Page 29 - The Empowered Nurse - Spring
P. 29

empower_spring2020.qxp_Layout 1  6/23/20  11:52 AM  Page 29



                                                               27
                                                     THE EMPOWERED NURSE
















                          METHODS Vanderbilt University Institutional Review Board Approval was obtained  The qualitative case study methods described by Yin  9 were used to  The semi-structured interview questions and analysis of the data were  informed by processes from a theory of secondary traumatic stress.  10 The adult emergency department received five patients after a school  shooting event. Emergency nurses who participated in the trauma  resuscitations or assisted with the transition of th

                    A QUALITATIVE CASE STUDY IN EMERGENCY NURSING
                 CARING FOR PATIENTS FROM A SCHOOL SHOOTING:
                       W. Travis McCall, MSN, RN, AGACNP-BC, FNP-BC, CEN, CCEMT-P
                                for the study.  guide the data collection and analyses.   participate.   Research Office.   of:  CFRN, AEMT  FASPAN  Kevin High, RN, MPH, MHPE  Laura J. McCall, MS  of helping others.   Researcher   Contact   Information



                             !    !   !   !         !      !  !          !     !   !  !  !  !   !  !  !

                                                              Retrieved from https://transform-healthcare.com/2015/09/24/news-corner- to-avoid-nurse-burnout-research-shows-to-keep-shifts-short/  IMPLICATIONS/RECOMMENDATIONS Encourage positive coping skills and self-care routines to mitigate  Offer comprehensive peer-focused debriefings that encourage open   Facilitate notification of patient outcomes in compliance with privacy  laws and standards to provide closure among those clinicians who  Contin
                                        Retrieved from https://www.washingtonpost.com/news/local/wp/2018/01/feature/school-shootings-should-parents-be-charged-for-failing-to-lock-up-









                                                                     Retrieved from https://www.emsworld.com/article/11434161/care-clouds  the incidence of secondary traumatic stress.   discussion and reflections. Promote active involvement of peer support and employee  assistance services following these events.  Consider paid administrative leave for clinicians immediately   following these events.  provided care to these patients in the emergency department.  traumatic stress. Perform education a




                                         guns-used-by-their-kids/        !    !   !   !   !     !     !     !










                          BACKGROUND/SIGNIFICANCE Secondary traumatic stress is the incidence of thought intrusions,  heightened arousal, situational avoidance, and/or emotional  numbing in those who witness traumatic events or provide care to  critically ill or injured patients. It is often associated with the  development of compassion fatigue, which is defined as a clinician’s  The presence of secondary traumatic stress in emergency nurses  can have negative effects on their resilience,  2 which





                VanderbiltNursing.com   impairment in effectively caring for others.  1  recent nine-year period.  8  providing medical care to the victims.  Preparation and preparedness  contributors.  associated stress.  Coping and support mechanisms  Reflections and closure  unknown.   but increased thought intrusions.  nurses who are parents.








                                                               !
                              !
                                          !
                                                !
                                                                        !  !  essential.  !  !  !  !  !  !  !  !  !  !  !  !
   24   25   26   27   28   29   30   31   32   33   34