Background: 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.
|Commitee:||Carlisle, Heather, McRee, Laura|
|School:||The University of Arizona|
|School Location:||United States -- Arizona|
|Source:||DAI-B 79/12(E), Dissertation Abstracts International|
|Keywords:||California, PTSD, Palm Springs|
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