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Using an evidence-based care bundle to improve Thai emergency nurses' knowledge of care for patients with severe traumatic brain injury

Damkliang, Jintana, Considine, Julie, Kent, Bridie and Street, Maryam 2015, Using an evidence-based care bundle to improve Thai emergency nurses' knowledge of care for patients with severe traumatic brain injury, Nurse education in practice, vol. 15, no. 4, pp. 284-292, doi: 10.1016/j.nepr.2015.03.007.

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Title Using an evidence-based care bundle to improve Thai emergency nurses' knowledge of care for patients with severe traumatic brain injury
Author(s) Damkliang, Jintana
Considine, JulieORCID iD for Considine, Julie orcid.org/0000-0003-3801-2456
Kent, Bridie
Street, MaryamORCID iD for Street, Maryam orcid.org/0000-0002-5615-141X
Journal name Nurse education in practice
Volume number 15
Issue number 4
Start page 284
End page 292
Total pages 9
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015-07
ISSN 1873-5223
Keyword(s) Brain injury
Care bundle
Emergency nursing
Evidence-based practice
Neurotrauma
Thailand
Trauma
Summary There is known variation in Thai nurses' knowledge regarding the best available evidence for care of patients with severe traumatic brain injury. The purpose of this study was to examine the impact of an evidence-based care bundle on Thai emergency nurses' knowledge regarding management of patients with severe traumatic brain injury. A pre-test/post-test design was used. The study intervention was an evidence-based care bundle for initial nursing management of patients with severe traumatic brain injury. Data were collected from 31 Registered Nurses using multiple choice questions. Results revealed a statistically significant improvement in overall knowledge scores after care bundle implementation (p < 0.001). There were statistically significant improvements in five areas of knowledge: understanding of target end-tidal carbon dioxide levels (p < 0.001), implications of hypocapnia in severe traumatic brain injury (p = 0.01), implications of hypercapnia in severe traumatic brain injury (p = 0.02), importance of maintaining head and neck in neutral position (p = 0.05), and administration of sedatives and analgesics in severe traumatic brain injury (p = 0.01). This study suggested that implementation of an evidence-based care bundle improved emergency nurses' knowledge regarding management of patients with severe traumatic brain injury.
Language eng
DOI 10.1016/j.nepr.2015.03.007
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30074059

Document type: Journal Article
Collection: School of Nursing and Midwifery
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