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Development and Implementation of a Pediatric Trauma Survivors Network Program

Scannell, Brian P., MD; Wally, Meghan K., MSPH; Flores, Eileen, LCSW; Levy, Jessica, MSW, MPA; Waddell, Megan, BSN, RN, CPEN; Seymour, Rachel B., PhD the Atrium Trauma Research Group

doi: 10.1097/JTN.0000000000000424
PEDIATRICS
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The Trauma Survivors Network (TSN) was developed as a program of the American Trauma Society (ATS) to support recovery for adult trauma patients. However, the children of adult trauma patients, families of pediatric trauma patients, and pediatric trauma patients previously had scarce resources. Our institution, in collaboration with the ATS, sought to expand the TSN to support pediatric trauma patients, caregivers, and family members. We aimed to determine whether the TSN could be transferred to the pediatric population. Focus groups identified psychosocial needs of younger survivors, children of adult survivors, and caregivers. A Pediatric TSN Coordinator was hired, Pediatric TSN Peer Visitors were recruited and trained, and Pediatric TSN Activity Hour was implemented for pediatric patients and families. Since implementation 1 year ago, 26 peer visitors have been trained and have conducted approximately 200 visitations. In total, 93 patients and family members have attended Pediatric TSN Activity Hour. TSN services can be adapted to address psychosocial needs of pediatric trauma survivors, families, and children of trauma survivors. When possible, sharing resources between an existing adult TSN program and a pediatric program is valuable to facilitate expansion. TSN complements and strengthens the care offered at our institution by providing patient-centered and family-centered care services for the entire family at various stages of development. The implementation of this program might be different at sites without an existing adult TSN with established resources and support. This article describes the development and implementation of the program; we did not assess outcomes.

Atrium Health, Charlotte, North Carolina (Drs Scannell and Seymour and Mss Wally, Flores, Levy, and Waddell); and Trauma Survivors Network, American Trauma Society, Falls Church, Virginia (Ms Flores).

Correspondence: Brian P. Scannell, MD, Atrium Health, 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204 (Brian.Scannell@atriumhealth.org).

Atrium Trauma Research Group: Michael J. Bosse, MD, Atrium Health, Charlotte, North Carolina; Ashley Christmas, MD, Atrium Health, Charlotte, North Carolina; Katherine Frey, PhD, Major Extremity Trauma Research Consortium (METRC), Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Steven Haemmerle, MBA, Atrium Health, Charlotte, North Carolina; Edward Hardison, BS, Atrium Health, Charlotte, North Carolina; Leah Hindel, BA, Atrium Health, Charlotte, North Carolina; David Jacobs, MD, Atrium Health, Charlotte, North Carolina; Anna Newcomb, PhD, MSW, Inova Trauma Center, Falls Church, Virginia; Nora Raynor, MSN, RN, CNS, CPN, Atrium Health, Charlotte, North Carolina; Anthony Stallion, MD, Atrium Health, Charlotte, North Carolina; Michael Thomason, MD, Atrium Health, Charlotte, North Carolina.

Michael J. Bosse and Katherine Frey report grant funding from the Department of Defense. Rachel B. Seymour and Meghan K. Wally report grant funding from the Centers for Disease Control and Prevention. Rachel B. Seymour reports grant funding from the Department of Defense, Patient Centered Outcomes Research Institute, AO Foundation, and the Orthopaedic Trauma Association. David Jacobs reports royalties from Up-to-Date. The other authors declare no conflicts of interest.

Author Contributions: The development and implementation of the Pediatric TSN has been a large effort, with many investigators participating in substantive ways. As with many large consortia that are beginning to become more popular, the work would not be possible without the significant participation of many authors. The named authors (Scannell, Wally, Flores, Levy, Waddell, Seymour) formed the writing group, charged with writing the first draft of the manuscript. The other authors are part of the “corporate” author list. These authors meet all of the specified criteria as outlined on the list later. We modeled our approach to be in alignment with the Major Extremity Trauma and Rehabilitation Consortium (www.metrc.org) and the examples of FLOW, SPRINT, FAITH, and other large consortia within orthopedic and general surgery.

Brian P. Scannell, MD: (a) conceiving and designing the work, analyzing and interpreting data; (b) writing the manuscript; (c) approving the final version.

Meghan K. Wally, MSPH; Eileen Flores, LCSW; Jessica Levy, MSW, MPA; Megan Waddell, BSN, RN, CPEN; Rachel B. Seymour, PhD: (a) conceiving and designing the work, analyzing and interpreting data, collecting data or other material; (b) writing the manuscript; (c) approving the final version.

Atrium Trauma Research Group:

Michael J. Bosse, MD; Ashley Christmas, MD; Steven Haemmerle, MBA; David Jacobs, MD; Nora Raynor, MSN, RN, CNS, CPN; Anthony Stallion, MD; Michael Thomason, MD: (a) conceiving and designing the work; (b) revising the manuscript to make important changes in content; (c) approving the final version.

Katherine Frey, PhD; Anna Newcomb, PhD, MSW: (a) conceiving and designing the work, analyzing and interpreting data, collecting data or other materials; (b) revising the manuscript to make important changes in content; (c) approving the final version.

Edward Hardison, BS; Leah Hindel, BA: (a) analyzing and interpreting the data, collecting data or other materials; (b) revising the manuscript to make important changes in content; (c) approving the final version.

Copyright © 2019 by the Society of Trauma Nurses.