HIGHLIGHTS
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The current evidence on SMR is poorly understood.
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There was a lack of standardization in how the victims were treated.
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The transition of care proved necessary between services.
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The importance of updating technical and scientific knowledge is highlighted.
ABSTRACT
Objective:
To analyze nursing professionals’ knowledge about restricting spinal movement in trauma victims and describe their decision-making.
Method:
An exploratory, descriptive, qualitative-quantitative study. A semi-structured interview was conducted with 27 nursing professionals from hospital and pre-hospital emergency services in São Leopoldo, Brazil, in March 2022. The data was analyzed using descriptive statistics and content analysis.
Results:
48% of the professionals knew the current recommendations; most worked in pre-hospital care. Cervicalgia/lumbago was the predominant indication. In the category “decision making and the transition of care”, a lack of standardization in in-hospital conduct was identified, emphasizing the importance of sequence in care and trust between professionals.
Final considerations:
It was found that in-hospital teams had little knowledge of the current evidence, a lack of standardization in procedures, and difficulties in the transition of care between services.
DESCRIPTORS:
Nursing; Knowledge; Immobilization; Spinal manipulation; Hospital Emergency Service.