhance critical care safety.
Purpose of the Study:
- Assess the feasibility of applying the Theory of Planned Behavior in trauma care.
- Describe provider behaviors during trauma patient transfers from critical care.
Main Methods:
- Cross-sectional survey of 103 multidisciplinary providers at a Level I trauma center.
- Convenience sampling of providers involved in trauma patient transfers.
- Descriptive analysis of survey development, administration, and results.
Main Results:
- 72 providers (70% response rate) including RNs, NPs, and MDs completed the survey.
- Significant differences were found among ICU roles in perceived control.
- Variations observed in attitude, subjective norms, and behavioral intent domains (p < 0.05).
Conclusions:
- Variability in theoretical domains suggests potential for further research with larger samples.
- The study provides a framework for future behavioral investigations in trauma critical care.
- This research can guide interventions to optimize Theory of Planned Behavior elements in critical care providers.
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