Hospital-based Injury and Violence Prevention Programs

The Trauma Center Guide for all Healthcare Professionals
1. Auflage 2023
ISBN: 978-3-031-20356-5
Verlag: Springer International Publishing

Buch, Englisch, 139 Seiten, Paperback, Format (B × H): 155 mm x 235 mm, Gewicht: 270 g

This book offers the first comprehensive insight into hospital-based injury and violence prevention programs and describes a public health approach for the integration of population-based injury prevention into trauma centers.

This book meets the need for a public health informed approach, as a majority of hospital-based injury and violence prevention programs are positioned within hospital systems driven by patient-centered, acute care models. Significant variability in administration, staffing and reimbursement structures across trauma centers has historically hindered standardization of injury prevention program structure and the role of the injury prevention professional.

Topics in the book include the history and development of hospital-based programs, the need and process for developing data-driven and evidence-based injury prevention interventions, building trauma center capacity for outreach through partnerships, developing prevention efforts using trauma-informed care approach, community based research and program evaluation, and the role of advocacy in injury and violence prevention.

The multidisciplinary team of authors offers a collaborative approach to the implementation and development of Hospital-based Injury and Violence Prevention Programs which will serve acute care nurses, trauma program managers, hospital administrators, trauma surgeons, hospital-based injury prevention professionals, and local public health professionals.

Zielgruppe

Professional/practitioner

Autoren/Hrsg.

Tinkoff, Glen

Adams, Christy

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Krankenhausmanagement, Praxismanagement
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Präventivmedizin, Gesundheitsförderung, Medizinisches Screening
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Pflege Krankenpflege

Inhaltsverzeichnis

Preface: The Role of Injury Prevention in Comprehensive Trauma Care Systems

Glen Tinkoff; Brendan Campbell

· Synopsis: Describes the integration of an organized approach to injury prevention into comprehensive trauma care systems. Readers will be introduced to the burden of injury as a major public health problem. The Health Resources and Services Administration (HRSA) model trauma care system plan, introduced in the early 90s, will be described as a strategy for population-based management of the injured. The rationale for support of hospital-based injury prevention programs, the professionals who manage these programs, and this unique literary offering will be provided including introductions to the forthcoming chapters authored by accomplished and expert hospital-based injury prevention professionals.

Chapter 1: Introduction

Christy Adams; Glen Tinkoff

· Synopsis: This chapter provides an overview of the history and development of Hospital-based Injury and Violence Prevention (HIVP) programs within the context of U.S. health and trauma care systems. We discuss historical and ongoing challenges faced by HIVP programs and the trauma center staff tasked with injury prevention duties. This chapter will also describe the current state of HIVP programs across the U.S., including national practices on job roles and responsibilities. We offer a framework for HIVP program development informed by the national consensus-based Standards and Indicators for Model Level I and II Trauma Center Injury and Violence Prevention Programs and the Resources for Optimal Care of the Injured Patient (2022 Standards).

Chapter 2: Public Health Fundamentals for an Effective Approach to Injury Prevention

Shelli Stephens-Stidham; Beverly Miller

· Synopsis: This chapter will introduce readers to public health frameworks and concepts that inform effective injury and violence prevention interventions. While hospitals and trauma centers function under an acute care model (i.e., treat each individual patient’s injury or injuries one at a time), the greatest long-term successes to preventing injuries and violence have utilized a public health approach, which is designed to protect large groups of persons. This requires moving beyond considering individual treatment options to an “upstream approach” designed to prevent the incidents that cause the injuries. These may include socio-economic inequity, structural racism, and national, state, and local policies that have denied educational pursuits, economic opportunities, and access to services across the health care continuum. To address the multiple issues that contribute to injuries and violence, a collaborative, comprehensive, multi-layered approach is essential.

Chapter 3: The Importance of Cultural Humility in Hospital-based Injury and Violence Prevention Programs

Randi N. Smith; Christine Castater; Thea James

· Synopsis: Most matrices considering context of trauma fail to recognize the importance of social determinants of health (SDH). Many factors including structural racism, socioeconomics, gender, sexuality, and geography intermingle to exacerbate trauma disparities. When taking all of these into consideration, socioeconomics plays the greatest role. Adverse childhood experiences (ACEs) are potentially traumatic experiences that occur in childhood and play a role in widening socioeconomic disparities. Redlining was a discriminatory practice that created disparate socioeconomic communities and has perpetuated health inequalities that still exist today. Understanding the historic and cultural contexts of violence is essential for designing effective injury and violence prevention strategies. Racial and cultural concordance helps increase trust which is needed for program recruitment and enrollment. Listening and engaging with patients and families helps to understand what matters to them. If intentionality is applied, outcomes throughout all sectors can improve.

Chapter 4: Building Injury Prevention Capacity through Community Partnership

Dawn Porter; Beverly Miller; Christy Adams

· Synopsis: Genuine community engagement is critical to the success of hospital-based injury and violence prevention (HIVP) interventions. Affecting sustainable community level reductions in injuries requires implementation of injury prevention strategies “with” a community rather than merely “in” a community. These partnerships are often strategically identified through a combination of institution-specific factors like trauma registry data, participation in local or regional injury prevention community coalitions, a hospital’s Community Health Needs Assessment (CHNA) or population health priorities, existing partnerships developed through a hospital Community Relations department, and city or county-wide health and safety initiatives. The purpose of this chapter is to offer effective strategies for trauma centers and HIVP professionals to identify and prioritize communities or populations for injury prevention partnerships, develop sustainable and genuine partnership, and engage in the shared development, implementation, and evaluation of the injury prevention intervention.

Chapter 5: Developing a Data-Driven Approach for Injury and Violence Prevention


Sandra Strack Arabian; Glen Tinkoff

· Synopsis: Data is essential for injury epidemiology and is at the heart of all public health endeavors including injury and violence prevention. Epidemiology is used in public health to help determine the causes and outcomes, as well as the prevalence and incidence of cases of illness or injury in a population. This chapter will review the importance and application of data for hospital-based injury and violence prevention (HIVP) programs. Applying a public health framework and using a case study scenario throughout the chapter, we will discuss the following four sections on the use of data for HIVP programs: 1) Using data to make a difference; 2) the trauma registry; 3) data sources beyond the trauma registry; 4) data for program planning and implementation.

Chapter 6: Ensuring an Evidence Based Approach to Injury Prevention Interventions

Courtney Edwards; Purnima Unni

· Synopsis: The field of hospital-based injury and violence prevention (HIVP) is ever evolving and changing. Expectations for HIVP programs have shifted away from one-time outreach events like health and safety fairs to developing an organized approach to injury prevention using public health informed, multi-layered, evidence-based strategies. The purpose of this chapter is to describe the integral role the best available scientific evidence plays as a foundation for developing an organized approach to injury prevention and the ability to improve population health. Readers will be introduced to concepts related to the development of infrastructure supporting evidence-based practice, describing how to integrate methodical program evaluation, and the importance of contributing to ongoing scientific research in the field of hospital-based injury and violence prevention.

Chapter 7: Conducting Research in Community-based Injury Prevention

Pina Violano; Beverly Miller

· Synopsis: Research is essential for developing evidence-based injury prevention initiatives, but standard methodologies used in the hospital setting are not always applicable in the community settings. This chapter discusses the importance of rigorous data driven injury and violence prevention research and the challenges faced by hospital-based injury and violence prevention professionals in conducting community-based research. In addition, it describes community-based participatory research methods and introduces proven and innovative solutions to many of the barriers to conducting effective community-based injury prevention research.

Chapter 8: Business Planning to Sustain Injury Prevention Programming

Stewart Williams

· Synopsis: Hospital-based injury prevention (HIVP) programs are often expected to prove the success of their prevention initiatives. This practice typically drives program growth. Implementing these initiatives is challenging and resource intense. As a result, programs are unable to plan and conduct initiatives while simultaneously implementing evaluation to measure effectiveness. Without adequate evaluation, programs are unable to demonstrate the value of their work to stakeholders and are unable to demonstrate whether the interventions have an impact (Neilson, 2005). Unfortunately, studies indicate that the perception of program effectiveness or its reputation with the public and stakeholders often outweighs the importance of its effectiveness (Neilson, 2005). Therefore, in order to generate growth, many programs rely on initiatives that are more appealing to their audiences than they are effective in helping them. This chapter recognizes that two separate functions exist with injury prevention programs: 1) competitive business strategy and, 2) implementing effective public health interventions. The business strategies outlined here are key to growth and maturity whereas, public health strategies need focus on proven and effective interventions.

Chapter 9: Understanding the Role of Advocacy

Pina Violano; Susan Prentiss; Jennifer Rubin; Glen Tinkoff; Christy Adams

· Synopsis: Advocacy is one of the most effective upstream approaches to injury prevention because, when successful, it can influence changes in injury risk factors, individual behavior, social norms, and even social determinants of health across entire communities and populations. Trauma centers have the responsibility to engage and work with public and private decision makers at all levels to advocate for policies and practices that will reduce the burden of injury and violence. This chapter is intended to provide an overview of the various facets of advocacy from securing buy-in from hospital administration to leveraging support from a community for local change to advocating for or informing policy change.

·Chapter 10: Resources for Hospital-based Injury and Violence Prevention Professionals

Jennifer Rubin; Christy Adams

· Synopsis: This chapter offers a repository of resources for guiding an organized and effective approach for trauma center-based injury and violence prevention, including professional development of injury prevention personnel.

Über Autor(innen)

Christy Adams RN, MPH, PhD has served as Coordinator for the Injury and Violence Prevention Program at the University of California, Davis Medical Center since 2007. Dr. Adams is certified as a Child Passenger Safety Technician Instructor, Matter of Balance Master Trainer, and a Stepping On Master Trainer. Her prior clinical nursing career encompassed 17 years of clinical experience in trauma, critical care, emergency care, and air medical transport. In her role as Program Coordinator, Dr. Adams has developed public health informed injury prevention interventions and community partnerships focusing on senior fall prevention, traffic safety, youth violence intervention, and childhood safety. She is program administrator for the UC Davis Health Wraparound hospital-based violence intervention program. Her professional service includes contributions to local, state, and national injury prevention efforts. Dr. Adams facilitates the California Injury Prevention Coordinators Network for Injury Prevention Professionals working at trauma centers across the state. She is a member of the California Department of Public Health (CDPH) Preventive Health and Health Services Block Grant advisory committee and the CDPH Crash Medical Outcomes Data advisory committee. She is also a member of the Western Pacific Injury Prevention Network guidance council. Dr. Adams served as the chair for the American Trauma Society (ATS) Injury Prevention Council from 2018-2022 and is lead faculty for the ATS Injury Prevention Coordinators course.

Glen Tinkoff, MD, FACS, FCCM is currently the System Chief for Trauma and Acute Care Surgery at University Hospitals in Cleveland, Ohio, an regional health care system serving northeast Ohio. Dr. Tinkoff has an appointment as a professor of surgery at the Case Western Reserve University School of Medicine. Prior to coming to University Hospitals, Dr. Tinkoff served as trauma medical director of the Level 1 trauma center and vice chair of surgery at Christiana Hospital in Newark, DE. He also served as the medical advisor to the state trauma system for Delaware’s Division of Public Health for 16 years.

Dr. Tinkoff is currently the president-elect of the American Trauma Society. He has also served as chair of the injury prevention committees of both Eastern Association for the Surgery of Trauma and the American Association for the Surgery of Trauma, as well as the former chair of the Trauma Prevention Coalition, which represents the major professional trauma organizations through promoting collaborative efforts and developing effective strategies in injury and violence prevention. For these efforts, Dr. Tinkoff was awarded the 2014 National Safety Council’s Surgeon’s Award for Service to Safety. He has numerous peer reviewed publications and invited lectures on clinical issues in acute care surgery, trauma center and systems administration and management, and injury prevention and control.