The Effects of Nursing Care Model for Severe traumatic brain injury patient in Emergency Department Yasothon hospital

Abstract

This quasi-experimental research aims to study Effects of Nursing Care Model for Severe traumatic brain injury patient in Emergency Department Yasothon hospital. The sample consisted of 17 registered nurses working in the Emergency Department, 40 patients with severe traumatic brain injuries, divided into 20 control groups, 20 experimental groups. Data collection was carried out between 1 October 2023 and 31 January 2024 Research tools is  nursing care model for severe traumatic brain injury patient include 1) Care bundle for patients with severe traumatic brain injury in ER 2) Developing the competency of nurse practitioners 3) supervise of care process. Data collection tools,1) Injury surveillance data recording forms 2) Quality care recording form for severe traumatic brain injury  3) Knowledge assessment form for severe traumatic brain injury patients 4) Form to assess compliance with  care bundle for patients with severe traumatic brain injury in ER 5) Satisfaction assessment form . Data were analyzed using the descriptive statistic, independent t-test, and chi-square.

             After conducting activities according to the pattern, it was found the statistically significant differences at the p < .05: The percentage of patients who were intubated within 10 minutes increased from 75% to 100%. The percentage of patients who received a CT scan within 30 minutes increased from 80% to 100%. The rate of clinical complications within 24 hours decreased from 45% to 15%. The death rate decreased from 35% to 15%, but was not statistically different. The results of the knowledge assessment found that the average score after using the model increased from 8.35 to 13.18 points. The results of the assessment of compliance with the guidelines had an average score of 3.75, meaning that there was consistent practice. and satisfaction with the format, average score of 4.65, is at the most satisfied level.

 Conclusion : The Nursing Care Model for Severe traumatic brain injury patient in Emergency Department Yasothon hospital make the care process clear, easy to practice. As a result, head injury patients receive the care bundle. Reduce complications and the staff are satisfaction.