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Exploring the Recovery Journey of Trauma Patients

Motivated by her work as a trauma nurse, Dr. Sara Jacoby’s NINR-funded dissertation used ethnography to explore the experience and perceptions of Black patients with traumatic injuries. Specifically, she sought to better understand how social and structural policies impacted their risk for injury, acute care experience, and ability to recover—and created racial outcome disparities. For example, in Philadelphia where her research focused, police transport two out of every three gunshot victims to the hospital, without waiting for emergency medical services, exposing them to police interactions and interrogations immediately after being injured. Dr. Jacoby found that this practice, which allows police into the health care space and disproportionately impacts Black Philadelphians, made many patients feel distressed and overwhelmed. Similarly, Dr. Jacoby found that discriminatory housing policies and community disinvestment—often a result of historical redlining—have shaped the neighborhood environments to which these patients return post-discharge in a way that made it difficult for them to recover. Her research sheds light on the inequities that exist in the experience of trauma patients and role policy plays in creating poorer health outcomes for certain populations. It also highlights the need for solutions that address social and structural factors.