title: Evidence-based thermoregulation for adult trauma patients.
abstract: The purpose of this project was to develop a staff nurse-led initiative to implement and evaluate evidence-based thermoregulation care for adult trauma patients. An evidence-based practice protocol was developed and implemented, addressing varying patient needs across the spectrum of hypothermia seen in practice, serving as a guide for improving thermoregulation care in trauma patients. There were 2 key pieces to the evidence-based practice protocol. The first piece consisted of an interdisciplinary thermoregulation flowchart to provide focused care based on patient temperatures. The flowchart outlined progressive interventions for increasing hypothermia. The second piece outlined the nursing assistant role, preparing the care area before patient arrival and assisting nursing staff during trauma care. Data from staff questionnaires and patient documentation were used in a pre- and postevaluation of the practice change. Improvements were demonstrated in staff feeling better prepared to identify patients with hypothermia, treat hypothermia, and document thermal care of trauma patients. Clinically important improvement in temperature control during emergency treatment in both moderate and severe hypothermic patients were observed. Ongoing monitoring is underway to promote integration of the practice change.
authors.affiliation: Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, Iowa City, IA, USA. jessicablock@uiowa.edu
authors.forename: Jessica
authors.initials: J
authors.lastname: Block
authors.forename: Michele
authors.initials: M
authors.lastname: Lilienthal
authors.forename: Laura
authors.initials: L
authors.lastname: Cullen
authors.forename: Abby
authors.initials: A
authors.lastname: White
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001833:Body Temperature Regulation; D002985:Clinical Protocols; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D055318:Evidence-Based Nursing / Q000458:organization & administration*; D006801:Humans; D007035:Hypothermia / Q000451:nursing* / Q000503:physiopathology; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000523:psychology; D057184:Practice Patterns, Nurses'; D014947:Wounds and Injuries / Q000150:complications* / Q000503:physiopathology