IMPACT OF EDUCATIONAL TRAINING ON NEUROLOGICAL ASSESSMENT SKILLS OF FEMALE NURSES IN EVALUATING TRAUMATIC BRAIN INJURY PATIENTS THROUGH GLASGOW COMA SCALE IN LAHORE GENERAL HOSPITAL, LAHORE, PAKISTAN

Nazia Yousef, Kabir Ozigi Abdullahi, Kousar Perveen, Sadia Khan

Abstract


Background: Traumatic Brain Injury (TBI) is a leading cause of death and disability worldwide. The objective of this study was to determine the impact of educational training on neurological assessment skill of female nurses in evaluating traumatic brain injury patients through Glasgow Coma Scale in Lahore General Hospital, Lahore, Pakistan.

Material & Methods: This quasi-experimental one group pre-posttest design study was conducted at Lahore School of Nursing, Faculty of Allied Health & Sciences, The University of Lahore, Lahore, Pakistan from April 3, 2021 to May 15, 2021. Pre-test neurological assessment skill of 70 nurses was noted by an observer, two weeks educational training was given and four weeks later on, post-test score was noted. For neurological assessment skill, a 20 items observatory checklist was used. Age groups, marital status, job experience, work experience in recent department and work place were four demographic, while neurological assessment skill score was one research variable. Paired sample t test was used for hypothesis testing.

Results: Out 70 nurses, 26 (37.1%) were in age group 25-30 years, 18 (25.7%) in 31-35, 16 (22.9%) in 36-40, six (8.6%) in 41-45 and four (5.7%) in 46-50 years. Marital status was; 36 (51.4%) single, 27 (38.6%) married, three (4.3%) divorced and four (5.7%) widow. Job experience was; eight (11.4%) had <2 years, 33 (47.1%) 2-5 years, 25 (35.7%) 6-10 years and four (5.7%) had >10 years. Work experience in recent department was; 16 (22.9%) had <1 year, 39 (55.7%) 1-3 years, 13 (18.6%) 4-5 years and two (2.9%) had >5 years. Work place was Trauma Unit in 12 (17.1%), neurosurgery ICUs in 38 (54.3%) and surgical units in 20 (28.6%) cases. Mean 16.89±2.52 posttest skills score was significantly higher than mean 12.56±2.67 pretest skills score (p=<.0001).

Conclusion: Our study confirmed that the effect of educational training was significant in improving neurological assessment skills of nurses in evaluating traumatic brain injury patients through Glasgow Coma Scale in Lahore General Hospital, Lahore, Pakistan. Further studies are suggested with increased sample size and multiple research settings.


Keywords


Traumatic Brain Injury; Head Injuries: Brain Injuries; Neurological Assessment; Glasgow Coma Scale; Nursing Assessment, Skills; Nurses, Pakistan.

Full Text:

PDF

References


Hien NT, Chae S-M. The accuracy of Glasgow coma scale knowledge and performance among Vietnamese nurses. Perspectives Nur Sci 2011 Jun;8(1):54-61.

Khan TA, Hussain S, Ikram A, Mahmood S, Riaz H, Jamil A, et al. Prevalence and treatment of neurological and psychiatric disorders among tertiary hospitals in Pakistan; findings and implications. Hosp Pract 2020 Aug;48(3):145-60. https://doi.org/10.1080/21548331.2020.1762366

Teasdale G, Jennett B. Assessment of coma and impaired consciousness: a practical scale. The Lancet 1974;304(7872):81-4. https://doi.org/10.1016/S0140-6736(74)91639-0

Teasdale G, Allen D, Brennan P, McElhinney E, Mackinnon L. The Glasgow Coma Scale: an update after 40 years. Nursing Times 2014; 110: 12-16.

Maher AB. Neurological assessment. Int J Orthop Trauma Nurs 2016 Aug;22:44-53. https://doi.org/10.1016/j.ijotn.2016.01.002

Greenshields S. Neurological assessment in children and young people. Br J Nurs 2019 Sep 13;28(16):1056-9. https://doi.org/10.12968/bjon.2019.28.16.1056

Bae KS, Roh YS. Training needs analysis of Korean nurses’ neurological assessment competency. Nurs Health Sci 2020;22(1):99-107. https://doi.org/10.1111/nhs.12654

Arsh A, Darain H, Haq ZU, Zeb A, Ali I, Ilyas SM. Epidemiology of spinal cord injuries due to bomb blast attacks, managed at paraplegic centre Peshawar, Pakistan: a nine years retrospective study. Khyber Med Uni J 2017 Apr-Jun;9(2):55-9.

Vink P, Tulek Z, Gillis K, Jönsson AC, Buhagiar J, Waterhouse C, et al. Consciousness assessment: a questionnaire of current neuroscience nursing practice in Europe. J Clin Nurs 2018;27(21-22):3913-9. https://doi.org/10.1111/jocn.14614

Cook NF. The Glasgow Coma Scale: a European and global perspective on enhancing practice. Crit Care Nurs Clin North Am 2021;33(1):89-99. https://doi.org/10.1016/j.cnc.2020.10.005

Catangui E. Improving Glasgow Come Scale (GCS) competency of nurses in one acute stroke unit- a Nursing Initiative Project. J Nurs Pract 2019;3(1):109-15. https://doi.org/10.36959/545/370

Kotfis K, Zegan-Barańska M, Strzelbicka M, Safranow K, Żukowski M, Ely EW, et al. Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study. Arch Med Sci 2018 Jun;14(4):880-89. https://doi.org/10.5114/aoms.2017.69752

Devi WA, Rana M. effectiveness of a planned teaching programme on glasgow coma scale among nurses working in critical care units of selected hospital, Pokhara, Nepal Int J Nurs Edu 2018;10(2):89-94. https://doi.org/10.5958/0974-9357.2018.00048.X

Kumar S. Effectiveness of self-instructional module (SIM) on knowledge regarding care of head injury patients among staff nurses working in selected hospitals, Punjab. Int J Pharm Sci Rev Res 2015;35(2):191-4.

Kamothi A. A study to assess the effectiveness of a planned teaching programme on Glasgow Coma Scale of head injury patient in terms of knowledge and practice among staff nurses working in intensive care units of selected government college attached hospitals of Gujarat state. Int J Novel Res Healthcare Nurs 2016;3(2):210-11

Teles M, Bhupali P, Madhale M. Effectiveness of self-instructional module on knowledge and skills regarding use of Glasgow Coma Scale in neurological assessment of patients among nurses working in intensive care units of KLE Dr. Prabhakar Kore Hospital and Medical Research Cetre, Belgaum. J Krishna Inst Med Sci Univ 2013;2(1):98-104.

Enriquez CM, Chisholm KH, Madden LK, Larsen AD, De Longpré T, Stannard D. Glasgow Coma Scale: generating clinical standards. J Neurosci Nurs 2019;51(3):142-6. https://doi.org/10.1097/JNN.0000000000000448

Jones C. Neurological nursing assessment education at Intermountain Medical Center: a quality improvement project [dissertation on the internet]. Tucson. Arizona: The University of Arizona; 2018 [cited 2020 June 23]. Available at: https://repository.arizona.edu/handle/10150/630194




DOI: https://doi.org/10.46903/gjms/19.03.971

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021. Nazia Yousef, Kabir Ozigi Abdullahi, Kousar Perveen, Sadia Khan.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Gomal Medical College, Daraban Road, Dera Ismail Khan, Pakistan

ISSN: 1819-7973, e-ISSN: 1997-2067

Website: https://www.gmcdikhan.edu.pk

Phone: +92-966-747373

Scimago Journal & Country Rank