{"id":89587,"date":"2022-11-11T14:34:05","date_gmt":"2022-11-11T21:34:05","guid":{"rendered":"https:\/\/www.boisestate.edu\/healthsciences\/?p=89587"},"modified":"2024-10-28T16:10:06","modified_gmt":"2024-10-28T22:10:06","slug":"discovering-data-patterns-from-the-platoon-to-pressure-injuries","status":"publish","type":"post","link":"https:\/\/www.boisestate.edu\/nursing\/2022\/11\/11\/discovering-data-patterns-from-the-platoon-to-pressure-injuries\/","title":{"rendered":"Discovering nursing data patterns: From the platoon to pressure injuries"},"content":{"rendered":"\n

Listen to the story<\/em><\/p>\n\n\n

<\/p>\n\n\n\n

A U.S. Navy poster hung in the nursing school at the University of Illinois Chicago and beckoned students to join the military. Jenny Alderden noticed the enticing hospital destinations in Italy and the United Kingdom and thought to herself: \u201c\u2018I would like to do that, and I don’t have money for school.\u2019\u201d<\/p>\n\n\n\n

Since the Navy will pay for nursing school, Alderden joined up in the year 2000.<\/p>\n\n\n\n

\"Jenny
Jenny Alderden is now an associate professor at the School of Nursing.<\/figcaption><\/figure>\n\n\n\n

\u201cThen obviously in 2001 the world changed, so my military career ended up being a lot different than what I had imagined,\u201d she said.<\/p>\n\n\n\n

Alderden first served as a fixed-wing critical care air transport nurse out of Okinawa, Japan, meaning she performed her nursing duties while transporting patients in an airplane.<\/p>\n\n\n\n

At the height of the U.S. troop surge to Iraq in 2006, she deployed to Al Anbar. Here she served as a helicopter flight nurse, as well as the senior nurse of a shock trauma platoon.<\/p>\n\n\n\n

\u201c[It was] incredibly chaotic, because [the U.S.] had our war and our objectives, but there was also a massive civil war going on in Iraq,\u201d Alderden said. \u201cIt was a very unstable, very violent, very brutal place at that time.\u201d<\/p>\n\n\n\n

She had already planned to get out of the military when she returned stateside and pursue her master\u2019s degree. Her original goal was to become an expert clinician.<\/p>\n\n\n\n

\u201cI had thought that I wanted to be this really crackerjack critical care nurse,\u201d she said, \u201cBut my experience in deployment really changed my focus and my perspective in the sense that we just saw so much massive amounts of human suffering.\u201d<\/p>\n\n\n\n

\u201cSo I instead started to focus on wounds, which are not sexy,\u201d she said with a laugh. \u201cFor my master’s thesis, I just read a bunch of charts.\u201d<\/p>\n\n\n\n

Finding ways to ease human suffering<\/h2>\n\n\n\n

Alderden studied wounds at the University of Washington in pursuit of her master\u2019s in nursing. She searched for patterns in the data of patients with pressure injuries.<\/p>\n\n\n\n

\u201cWe used to think that pressure injuries are mostly caused by not repositioning the patient,\u201d Alderden said. But her master\u2019s research data told a different story: \u201cIt’s really circulation,\u201d she said. The trauma patients who were part of her study helped her see the problem was sometimes a lack of quality oxygen delivered to the skin and underlying tissues.<\/p>\n\n\n\n

Pressure injuries (also known as pressure ulcers or bedsores) are areas of opening or damage on one\u2019s skin. They often occur on a bedridden person\u2019s heel or sacrum, and are therefore \u201chugely limiting in terms of quality of life. They\u2019re painful and embarrassing,\u201d Alderden said.<\/p>\n\n\n\n

\n

\u201cBut I feel passionate about my research because I think pressure injuries are a place where we can ease human suffering, at least to some degree.\u201d<\/p>Jenny Alderden, School of Nursing Associate Professor<\/cite><\/blockquote><\/figure>\n<\/blockquote>\n\n\n\n

Another reason Alderden pursued pressure injuries research is because it\u2019s an understudied topic and very nursing-driven.<\/p>\n\n\n\n

\u201cLots of things that we study in healthcare, physicians are the ones that write the orders,\u201d Alderden said. \u201cBut pressure injuries tend to be really within the domain of nursing, which is something that I like.\u201d<\/p>\n\n\n\n

She also enjoys working with data. As anyone who\u2019s been to a healthcare facility in the last century knows, staff constantly input patient data into computerized electronic health records.<\/p>\n\n\n\n

\"Jenny
Alderden spent some of her time deployed with the Navy serving as a helicopter flight nurse.<\/figcaption><\/figure>\n\n\n\n

\u201cI love taking that data and actually using it to try to identify patterns or identify ways that we can help patients have better outcomes,\u201d Alderden said.<\/p>\n\n\n\n

But Alderden has the Navy to thank for her first experience with data patterns.<\/p>\n\n\n\n

Data patterns from deployment<\/h2>\n\n\n\n

Similar to the practices of healthcare facilities we know, the nurses in the shock trauma platoon constantly recorded patient data while deployed in Iraq. During her time there, Alderden saw several patients all in a row come in with nearly identical fatal gunshot wounds. Then she received a call from a nurse scientist at the Pentagon asking about the pattern; apparently their platoon wasn\u2019t alone.<\/p>\n\n\n\n

\u201cEverybody that was in our region was seeing these specific gunshot wounds,\u201d Alderden said.<\/p>\n\n\n\n

Alderden talked to a gunnery sergeant about the pattern in order to learn context for the injury. He mentioned a tactic that the squads would do while on patrol; they realized it was unintentionally making squads vulnerable to this kind of injury. So the squads changed tactics.<\/p>\n\n\n\n

Later on they discovered there was a skilled sniper in the area who specialized in those particular shots. Changing tactics \u2013 in response to a pattern \u2013 ended up preventing these injuries and saving lives.<\/p>\n\n\n\n

\u201cI thought that was fascinating,\u201d Alderden said. \u201cThe idea that data in the individual means nothing, but in aggregate you can sometimes see patterns that weren’t obvious to you that can really make a real difference.\u201d<\/p>\n\n\n\n

What story does the data tell?<\/h2>\n\n\n\n

Alderden went on to develop her skills in aggregate data research while earning her doctorate at the University of Utah. Now, she hopes to bring that same fascination with data into her teaching as an associate professor at Boise State.<\/p>\n\n\n\n

\"Associate
Alderden (left) and associate professor Lucy Zhao presented their work at a nursing conference this past spring. They collaborated with St. Luke’s Center for Excellence to conduct research focusing on nursing care for older adults using a national dataset.<\/figcaption><\/figure>\n\n\n\n

Often nurses spend so much time entering data in electronic health records, \u201cyet we don’t think of that as a tool that can give us [something] back,\u201d Alderden said.<\/p>\n\n\n\n

\u201cWhen we work with a lot of data, we need to understand the context of the data-generation process,\u201d she said. \u201cWe need to know the story behind how those data were produced in order to make sure we interpret them right. So I think of what I do as a lot of trying to elucidate the story in the data.\u201d<\/p>\n\n\n\n

Alderden sees her research as a mix of math, computer science and storytelling with data.<\/p>\n\n\n\n

\u201cTechnically it’s not [qualitative], but I think that the line between qualitative and quantitative is a little bit artificial,\u201d she said. \u201cThose are very unnecessary and arbitrary distinctions because we’re all kind of doing the same thing.\u201d<\/p>\n\n\n\n

The research process is all about finding meaning \u2013 and in Alderden\u2019s case, the story \u2013 in whatever subject is being researched. She wants to help students see how data is a \u201ctool for telling the story about the patient.\u201d<\/p>\n\n\n\n

\u201cThey’re two sides of the same coin,\u201d she said, \u201cAnd using data to tell a story is, in my opinion, one of the best uses for data.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

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