Howland Jonathan, Hackman Holly, Taylor Alyssa, Brown Linda, Gapinski Mary Ann, Mills Julie Kautz, Thornton Kathleen
1 Department of Emergency Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
2 Boston Medical Center Injury Prevention Center, Boston, MA, USA.
J Sch Nurs. 2018 Oct;34(5):344-349. doi: 10.1177/1059840517702697. Epub 2017 Apr 5.
In 2015, the Massachusetts Department of Public Health conducted focus groups with school nurses (SNs) and athletic trainers (ATs) from Massachusetts middle and high schools to assess implementation of legislated regulations relative to the management of students' head injuries incurred during extracurricular sports. Four tape-recorded focus groups were conducted by experienced facilitators. Lists of themes were synthesized by investigators for each focus group. Participating SNs and ATs supported the sports concussion legislation, felt that implementation had gone well, indicated that the law empowered them in managing return-to-school/play for students with concussion, and experienced support from their school administrators. Some SNs reported that they had applied relevant procedures to all students with head injuries, regardless of how or where the injury occurred. Challenges identified included protocols for away games, inconsistent concussion care by physicians, and a need for teacher education. Further research is required to quantify these findings.
2015年，马萨诸塞州公共卫生部与该州初中和高中的学校护士（SNs）及运动训练师（ATs）进行了焦点小组访谈，以评估有关管理学生在课外体育活动中头部受伤的法律法规的实施情况。经验丰富的主持人主持了4次录音焦点小组访谈。研究人员为每个焦点小组综合整理了主题清单。参与访谈的学校护士和运动训练师支持运动脑震荡立法，认为实施情况良好，指出该法律赋予了他们管理脑震荡学生返校/恢复运动的权力，并且得到了学校管理人员的支持。一些学校护士报告称，他们已将相关程序应用于所有头部受伤的学生，无论受伤方式或地点如何。发现的挑战包括客场比赛的协议、医生对脑震荡的护理不一致以及教师教育的必要性。需要进一步研究以量化这些结果。
