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Using an evidence-based care bundle to improve initial emergency nursing management of patients with severe traumatic brain injury

Damkliang, Jintana, Considine, Julie, Kent, Bridie and Street, Maryann 2015, Using an evidence-based care bundle to improve initial emergency nursing management of patients with severe traumatic brain injury, Journal of clinical nursing, vol. 24, no. 23-24, pp. 3365-3373, doi: 10.1111/jocn.12923.

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Title Using an evidence-based care bundle to improve initial emergency nursing management of 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, MaryannORCID iD for Street, Maryann orcid.org/0000-0002-5615-141X
Journal name Journal of clinical nursing
Volume number 24
Issue number 23-24
Start page 3365
End page 3373
Total pages 9
Publisher Wiley
Place of publication London, Eng.
Publication date 2015-12
ISSN 1365-2702
Keyword(s) Thailand
brain injury
care bundle
emergency nursing
evidence-based practice
neurotrauma
trauma
Summary AIMS AND OBJECTIVES: To test the feasibility of an evidence-based care bundle in a Thai emergency department. The specific objective of this study was to examine the impact of the implementation of the care bundle on the initial emergency nursing management of patients with severe traumatic brain injury. BACKGROUND: A care bundle approach is one strategy used to improve the consistency, quality and safety of emergency care for different patients groups, however, has not been tested in patients with severe traumatic brain injury. DESIGN: A pretest/post-test design was used. The study intervention was an evidence-based care bundle for initial emergency nursing management of patients with severe traumatic brain injury. METHODS: Nonparticipant observations were conducted between October 2012-June 2013 at an emergency department of a 640 bed regional hospital in Southern Thailand. The initial emergency nursing care was observed in 45 patients with severe traumatic brain injury: 20 patients in the pretest period and 25 patients in the post-test period. RESULTS: There were significant improvements in clinical care of patients with severe traumatic brain injury after implementation of the care bundle: (1) use of end-tidal carbon dioxide monitoring, (2) frequency of respiratory rate assessment, (3) frequency of pulse rate and blood pressure assessment, and (4) patient positioning. CONCLUSION: This study demonstrated that implementation of an evidence-based care bundle improved specific elements of emergency nurses' clinical management of patients with severe traumatic brain injury. RELEVANCE TO CLINICAL PRACTICE: The study suggests that a care bundle approach can be used as a strategy to improve emergency nursing care of patients with severe traumatic brain injury.
Language eng
DOI 10.1111/jocn.12923
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
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, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30077981

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