Document Type : Original Quantitative and Qualitative Research Paper
Authors
1
Assistant Professor, Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2
Master of Emergency Nursing, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3
Assistant Professor, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4
Associated Possessor, Department of Basic Science, School of Nursing and Midwifery, Shahid Beheshti university of medical sciences, Tehran, Iran
10.22038/ebcj.2024.73521.2897
Abstract
Background: Immediate evaluation and management of brain trauma patients improves disease outcomes and reduces the neurobehavioral consequences of the injury. Emergency nurses are expected to manage patients based on the best available evidence as soon as possible.
Aim: To implement an evidence-based care package for the management of brain trauma patients.
Method: This clinical trial was conducted from November 2022 to May 2023 on 60 nurses in emergency departments, who were randomly assigned to intervention (30) and control (30) groups. The data collection tool included a demographic questionnaire and a brain trauma management checklist. The intervention included 4 training workshops based on the comprehensive evidence-based care package during two weeks. Both groups were assessed through a checklist before and after the intervention during 8 weeks.
Results: The comparison of care management scores before the intervention between the two groups showed that there was a significant difference in the mean scores (p<0.001); In addition, the variables of employment status and education level were not the same in the two groups. Therefore, the pretest score, employment status, and education level were included in the model as a covariate, and their effect was adjusted. The results of the covariance analysis showed that the average score after the intervention in the intervention group was 12.3 points higher than that of the control group (p<0.001).
Implications for Practice: Evidence-based care package improved the management of brain trauma patients, so it can be considered a simple and affordable solution to overcome existing obstacles.
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