Training needs analysis of Korean nurses' neurological assessment competency

Abstract

Despite the importance of neurological assessment, there is a lack of research directed at nurses' competency in performing these assessments. We aimed to identify nurses' competency levels in performing neurological assessments and prioritize their related training needs using importance–performance analysis. This survey research was conducted and reported based on the enhancing the quality and transparency of health research (EQUATOR) guidelines. A total of 213 nurses participated in a descriptive, cross‐sectional survey study. Exploratory factor analysis identified seven factors that together accounted for 70.34% of the variance: cerebral function, signs and symptoms, pathologic reflexes, motor strength, assessment of an unconscious patient, reporting and documentation, and neurological assessment scales. [Correction added on 10 February 2020, after first online publication: the value of the variance has been corrected from ‘7.34%’ to ‘70.34%’ in the preceding sentence.] There were significant gaps between importance and performance for all seven factors. The importance–performance matrix identified the neurological assessment scales factor as a high priority for continuing education. Emergency department nurses reported lower neurological assessment competency when compared with ward and intensive care unit nurses. The analysis of training needs is beneficial for developing programs to enhance neurological assessment competency. Training in neurological assessment scales is a priority for nurses, and they prefer simulation‐ and practicum‐based methods.

Evaluation and Analysis of English Teaching Ability Based on Nonlinear Random Matrix Model

“…Liu and Lin defined competence as follows: knowledge, skills, abilities, traits, or motivation directly related to work performance or other important achievements in life, which is the decisive factor for individuals to take successful actions in work or situations [5]. Bae and Roh define it as follows: the potential characteristics of individuals that can lead to excellent performance at work, including motivation, characteristics, knowledge, skills, selfimage, or social roles [6][7][8]. Makarov defines it as a potential and deep-seated personal feature that distinguishes the excellent from the mediocre in a job.…”

Neurological Assessment Skill Competency of Registered Nurses in Traumatic Brain Injury Patients: A One Group Pre-Post Design

“…Traumatic Brain Injury (TBI) is the disruption of normal brain function due to external injuries caused by blunt head trauma, accident, suddenly bumps to the head, violent hitting of the head or other causes that damage the skull and injured the brain tissues (Bae & Roh, 2020). TBI is a leading cause of death and disability worldwide.…”

“…Sound knowledge and e cient skill performance of nurses may helpful to deal with complexities of neurological assessment of unconscious patients with traumatic brain injuries (TBI) (Greenshields, 2019). E cient nursing assessment found associated with early patients recovery in neuro and general surgery departments (Bae & Roh, 2020).…”

“…A study reported that nurses, working in neurosurgery department have poor knowledge and practices about Glasgow coma scale (GCS) assessment of unconscious patients There is a need to conduct studies to explore the nurse's knowledge and skill about GCS assessment while working with patients in intensive care settings (Bae & Roh, 2020). About 40% of all patients who admit in hospitals with traumatic brain injuries, rather to recover, their conditions get more worsen due to improper assessment and poor management (Arsh et al, 2017).…”

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

“…6 Efficient nursing assessment was found associated with early patients recovery in neurosurgery and general surgery departments. 7 A study reported that nurses, working in neurosurgery department have poor knowledge and practices about GCS assessment of TBI patients. About 40% of all patients who admit in hospitals with traumatic brain injuries, rather to recover, their conditions get more worsen due to improper assessment and poor management.…”