Recording sentinel events in the life course of individuals with acquired brain injury: a preliminary study

Nalder, Emily, Fleming, Jennifer, Cornwell, Petrea, Foster, Michele, Ownsworth, Tamara, Shields, Cassandra and Haines, Terry (2012) Recording sentinel events in the life course of individuals with acquired brain injury: a preliminary study. Brain Injury, 26 11: 1381-1396. doi:10.3109/02699052.2012.676225


Author Nalder, Emily
Fleming, Jennifer
Cornwell, Petrea
Foster, Michele
Ownsworth, Tamara
Shields, Cassandra
Haines, Terry
Title Recording sentinel events in the life course of individuals with acquired brain injury: a preliminary study
Journal name Brain Injury   Check publisher's open access policy
ISSN 0269-9052
1362-301X
Publication date 2012-10
Sub-type Critical review of research, literature review, critical commentary
DOI 10.3109/02699052.2012.676225
Volume 26
Issue 11
Start page 1381
End page 1396
Total pages 16
Place of publication London, United Kingdom
Publisher Informa Healthcare
Collection year 2013
Language eng
Formatted abstract
Objective:
To describe the development of the Sentinel Events Questionnaire (SEQ) for recording key events occurring during the transition from hospital to home following acquired brain injury (ABI) and to examine its participant-proxy agreement.

Design:

Prospective longitudinal design, with the SEQ administered by interview prior to discharge and at 1, 3 and 6-months post discharge.

Measures:
The SEQ records the occurrence and timing of eight events identified through a pilot study and literature review of the transition from hospital to home after ABI.

Sample:
Ninety participants with ABI (64 due to traumatic brain injury and 26 due to stroke) and their nominated caregivers.

Results:
All SEQ items had high participant-proxy percentage agreement (all >83). Five items (return to work, return to driving, moving to a more restricted living situation, regaining independence at home and return to independent use of transport) had good agreement based on kappa analyses. The incidence of sentinel events during community integration ranged from 18 (relationship breakdown) to 89 (independence at home). Participants with TBI were more likely to move to a more restrictive living situation and less likely to return to driving than participants with stroke (p<0.05).

Conclusion:

This research highlights the benefit of using the SEQ to systematically record the occurrence of sentinel events in order to better understand the process of transition from hospital to home following ABI.
Keyword Key life events
Community integration
Acquired brain injury
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
School of Nursing, Midwifery and Social Work Publications
 
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