Castner Jessica, Zazzera Erin A, Burchill Christian N
Author Affiliations: Castner Incorporated, Grand Island, NY (Dr Castner); Health Policy, Management, and Behavior, School of Public Health, University at Albany, Albany, New York (Dr Castner); Stony Brook University School of Nursing, Stony Brook, NY (Ms Zazzera); and Nursing Research and Evidence-Based Practice, Penn Medicine Lancaster General Health, Lancaster, PA (Dr Burchill).
J Trauma Nurs. 2024;31(6):290-300. doi: 10.1097/JTN.0000000000000817. Epub 2024 Nov 7.
Trauma population health indicators are worsening in the United States. Nurses working in trauma care settings require specialized training for patient care. Little is known about national enumeration of nurses who hold skill-based trauma certificates.
The purpose of this project was to estimate (1) skill-based certificate status among U.S. nurses who primarily work with emergency or trauma patients, (2) demographic and work characteristic differences between those who report skill-based trauma certificates and those who do not, and (3) continuing education learning needs among nurses who hold skill-based trauma certificates.
This was an applied epidemiologic analysis of the 2022 National Sample Survey of Registered Nurses.
The weighted analysis of 239,893 emergency nurses indicated 57% held skill-based trauma certificates with disparities by rural practice, racial identity, age, and marital status. Among those who held skill-based trauma certificates, the greatest need for continuing education was on topics of mental health, quality improvement, and substance use disorders. Approximately 87% of emergency nurses with trauma skill-based certificates only spoke English fluently.
Population health management interventions are needed to enhance workforce equity and continuing education opportunities for trauma nurses. Professional nursing organizations, emergency nursing employers, and academic settings should offer continuing education in mental health and quality improvement. These findings also support the need for ongoing activities to enhance language accessibility for non-English speaking patients in the trauma care system.
在美国，创伤人群健康指标正在恶化。在创伤护理环境中工作的护士需要接受专门的患者护理培训。对于持有基于技能的创伤护理证书的护士的全国性统计情况知之甚少。
本项目的目的是估计：（1）主要为急诊或创伤患者提供护理的美国护士的基于技能的证书持有情况；（2）报告持有基于技能的创伤护理证书的护士与未持有此类证书的护士在人口统计学和工作特征方面的差异；（3）持有基于技能的创伤护理证书的护士的继续教育学习需求。
这是对2022年注册护士全国抽样调查进行的一项应用流行病学分析。
对239,893名急诊护士的加权分析表明，57%的护士持有基于技能的创伤护理证书，在农村执业、种族身份、年龄和婚姻状况方面存在差异。在持有基于技能的创伤护理证书的护士中，对继续教育需求最大的是心理健康、质量改进和物质使用障碍等主题。约87%持有基于创伤技能证书的急诊护士仅能流利说英语。
需要采取人群健康管理干预措施，以提高创伤护士的劳动力公平性和继续教育机会。专业护理组织、急诊护理雇主和学术机构应提供心理健康和质量改进方面的继续教育。这些发现还支持需要开展持续活动，以提高创伤护理系统中为非英语患者提供语言服务的可及性。
