Nurses as Agents of Safety: Identifying unique contributors to falls in hospitalized Adult Hematology Patients: A Retrospective Study

Falls continue to be a major safety concern in acute care settings and are the second cause of unintentional injury deaths globally [1].The World Health Organization defines a fall as an event that results in a person coming to a rest inadvertently on the ground or floor or other lower level. Prevention of a fall is a safety measure, which is significantly affected by nursing care according to the National Database of Nursing Quality Indicators (NDNQI) [2].This retrospective review of one hundred medical records was conducted to assess if there are unique contributors to falls in hospitalized adult hematology patients. The study sample was drawn from the parent study that examined the impact of video-based educational intervention on the occurrence of falls among hematology patients hospitalized for the management of cancer treatment and complications. Patients with cancer are at an increased risk of sustaining a fall related injury due to impaired functional status, low blood counts, treatment related fatigue, frailty, and poor nutritional status [3,4]. Simple logistic regression between continuous variables and dependent variable, and cross-tabulation between categorical variables and the dependent variable was used to analyze study results.The study revealed that there was a significant relationship between fall incident and fall risk assessment scores on admission; X2 (1) = 6.153, p = .013, Cramer’s V = .256.

Prospective longitudinal study investigating predictors of childhood injuries from Growing Up in New Zealand cohort: study protocol

BackgroundInjury is one of the leading causes of mortality and morbidity worldwide and yet preventable and predictable. In New Zealand (NZ), unintentional injury is the leading cause of emergency department visits, hospitalisations and death among children, making it a significant public health concern.ObjectiveTo identify the factors that place young children in NZ at an increased risk of unintentional injury.MethodsThis study will investigate injuries among children from the prospective Growing Up in NZ birth cohort of 6853 children and their families. The primary outcome of interest is injury events where medical treatment was sought. The data sources include parental reports of child injury and Accident Compensation Corporation—NZ’s no-fault injury compensation system—injury claims. The linked datasets will be utilised to examine the distribution of life course exposures and outcome data using descriptive statistics. A temporal multilevel model will then be developed to examine relationships between neighbourhood, child and family characteristics and injury from birth to 5 years of age for all children for whom parental consent to link data were obtained.DiscussionThe findings of this research will help to identify how the multiplicity of influences between children, family and their broader societal context acting across time affect their risk of experiencing a preschool injury. This information will provide an evidence base to inform context-relevant strategies to reduce and prevent childhood injuries.

Personality Dimensions of Serbian Lifeguards

According to the World Health Organization’s (WHO) global drowning report (2017), drowning is the third leading cause of unintentional injury death worldwide. Drowning can occur anywhere there is water: oceans, seas, lakes, pools, bathtubs, rivers or water collection on the side of the road, etc. In many countries, there are drowning prevention programs for children and adults. The two most commonly used strategiesagainst drowning are the presence of lifeguards in public places and the use of protected areas that could prevent most of the drownings. The main aim of the present study is to examine the individual differences in a Big Five plus Two (BF+2) personality traits in lifeguards and non-lifeguards (including students). The subsample of lifeguards represented 122 male respondents who were, at the time of the survey, licensed as lifeguards (60.9%) or were in training for lifeguards—candidates (39.1%). The subsample of students represented 138 male respondents who were studying at the University of Novi Sad. The results indicate that lifeguards in comparison to students are more extraverted, open to experience, and conscientious, less neurotic, and aggressive. Both positive and negative valence are higher in student subsample. All of the above traits are desirable traits for people working as lifeguards.

Estimating Contributions of Social and Behavioral Factors to Cardiovascular Disease, Cancer, COPD, and Unintentional-Injury Mortality Disparities by Psychological Distress in the United States: A Blinder-Oaxaca Decomposition Analysis of the 1997-2014 NHIS-NDI Record Linkage Study

Background: Previous research has shown a significant association between psychological distress (PD) and cause-specific mortality, but contributions of sociodemographic and behavioral characteristics to mortality differences by PD are not fully explored. Methods: The Blinder-Oaxaca decomposition analysis was used to quantify the contributions of individual sociodemographic and behavioral characteristics to the observed cardiovascular disease (CVD), cancer, chronic obstructive pulmonary disease (COPD), and unintentional-injury mortality disparities between United States (US) adults with no PD and those with serious psychological distress (SPD), using the pooled 1997-2014 data from the National Health Interview Survey prospectively linked to the National Death Index (N=263,825). Results: Lower levels of education and household income, and higher proportions of current smokers, former drinkers, non-married adults, US-born, and renters contributed to higher mortality for adults with SPD. The relative percentage of mortality explained by sociodemographic and behavioral factors was highest for cancer mortality (71.25%) and lowest for unintentional-injury mortality (20.19%). Enhancing education level among adults with SPD would decrease approximately 30% of cancer or CVD mortality disparity, and around 10% of COPD and unintentional-injury mortality disparities. Half of the cancer mortality disparity (47.4%) could be attributed to a single factor, smoking. Increasing income level will decrease 7 to 13% of the disparity in cause-specific mortality. Higher proportions of renters explained higher CVD and COPD mortality among adults with SPD by 7% and 3%, respectively. Higher proportions of former drinkers explained higher CVD, cancer, and COPD mortality among adults with SPD by 6%, 7%, and 3%, respectively. Younger age, higher proportion of females, and higher BMI among adults with SPD mitigated the mortality disparities. Conclusions and Implications for Translational Research: Improved education and income levels, and reduced smoking among US adults with SPD would eliminate around 90% of the cancer mortality disparity by SPD, and half of the CVD mortality disparity. Copyright © 2021 Lee and Singh. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

Is Age Just a Number? Influence of Caregiver Age on Injuries of Children Raised by Grandparents

Unintentional injuries are the most common cause of death for children in the United States. One factor linked to their occurrence is parenting style (i.e., a collection of factors such as physical health, mental health, and possible cohort differences in parenting role expectations). Differences in parenting behaviors may be evident in grandparents caring for their grandchildren, due to cohort differences and age-related declines in cognitive and physiological processes. This may impact their abilities to monitor, supervise, and respond to children. Further, Hayslip & Kaminski report custodial grandparents are less likely than parents to understand and respond to the psychological and emotional needs of children but are more likely to enforce discipline. This study sought to explore the ways in which parenting styles are associated with unintentional injury behaviors in children (via caregiver age) for grandchildren raised by grandparents. Participants were grandparents raising their grandchildren, recruited via Qualtrics Panel Service (N = 323). Conditional process analyses were conducted using Model 1 of SPSS PROCESSv3.5. Age moderated the relation between consistency of discipline and child unintentional injury (F (1, 231) = 12.67, p <.001) as well as level of supervision and child unintentional injury (F (1,146) = 6.23, p = .01). Age did not moderate the relation between positive parenting and unintentional injuries. These results imply that children being raised by older grandparents were especially at risk for increased injuries when their grandparents used less consistent discipline or lower rates of supervision. Pathways are suggested for age-specific psychoeducation interventions for custodial grandparents.

Motor vehicle crashes on tribal reservations: mapping and statistics

Background Motor vehicle crashes (MVC’s) in the American Indian/Alaska Native (AI/AN) communities account for 43% of unintentional injury deaths. This article introduces MVC data and geographic information system (GIS) mapping for tribal reservations. Methods Utilizing a sample of Montana Department of Transportation (DOT) data for the Flathead reservations to calculate frequencies and proportions of crash types (i.e., property damage or no-injury, injury, fatality or unknown), while also mapping these data to provide a cross-sectional snapshot of MVC’s. Results Overall, 515 MVC’s occurred for years 2016 through 2018, with no-injury, injury, and fatality accounting for 72.2%, 24.9% and 1.8% of all crashes, respectively, with the number of MVC’s ranging up to 30 per square mile. Conclusion Examining DOT data and utilizing it for visual representation of MVC’s can be used as an additional source in uncovering patterns and trends on Tribal reservations and supporting MVC prevention efforts.

Parents’ attitudes as mediators between knowledge and behaviours in unintentional injuries at home of children aged 0–3 in Shanghai, Eastern China: a cross-sectional study

ObjectiveParental behaviours are important in preventing unintentional injury at home among young children. Previous research showed an inconsistent relationship between knowledge and behaviours, indicating that the mechanisms may vary for different behaviours. This study aimed to examine the mediating roles of different attitudes in the mechanism of knowledge acting on different behaviours.DesignCross-sectional study.SettingEastern China.ParticipantsParticipants were recruited using stratified community-based sampling. A total of 488 parents of children aged 0–3 years participated in the study and 476 (97.5%) valid questionnaires were recovered.Primary outcome measuresParents’ knowledge, attitudes (including injury attribution, preventability and responsibility) and behaviours (including supervision behaviours, risky behaviours and providing a safe home environment).ResultsThe results of mediation analysis showed that the mediator variables were different for different behaviours and that all associations were positive. Parents’ knowledge (β 0.19, 95% CI 0.13 to 0.24) and attitude of injury attribution (β 0.37, 95% CI 0.21 to 0.46) were directly associated with risky behaviours. Attitude of preventability was directly associated with parents’ supervision behaviour (β 0.27, 95% CI 0.14 to 0.40). Parents’ attitude of preventability mediated the positive association between knowledge, attitudes of injury attribution and responsibility, and supervision behaviours, as well as providing a safe home environment. In addition, the occurrence of child injuries at home was directly associated with home environment (β −0.41, 95% CI −0.82 to −0.01).ConclusionsThe current findings confirm that attitudes play varying mediating roles between knowledge and different behaviours. An important recommendation is that parents’ attitudes, especially towards preventability and responsibility, need to be considered when health providers develop health education programmes targeted at improving parental supervision behaviours and providing a safe home environment.

Assessing the effectiveness of an app-based child unintentional injury prevention intervention for caregivers of rural Chinese preschoolers: protocol for a cluster randomized controlled trial

Background Compared to urban children, children living in rural areas of most countries, including China, are at higher risk of suffering unintentional injuries. Most proven injury prevention interventions, however, are rarely implemented in rural China due to lack of resources. Mobile health interventions are low-cost and easy-to-implement, facilitating implementing injury prevention in resource-limited areas (e.g., rural areas). This study is designed and implemented to examine the effectiveness of an app-based intervention for unintentional injury prevention among rural preschoolers in China. Methods A single-blind, 18-month, parallel-group cluster randomized controlled trial with 1:1 allocation ratio will be implemented in 2 rural areas of China (Yang County, Shaanxi Province, and Shicheng County, Jiangxi Province). In total, at least 3508 rural caregivers of preschoolers aged 3–6 years old who own a smartphone will be recruited from 24 preschools. Clusters will be randomized at the preschool level and allocated to the control group (receiving routine school-based education plus app-based parenting education excluding unintentional injury prevention) or the intervention group (receiving routine school-based education plus app-based parenting education including unintentional injury prevention). External support strategies will be adopted by local partners to minimize user fatigue, non-compliance, and attrition. Data collection will be conducted at baseline and then every 3 months during the 18-month follow-up time period. Intention-to-treat data analysis will be implemented. Missing values will be imputed by using the Expectation Maximization algorithm. Generalized estimating equation will test the overall effectiveness of the app-based intervention. A per-protocol sensitivity analysis will be conducted to test the robustness of results. Subgroup analyses will follow the strategies for primary analyses. The primary outcome measure is the incidence rate of unintentional injury among preschoolers during the study period. Secondary outcome measures comprise longitudinal changes in caregiver’s attitudes, caregiver-reported supervision behaviors, and caregiver-assessed home environment safety surrounding child unintentional injury prevention in the last week using a standardized audit instrument. Discussion The app-based intervention is expected to be feasible and effective over the 18-month intervention period. If the app is demonstrated effective as hypothesized, we will initiate processes to generalize and popularize it broadly to rural child caregivers across China. Trial registration ChiCTR2000037606, registered on August 29, 2020.

HUBUNGAN PENGETAHUAN IBU YANG MEMILIKI ANAK PRASEKOLAH DENGAN TINDAKAN PERTOLONGAN PERTAMA PADA CEDERA

Pertolongan pertama merupakan perawatan yang diberikan secara langsung kepada orang terluka atau penyakit yang tiba-tiba. Cedera pada anak dapat berupa cedera yang tidak disengaja (unintentional injury)dan cedera yang disengaja (intentional injury). Pengetahuan ibu tentang cedera dan tindakan pertolongan pertama pada anak adalah salah satu faktor yang mempengaruhi. Tujuan penelitian adalah untuk mengetahui hubungan pengetahuan ibu yang memiliki anak usia prasekolah dengan tindakan pertolongan pertama pada cedera Desain penelitian bersifat analitik dengan pendekatan cross sectional dengan sampel 52 responden menggunakan teknik total sampling. penelitian dilaksanakan tanggal 11 s/d 15 September 2021. Analisa dilakukan dengan proses komputerisasi melalui uji chi square. Hasil uji statistik menunjukkan p_value=0,000<0,05, Hal ini membuktikan bahwa ada hubungan pengetahuan ibu dengan tindakan pertolongan pertama pada cedera di Gampong Keude Lapang Kecamatan Gandapura Kabupaten Bireuen. Kesimpulan dari penelitian ini ada Hubungan Pengetahuan Ibu Yang Memiliki Anak Prasekolah Dengan Tindakan Pertolongan Pertama di Gampong Keude Lapang Kecamatan Gandapura Kabupaten Bireuen. Saran dari penelitian ini adalah Bagi ibu yang memiliki anak prasekolah dengan pengetahuan cukup dan kurang agar meningkatkan pengetahuan dengan mengikuti penyuluhan dan aktif bertukar informasi dengan orang terdekat.