Effect Of Learning Program On Nurses’ Knowledge And Performance About Glasgow Coma Scale

Document Type : Original Article

Author

Lecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Port said University

Abstract

The level of consciousness (LOC) of the patients has always been part of the validation and/or data
in the nurses' observations. Usually Used in practice is still GCS. It was also a note that in different
cases, although Patients are awake, intubated, the verbal response is immediately recorded as 1 which
contributes to a GCS score is low compared to the poor prognosis. Also, the evaluation of complex
reactions that can be ignored it necessitates a better evaluation of the LOC. Subsequently, So the study
was aimed to evaluate the effect of the learning program on nurses’ knowledge and performance about
the Glasgow coma scale
(GCS). Design: A quasi-experimental research design. Setting: The study
was applied in a General
Hospital ( Al- Amery Hospital) in Port Said city. Subjects: This study was
covered thirty-six nurses
working in an intensive care unit (ICU), an emergency care department,
female and male internal
medicine, and surgery departments of general Port Said hospital. The data
was collected using 2 tools; the “Structured questionnaire sheet” which is consisted of fifteen
questions related to socio-demographic characteristics, and knowledge about GCS, “observation
checklist” was related to performance about GCS. Results: This study indicated that there are
statistically
significant improvements at p-value (0.001) immediately after program implementation
concerning
nurses’ knowledge performance about GCS. Moreover, it was also found a statistically
significant
relationship between nurses’ knowledge and performance, and there's no statistically
significant
association between the changes in either knowledge or performance scores and
socio-demographic characteristics. Conclusion: It can be concluded from the results of the present
study that the program had succeeded in inducing statistically significant improvements in nurses’
knowledge and performance about GCS. Therefore, it can be concluded from the results of the present
study that this learning program for nurses had a positive impact on their knowledge and
performance. Recommendations: development and implementation of continuous learning program
concerning GCS for nurses and physicians in all hospitals at port said city.

Keywords