- Email: [email protected]
23. Cultural Diversity and Child Passenger Safety
CLINICAL AND INJURY PREVENTION ABSTRACTS
Recommendations: Alcohol awareness is relevant to all injury prevention providers. Early and continuous advertising is important to high program attendance; however, a captive audience aids in assuring that the audience views the crash simulation from beginning to end, thus gaining the full effect. Because the simulation is very graphic, parental consent should be obtained before allowing minors to attend.
Recommendations: Trauma remains the number one cause of death and disability, crossing all barriers and ethnicity. Understanding that death and injury are preventable and can be reduced by education that is language and cultural specific, consideration is needed when designing and teaching injury prevention education. This type of program could be adapted for any area of injury prevention.
doi: 10.1016/j.jen.2004.07.061
doi: 10.1016/j.jen.2004.07.062
23. Cultural Diversity and Child Passenger Safety. Tiffiny Strever, RN, BSN, CEN, Truman Medical Center, 2301 Holmes, Kansas City, MO 64108 Injury Prevention Topic: Death due to a motor vehicle crash (MVC) is the number one cause of death in Hispanic and African-American populations to ages 34 and 14, respectively. A 300-bed level I trauma center in Kansas City is the safety net hospital for the urban core and is committed to decreasing injury and death. Kansas City is a noted refugee relocation city and home to persons from many cultures. This medical center instituted an educational program to increase knowledge of child passenger and home safety in several culturally diverse populations of pregnant women. Implementation: During Child Passenger Safety Week (February 2004), a baby shower was held to educate parents on child passenger safety (CPS) and home safety. This concept was chosen to encourage participation from pregnant women. The participants included 74 pregnant patients at the medical center’s obstetrical/gynecological clinic. Six languagespecific programs were held in English (39 attendees), Spanish (14), Somali (6), French (3), Arabic (11), and Chinese (1). Interpreters were present to provide oral translation. The participants completed a pretest, presented in their native language, to assess baseline knowledge of CPS and home safety. A 20-item, true/false test was designed and administered as written (English, Spanish, and French) or orally (Somali, Arabic, and Chinese) using translators. Next, the injury prevention coordinator gave a child passenger safety PowerPoint educational presentation followed by a demonstration of placing an infant in a car seat. Participants repeated the test (same questions, different order) to assess knowledge gained and then completed a return demonstration of placing an infant in a car seat. All participants received an infant car seat and home safety products at the program’s completion. Outcomes: During the past 3 years, this program reached more than 160 women. Evaluation of the pretest and posttest data to assess knowledge improvement is in progress. In evaluating the program, a few cultural issues were identified that might affect the success of the program. These issues included literacy, family presence (husbands of Arabic-speaking women wanted to take the test for their wives), and (possibly) concept of time. Many participants did not view ‘‘being on time’’ as important, so flexibility in scheduling was critical. Long-term program goals include repeating the posttest at 6 months to assess retained knowledge and expanding the child passenger safety program for pregnant women from additional cultures and backgrounds.
24. Development of Older Adult Falls Prevention Educational Materials. Carole Rush, RN, MEd, CEN, Calgary Health Region, 179 Bayview Dr SW, Calgary, Alberta, Canada T2V OL4 Injury Prevention Topic: The Calgary Health Region (Alberta, Canada) identified a need to reduce the incidence of senior’s falls by 20% by 2006. One of the initial strategies identified was community education through the creation of a brochure and community display. This task was delegated to the Calgary Injury Prevention Coalition’s Older Adult Falls Prevention Committee. Review of the literature and local data indicated that 1 in 3 people aged 65 years and older have at least one fall per year and that two thirds of these individuals will fall again within 6 months. Additionally, nearly 1 in 4 people aged 65 years and older seen in Calgary emergency departments after a fall are diagnosed with a hip fracture. The greatest negative impact is that most people with a hip fracture do not regain their former activity level. Astonishingly, 40% of nursing home admissions are a result of falls. Implementation: The first steps included a review of the literature of preventing falls in the elderly, community education, and brochure development. Once the basic content of the brochure was ready, a local communications company was then contracted to handle design and graphics. Focused evaluation, using 2 different drafts of the brochure, was conducted with a total of 20 local seniors. Information from these focus groups was used in the final brochure. Funding to print the brochure was received from the Calgary Health Region and from a grant. The brochure was launched in November 2002 at a Calgary Trauma Symposium, along with a presentation on older adult falls to trauma care personnel. The Committee developed one display to complement the brochure content. Ongoing dissemination of the brochure has been a challenge with limited financial and human resources. Outcomes: The brochure has been disseminated to local seniors’ organizations (15) through committee members and at seniors’ health/resource fairs (10). The executive level of the Calgary Health Region has approved the use of the brochure in its acute, community, and long-term care facilities. There is an increase in interest in the issue of falls prevention within the Calgary Health Region since the administration initially identified the need to reduce the incidence of senior’s falls. A task force to address the reduction of seniors’ falls has been established. Recommendations: Focused testing of educational materials with the target audience is highly recommended to help ensure the messages are appropriate and understood. Use of local photographs in a brochure increases its acceptance by the
February 2005
31:1
JOURNAL OF EMERGENCY NURSING
19
Recommendations: Alcohol awareness is relevant to all injury prevention providers. Early and continuous advertising is important to high program attendance; however, a captive audience aids in assuring that the audience views the crash simulation from beginning to end, thus gaining the full effect. Because the simulation is very graphic, parental consent should be obtained before allowing minors to attend.
Recommendations: Trauma remains the number one cause of death and disability, crossing all barriers and ethnicity. Understanding that death and injury are preventable and can be reduced by education that is language and cultural specific, consideration is needed when designing and teaching injury prevention education. This type of program could be adapted for any area of injury prevention.
doi: 10.1016/j.jen.2004.07.061
doi: 10.1016/j.jen.2004.07.062
23. Cultural Diversity and Child Passenger Safety. Tiffiny Strever, RN, BSN, CEN, Truman Medical Center, 2301 Holmes, Kansas City, MO 64108 Injury Prevention Topic: Death due to a motor vehicle crash (MVC) is the number one cause of death in Hispanic and African-American populations to ages 34 and 14, respectively. A 300-bed level I trauma center in Kansas City is the safety net hospital for the urban core and is committed to decreasing injury and death. Kansas City is a noted refugee relocation city and home to persons from many cultures. This medical center instituted an educational program to increase knowledge of child passenger and home safety in several culturally diverse populations of pregnant women. Implementation: During Child Passenger Safety Week (February 2004), a baby shower was held to educate parents on child passenger safety (CPS) and home safety. This concept was chosen to encourage participation from pregnant women. The participants included 74 pregnant patients at the medical center’s obstetrical/gynecological clinic. Six languagespecific programs were held in English (39 attendees), Spanish (14), Somali (6), French (3), Arabic (11), and Chinese (1). Interpreters were present to provide oral translation. The participants completed a pretest, presented in their native language, to assess baseline knowledge of CPS and home safety. A 20-item, true/false test was designed and administered as written (English, Spanish, and French) or orally (Somali, Arabic, and Chinese) using translators. Next, the injury prevention coordinator gave a child passenger safety PowerPoint educational presentation followed by a demonstration of placing an infant in a car seat. Participants repeated the test (same questions, different order) to assess knowledge gained and then completed a return demonstration of placing an infant in a car seat. All participants received an infant car seat and home safety products at the program’s completion. Outcomes: During the past 3 years, this program reached more than 160 women. Evaluation of the pretest and posttest data to assess knowledge improvement is in progress. In evaluating the program, a few cultural issues were identified that might affect the success of the program. These issues included literacy, family presence (husbands of Arabic-speaking women wanted to take the test for their wives), and (possibly) concept of time. Many participants did not view ‘‘being on time’’ as important, so flexibility in scheduling was critical. Long-term program goals include repeating the posttest at 6 months to assess retained knowledge and expanding the child passenger safety program for pregnant women from additional cultures and backgrounds.
24. Development of Older Adult Falls Prevention Educational Materials. Carole Rush, RN, MEd, CEN, Calgary Health Region, 179 Bayview Dr SW, Calgary, Alberta, Canada T2V OL4 Injury Prevention Topic: The Calgary Health Region (Alberta, Canada) identified a need to reduce the incidence of senior’s falls by 20% by 2006. One of the initial strategies identified was community education through the creation of a brochure and community display. This task was delegated to the Calgary Injury Prevention Coalition’s Older Adult Falls Prevention Committee. Review of the literature and local data indicated that 1 in 3 people aged 65 years and older have at least one fall per year and that two thirds of these individuals will fall again within 6 months. Additionally, nearly 1 in 4 people aged 65 years and older seen in Calgary emergency departments after a fall are diagnosed with a hip fracture. The greatest negative impact is that most people with a hip fracture do not regain their former activity level. Astonishingly, 40% of nursing home admissions are a result of falls. Implementation: The first steps included a review of the literature of preventing falls in the elderly, community education, and brochure development. Once the basic content of the brochure was ready, a local communications company was then contracted to handle design and graphics. Focused evaluation, using 2 different drafts of the brochure, was conducted with a total of 20 local seniors. Information from these focus groups was used in the final brochure. Funding to print the brochure was received from the Calgary Health Region and from a grant. The brochure was launched in November 2002 at a Calgary Trauma Symposium, along with a presentation on older adult falls to trauma care personnel. The Committee developed one display to complement the brochure content. Ongoing dissemination of the brochure has been a challenge with limited financial and human resources. Outcomes: The brochure has been disseminated to local seniors’ organizations (15) through committee members and at seniors’ health/resource fairs (10). The executive level of the Calgary Health Region has approved the use of the brochure in its acute, community, and long-term care facilities. There is an increase in interest in the issue of falls prevention within the Calgary Health Region since the administration initially identified the need to reduce the incidence of senior’s falls. A task force to address the reduction of seniors’ falls has been established. Recommendations: Focused testing of educational materials with the target audience is highly recommended to help ensure the messages are appropriate and understood. Use of local photographs in a brochure increases its acceptance by the
February 2005
31:1
JOURNAL OF EMERGENCY NURSING
19