a b s t r a c t
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 ¼ 0.01), implications of hypercapnia in severe traumatic brain injury (p ¼ 0.02), importance of
maintaining head and neck in neutral position (p ¼ 0.05), and administration of sedatives and analgesics
in severe traumatic brain injury (p ¼ 0.01). This study suggested that implementation of an evidencebased care bundle improved emergency nurses' knowledge regarding management of patients with
severe traumatic brain injury.
ISSN:
1471-5953
eISSN:
1471-5953
Description:
Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments, that is both in the University/faculty and clinical settings. It is supportive of new authors and is at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.