title: Using an evidence-based care bundle to improve Thai emergency nurses' knowledge of care for patients with severe traumatic brain injury.
abstract: 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.
authors: School of Nursing and Midwifery, Deakin University, Australia; Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand. Electronic address: jdamklia@deakin.edu.au.
authors: Jintana
authors: J
authors: Damkliang
authors: Eastern Health - Deakin University Nursing & Midwifery Research Centre, Australia; Centre for Quality and Patient Safety Research, Australia. Electronic address: julie.considine@deakin.edu.au.
authors: Julie
authors: J
authors: Considine
authors: University of Plymouth, School of Nursing and Midwifery, Drake Circus, Plymouth PL4 8AA, UK. Electronic address: bridie.kent@plymouth.ac.uk.
authors: Bridie
authors: B
authors: Kent
authors: Eastern Health - Deakin University Nursing & Midwifery Research Centre, Australia; Centre for Quality and Patient Safety Research, Australia. Electronic address: maryann.street@deakin.edu.au.
authors: Maryann
authors: M
authors: Street
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000451:nursing*; D016529:Emergency Nursing / Q000193:education*; D004636:Emergency Service, Hospital; D055318:Evidence-Based Nursing; D005260:Female; D006801:Humans; D008297:Male; D064872:Patient Care Bundles; D011795:Surveys and Questionnaires; D013785:Thailand
keywords: Brain injury; Care bundle; Emergency nursing; Evidence-based practice; Neurotrauma; Thailand; Trauma