PTSD Screening in Hospitalized Trauma Patients with Mild Traumatic Brain Injury: Barrier Identification
PublisherThe University of Arizona.
RightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
AbstractBackground: Posttraumatic stress disorder (PTSD) has a significant impact on psychological and physical rehabilitation following a traumatic injury with mild traumatic brain injury (mTBI). PTSD presents a significant challenge that necessitates the screening process in the acute care hospital setting to better identify this at risk population. Purpose: Identify behavioral barriers amongst trauma service providers that impact the potential implementation of an evidence-based PTSD screening process for inpatients with mTBI at Desert Regional Medical Center located in Palm Springs, CA. Theoretical framework: Theoretical Domains Framework (TDF) and the Self-Determination Theory informed this project with the Ottawa Model of Research Use (ORMU) used as an intervention strategy recommendation. Methods: Descriptive study using a Likert-scale type questionnaire taken by providers caring for trauma patients with mild traumatic brain injury. Results: There were 6 participants that completed the 31-item questionnaire. Important barriers were identified in the following 5 domains of behavioral practice change: Knowledge, Skills, Optimism, Intentions, and Environmental context & resources. Conclusion: Behavioral practice change barriers of knowledge, skills, optimism, intentions, and environmental context & resources were identified in the potential adoption of a practice change behavior for the screening of PTSD in trauma patients with mTBI. Potential implementation of PTSD screening in the hospital setting has a unique set of potential barriers and facilitators to long-term adoption. Future targeted implementation strategies can be used to effectively address behavioral change barrier patterns in support of current practice guidelines and recommendations.
Degree ProgramGraduate College