A Study to Explore Nurses’ Knowledge in Using the Glasgow Coma Scale in an Acute Care Hospital

Mattar, Ihsan; Liaw, Sok Ying; Chan, Moon Fai

doi:10.1097/jnn.0b013e31829db970

Cited by 33 publications

(40 citation statements)

References 4 publications

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“…Previous studies (Mattar et al 2013, Hien & Chae, 2011) also showed that health care workers working in the ICUs have the highest knowledge. ICU nurses are required to perform the GCS hourly for their patients regardless to the type of the case or how much the case is critical.…”

Section: Discussionmentioning

confidence: 91%

“…Higher scores indicated higher levels of knowledge. This instrument was used before by different studies (Mattar et al 2013, Chan & Matter 2013. The authors developed this instrument as the following.…”

Section: Data Collection Instrumentsmentioning

confidence: 99%

“…The validity and reliability of this instrument was granted by (Mattar et al 2013). Three experts in neuroscience with at least ten years of experience examined the instrument for its validity.…”

Section: Data Collection Instrumentsmentioning

confidence: 99%

“…Previous studies (Mattar et al 2013) found that nurses who do not use the GCS frequently faced difficulties in its application. Furthermore, they lack the knowledge and the self-confidence in the assessment (Shoqirat 2006, Chan & Matter 2013.…”

Section: Introductionmentioning

confidence: 99%

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Assessment Of Jordanian Nurses' Knowledge To Perform Glasgow Coma Scale

Al-Quraan

AbuRuz

2016

ESJ

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The most important assessment of neurological examination in the clinical setting is assessing level of consciousness. The first neurological tool used to assess patients' level of consciousness was the Glasgow Coma Scale. It is considered as the most common less subjective gold standard coma assessment tool. The purpose of this study was to assess Jordanian nurses' knowledge about Glasgow Coma Scale. A non-experimental, descriptive cross-sectional correlational design was performed in four (3 private hospitals and 1 governmental) hospitals in Amman-Jordan. A self-reported questionnaire was answered by all (ICU, CCU, ER, and Telemetry) nurses who accepted to participate in the study. A total of 200 questionnaires were distributed to the participants with 90% response rate ending with 180 questionnaires in the final analysis. More than half of the sample (56.7%) was males. The participants were young nurses with mean age of 26.3±8 years. The total mean score for the whole sample was 7.38 ± 1.96. There was no relationship between experience, level of education, and training course and knowledge level. Nurses working in accredited hospitals and governmental hospitals recorded more level of knowledge than other hospitals. Emergency Room nurses recorded less level of knowledge than other area of practice. In conclusion, knowledge about Glasgow Coma Scale is a global problem. Jordanian nurses, as other nurses, have inadequate knowledge to perform Glasgow Coma Scale assessment. It is vital and necessary to include educational programs about Glasgow Coma Scale for nurses in all areas of practice and in the curricula of nursing colleges.

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Section: Discussionmentioning

confidence: 91%

Section: Data Collection Instrumentsmentioning

confidence: 99%

Section: Data Collection Instrumentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment Of Jordanian Nurses' Knowledge To Perform Glasgow Coma Scale

Al-Quraan

AbuRuz

2016

ESJ

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“…Recent evaluations of the scale note that timing is inconstant, components are underutilized, and that components are not assessed and reported in any standardized sequence [16,17]. Further, it has been suggested that differences related to teaching and experience may influence the reliability of the scale [18]. Some author's note that alternative instruments with more robust clinimetrics have emerged and should be considered as a replacement in both research and practice [15], while others suggest that a consensus statement outlines a uniform usage and assessment scheme be utilized to improve the use of the scale between studies [17].…”

Section: Assessment Instrumentsmentioning

confidence: 99%

A Review of Assessment of Sleep Disruption in Adults Following Traumatic Brain Injury

Highsmith¹,

Stephenson²,

Everhart³

2016

Int J Neurorehabilitation Eng

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A description of the self-perceived educational needs of emergency nurses in Durban, KwaZulu-Natal, South Africa

Dulandas

Brysiewicz

2018

African Journal of Emergency Medicine

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IntroductionEmergency nurses are usually the first to interact with critically ill patients and victims of violence and injuries, and require advanced skills and knowledge to manage such patients. Inadequate training prevents nurses from providing optimal emergency care, and it is important to investigate if there are any skills and competencies lacking in these emergency nurses. We sought to describe the self-perceived educational needs of emergency nurses in Durban, South Africa.MethodsA descriptive quantitative survey was conducted with nurses working in four emergency centres (two state, and two privately funded hospitals) in Durban, South Africa.ResultsThe survey questionnaire was distributed with a response rate of 79% (n = 128). Almost half the respondents (48%, n = 61) scored less than the mean score of 29, thus indicating lower competency levels. The majority of respondents (67%, n = 85) perceived themselves as highly competent in basic skills (e.g. assess breathing, administer oxygen, assess circulation). Less than half the respondents (45%, n = 57) perceived themselves as highly competent in the intermediate skills (e.g. control haemorrhage, assist with endotracheal intubation, manage shock). A large number of respondents (46%, n = 59) perceived themselves as least competent in advanced skills (e.g. defibrillation/cardioversion, interpreting an echocardiogram [ECG]). The mean score obtained for educational need was 100, thus reflecting a high educational need, and more than half the respondents (62%, n = 79) scored higher than the mean score of 100 for educational needs. The lowest score was 41. Thirty percent (n = 38) of the respondents scored 117, indicating educational needs for all the competencies listed. Overall, 72% (n = 92) agreed that emergency education was a need.DiscussionThe study emphasises the need for support systems for educational development of emergency nurses. Further training in specific skills and competencies may enhance emergency care provided. There is a growing need for ongoing educational development of emergency nurses in South Africa.

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A Study to Explore Nurses’ Knowledge in Using the Glasgow Coma Scale in an Acute Care Hospital

Abstract: Educational interventions and guidelines in performing GCS assessment are suggested to maintain and improve knowledge in performing the GCS.

Cited by 33 publications

References 4 publications

Assessment Of Jordanian Nurses' Knowledge To Perform Glasgow Coma Scale

Assessment Of Jordanian Nurses' Knowledge To Perform Glasgow Coma Scale

A Review of Assessment of Sleep Disruption in Adults Following Traumatic Brain Injury

A description of the self-perceived educational needs of emergency nurses in Durban, KwaZulu-Natal, South Africa

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