Effect of Implementing Standardized Designed Nursing Guidelines on Outcomes of Severe Traumatic Brain Injury Patients

Document Type : Original Article

Authors

1 Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, South Valley University, Qena, Egypt.

2 Lecturer of Medical – Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt.

3 Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, Sohag University, Egypt.

Abstract

Background: Severe traumatic brain injury
is a global problem that leads to morbidity and
mortality particularly among young people.
So this study aimed to determine the effect of
implementing standardized designed nursing guidelines on outcomes of severe traumatic brain
injury patients. Quasi-experimental research design was utilized. Setting: this study was carried
at Trauma intensive care unit at Sohag University Hospital. A purposive sample of 70 adult severe
traumatic brain injury patients were matched & randomly assigned into 2 equal groups. Three tools
were used; Tool I: Traumatic brain injury assessment sheet, Tool II: Neurological assessment sheet,
Tool III: Clinical outcome evaluation sheet. Results of current study revealed a statistically
significant difference between study and control group regarding clinical outcomes includes
prolonged Mechanical Ventilation, Re-intubation and number of death in addition to occurrence of
complications as fever, bed sores and infection. Conclusions: application of standardized designed
nursing guidelines improves outcomes and help to reduce occurrence of complications for patients
with Severe Traumatic Brain Injury. Recommendation: Future researches are needed to examine
the effect of the standardized designed nursing guidelines in the different age groups such as older
adults and child to improve the outcomes.

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