Perceived trauma nursing core competency, interprofessional collaborative competency, and associated barriers among regional trauma center nurses

Nursing Interventions in Approaching Trauma Victims: Scoping Review

Background: Trauma is a leading cause of morbidity and mortality worldwide, often resulting in devastating physical, psychological, and social consequences. Nurses play an essential role in stabilizing patients, managing acute care, and ensuring continuity of treatment. Given the complexity of trauma care, continuous specialized training in nursing is crucial to enhance the quality of interventions and improve patient outcomes. Objective: We aimed to map and analyze nursing interventions in approaching trauma victims. Methods: This scoping review followed the methodology proposed by the Joanna Briggs Institute. The literature search was conducted in databases available on the EBSCOhost platform and in PubMed. The research question guiding this review was as follows: what nursing interventions are used to approach trauma victims? Results: Thus, 1454 articles were identified (348 from ESBOhost and 1106 from PubMed), with 13 meeting the inclusion criteria. The findings were categorized into six key areas: (1) Triage, (2) Initial Approach, (3) Secondary Approach, (4) Professional Training, (5) Interdisciplinary Collaboration, and (6) Care Maintenance. Conclusions: Trauma victims require immediate and complex care. Nurses are pivotal throughout all clinical phases, delivering physical and psychological support, collaborating with multidisciplinary teams, and advancing professional training and community education.

Individual-level positive psychological capital that enhances managers' transformational leadership effectiveness on nurse career success

AIMS

This study investigated the impact of nurse managers' transformational leadership on the subjective career success of staff nurses, particularly through exploring potential variations in this relationship based on nurses' positive psychological capital.

BACKGROUND

Amid a challenging nursing environment, nurses' perceptions of career success affect their individual psychological satisfaction and improve work performance. Human resource strategies often include factors for workers' subjective career success, e.g., managers' transformational leadership and individual-level positive psychological capital.

METHODS

This cross-sectional study collected survey data in 2021 from 348 staff nurses in 40 wards of a Korean tertiary hospital. The survey instruments included the Transformational Leadership tool, the Subjective Career Success Inventory, and the Psychological Capital Questionnaire. Multilevel hierarchical regression analysis and a simple slope test were used to examine moderating effects. The STROBE checklist was used for reporting.

RESULTS

Nurses reported significantly higher subjective career success when they worked in units where unit managers' transformational leadership was greater. This relationship strengthened when nurses had high positive psychological capital.

DISCUSSION

To enhance staff nurses' perceptions of career success, both managers' transformational leadership and individual nurses' positivity should be emphasized in nursing practice and education.

IMPLICATIONS FOR NURSING AND NURSING POLICY

Comprehensive efforts to highlight managers' transformational leadership and staff nurses' positive psychological capital can enhance subjective career success, which in turn improve nurses' job performance and intention to stay. Nursing policymakers should value transformational leadership among managers so nurses can achieve their subjective goals. An organization-wide institutional system should be developed so nurses can receive support to strengthen their positivity. Future research should include interventions to foster managers' leadership and nurses' positive capital.