title: Nursing research on a first aid model of double personnel for major burn patients.
abstract: This study explored the effect of a first aid model employing two nurses on the efficient rescue operation time and the efficient resuscitation time for major burn patients. A two-nurse model of first aid was designed for major burn patients. The model includes a division of labor between the first aid nurses and the re-organization of emergency carts. The clinical effectiveness of the process was examined in a retrospective chart review of 156 cases of major burn patients, experiencing shock and low blood volume, who were admitted to the intensive care unit of the department of burn surgery between November 2009 and June 2013. Of the 156 major burn cases, 87 patients who received first aid using the double personnel model were assigned to the test group and the 69 patients who received first aid using the standard first aid model were assigned to the control group. The efficient rescue operation time and the efficient resuscitation time for the patients were compared between the two groups. Student's t tests were used to the compare the mean difference between the groups. Statistically significant differences between the two groups were found on both measures (P's < 0.05), with the test group having lower times than the control group. The efficient rescue operation time was 14.90 ± 3.31 min in the test group and 30.42 ± 5.65 min in the control group. The efficient resuscitation time was 7.4 ± 3.2 h in the test group and 9.5 ± 2.7 h in the control group. A two-nurse first aid model based on scientifically validated procedures and a reasonable division of labor can shorten the efficient rescue operation time and the efficient resuscitation time for major burn patients. Given these findings, the model appears to be worthy of clinical application.
authors.affiliation: Department of Burn Surgery, First Hospital of Jilin University, Changchun City, 130031, Jilin Province, China.
authors.forename: Weiwei
authors.initials: W
authors.lastname: Wu
authors.forename: Kai
authors.initials: K
authors.lastname: Shi
authors.forename: Zhenghua
authors.initials: Z
authors.lastname: Jin
authors.forename: Shuang
authors.initials: S
authors.lastname: Liu
authors.forename: Duo
authors.initials: D
authors.lastname: Cai
authors.forename: Jingchun
authors.initials: J
authors.lastname: Zhao
authors.forename: Cheng
authors.initials: C
authors.lastname: Chi
authors.forename: Jiaao
authors.initials: J
authors.lastname: Yu
mesh_terms: D000328:Adult; D002056:Burns / Q000451:nursing* / Q000628:therapy*; D005260:Female; D005392:First Aid / Q000379:methods*; D006282:Health Personnel; D006801:Humans; D008297:Male; D015399:Nursing Research; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies