School nurses' perceptions and experiences with an interprofessional concussion management team in the secondary school setting
School nurses' perceptions and experiences with an interprofessional concussion management team in the secondary school setting
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DOI：
10.1080/13561820.2017.1345873
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发表时间：
2017-01-01
影响因子：
2.7
通讯作者：
McLeod, Tamara C. Valovich
中科院分区：
文献类型：
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作者：
Bacon, Cailee E. Welch;Erickson, Casey D.;McLeod, Tamara C. Valovich
脑震荡后，认知和身体休息都是伤害管理的必要方面。包括学术调整和跨专业脑震荡管理团队（ICMT）的形成提供了一个机制，以管理脑震荡后的学术问题。作为唯一的医疗保健提供者之一，学校护士可以提供关于中学环境中ICMT基础设施的独特见解。本研究旨在探讨学校护理人员对中学环境中脑震荡后青少年ICMT的看法和经验。本研究以质性研究方法为指导。半结构化的个人电话采访进行了15所学校的护士在美国各地的中学设置。在数据分析过程中，主题和类别是根据研究小组的共识过程建立的。研究结果表明，学校护士确定了几个利益相关者关于脑震荡管理团队是必不可少的，包括在脑震荡管理过程。除了学校护士，参与者认为ICMT应该包括医生，运动教练，学校辅导员，教师和其他利益相关者，如病人和他们的父母。此外，与会者还讨论了他们对自己作为国际货币基金组织成员在中学环境中的作用的看法。纳入ICMT以帮助脑震荡后的恢复对于确保青少年患者的适当护理至关重要。此外，学校护士和运动教练必须有效地合作，在可能的情况下，以确保脑震荡的青少年被允许充分的认知休息，通过纳入学术调整在恢复过程中。
Following a concussion, both cognitive and physical rest are imperative aspects of injury management. The inclusion of academic adjustments and the formation of an interprofessional concussion management team (ICMT) provide a mechanism to manage academic issues following a concussion. As one of the sole healthcare providers presents during school hours, the school nurse may offer unique insight regarding the infrastructure of an ICMT in the secondary school setting. The purpose of this study was to explore school nurses' perceptions of and experiences with an ICMT for adolescents following a concussion in the secondary school setting. The consensual qualitative research approach was used to guide this study. Semi-structured individual telephone interviews were conducted with 15 school nurses employed in the secondary school setting across the United States. During data analysis, themes and categories were established based on a consensus process by the research team. Study findings indicated that school nurses identified several stakeholders regarding the concussion management team that are essential to include in the concussion management process. In addition to the school nurse, participants perceived an ICMT should include a physician, athletic trainer, school counsellor, teachers, and other stakeholders such as the patient and their parents. Additionally, participants discussed their perceptions of their own role as a member of an ICMT in the secondary school setting. The inclusion of an ICMT to aid the recovery following a concussion is vital to ensure proper care for the adolescent patient. Furthermore, the school nurse and athletic trainer must effectively collaborate, when possible, to ensure that concussed adolescents are allowed sufficient cognitive rest via the incorporation of academic adjustments during the recovery process.