Prognosis of Patients With Traumatic Brain Injury After Implementation of a Nurse Assessment Protocol

Abstract

Implementing the protocol, there was a reduction of death rate of patients with severe TBI and aftereffects in patients with moderate TBI. The severity of TBI was the main independent predictive determinant of mortality, followed by nonuse of protocol and age.

Training needs analysis of Korean nurses' neurological assessment competency

“…Training using the best practice guidelines (Gocan & Fisher, ) or standardized neurological assessment tools (Iacono et al, ) were effective for improving nurses' competency level. Implementation of a nurse assessment protocol was also associated with better patient outcomes with reduced mortality (da P Oliveira et al, ). Patient simulation was also an effective educational strategy in improving nurses' self‐confidence (Garside et al, ; Mahaffey & Robertson, ) and self‐reported skills (Ross et al, ).…”

“…Training approaches that have been found to be effective in improving nurses' performance of neurological assessment include lectures (Curley, ; Jones, ), e‐learning (Chiu et al, ; Shin, Issenberg, & Roh, ), hospital projects (da P Oliveira, Pereira, & da P Freitas, ; Gocan & Fisher, ; Iacono, Wells, & Mann‐Finnerty, ; Kirschen et al, ), and patient simulations (Garside, Rudd, & Price, ; Mahaffey & Robertson, ; Ross et al, ). The analysis of training needs provides the basis for continuing professional development (Holloway, Arcus, & Orsborn, ).…”

“…Implementing the nurse assessment protocol has been shown to induce a reduction in the death rate of patients with severe traumatic brain injury. The protocol includes oxygenation, hyperventilation, circulation, prophylactic therapy for thrombosis, thermoregulation, seizure prophylaxis, and neurological assessment (da P Oliveira et al, ). Kirschen et al () implemented a quality improvement, 1 year intervention that involved a mandatory online learning program, skills fair on neurological assessments, and one‐on‐one bedside education.…”

Mindful Care: Nursing Strategies in Traumatic Brain Injuries: A Brief

“…Nursing assessments in the acute care setting are the foundation for immediate interventions and serve as the pathway for the patient to advance through the phases of care, which emphasizes continuity of evaluation and adaptability. By implementing protocols designed for the treatment of patient with traumatic brain injuries, there has shown to be a reduction in the death rate of patients with severe TBI and decreased aftereffects in patients with moderate TBI [3].…”