Clinical nurses knowledge, skills and learning needs about glasgow coma scale for neurological patients’ assessment in tertiary hospitals in edo state, nigeria: a mixed method study

AbstractObjective: To evaluate the use of reflex cough PEF as a predictor of successful extubation in neurological patients who were candidates for weaning from mechanical ventilation.Methods: This was a cross-sectional study of 135 patients receiving mechanical ventilation for more than 24 h in the ICU of Cristo Redentor Hospital, in the city of Porto Alegre, Brazil. Reflex cough PEF, the rapid shallow breathing index, MIP, and MEP were measured, as were ventilatory, hemodynamic, and clinical parameters.Results: The mean age of the patients was 47.8 ± 17 years. The extubation failure rate was 33.3%. A reflex cough PEF of < 80 L/min showed a relative risk of 3.6 (95% CI: 2.0-6.7), and the final Glasgow Coma Scale score showed a relative risk of 0.64 (95% CI: 0.51-0.83). For every 1-point increase in a Glasgow Coma Scale score of 8, there was a 36% reduction in the risk of extubation failure.Conclusions: Reflex cough PEF and the Glasgow Coma Scale score are independent predictors of extubation failure in neurological patients admitted to the ICU.

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Assessment Of Jordanian Nurses' Knowledge To Perform Glasgow Coma Scale

European Scientific Journal ESJ ◽

10.19044/esj.2016.v12n27p208 ◽

2016 ◽

Vol 12 (27) ◽

pp. 208 ◽

Cited By ~ 1

Author(s):

Hamza Al-Quraan ◽

Mohannad Eid AbuRuz

Keyword(s):

Glasgow Coma Scale ◽

Assessment Tool ◽

Final Analysis ◽

Cross Sectional ◽

Coma Scale ◽

Inadequate Knowledge ◽

Level Of Consciousness ◽

Level Of Knowledge ◽

Jordanian Nurses ◽

Nurses Knowledge

The most important assessment of neurological examination in the clinical setting is assessing level of consciousness. The first neurological tool used to assess patients' level of consciousness was the Glasgow Coma Scale. It is considered as the most common less subjective gold standard coma assessment tool. The purpose of this study was to assess Jordanian nurses' knowledge about Glasgow Coma Scale. A non-experimental, descriptive cross-sectional correlational design was performed in four (3 private hospitals and 1 governmental) hospitals in Amman-Jordan. A self-reported questionnaire was answered by all (ICU, CCU, ER, and Telemetry) nurses who accepted to participate in the study. A total of 200 questionnaires were distributed to the participants with 90% response rate ending with 180 questionnaires in the final analysis. More than half of the sample (56.7%) was males. The participants were young nurses with mean age of 26.3±8 years. The total mean score for the whole sample was 7.38 ± 1.96. There was no relationship between experience, level of education, and training course and knowledge level. Nurses working in accredited hospitals and governmental hospitals recorded more level of knowledge than other hospitals. Emergency Room nurses recorded less level of knowledge than other area of practice. In conclusion, knowledge about Glasgow Coma Scale is a global problem. Jordanian nurses, as other nurses, have inadequate knowledge to perform Glasgow Coma Scale assessment. It is vital and necessary to include educational programs about Glasgow Coma Scale for nurses in all areas of practice and in the curricula of nursing colleges.

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EXPLORING NURSES’ KNOWLEDGE OF THE GLASGOW COMA SCALE IN INTENSIVE CARE AND EMERGENCY DEPARTMENTS AT A TERTIARY HOSPITAL IN RIYADH CITY, SAUDI ARABIA

The Malaysian Journal of Nursing ◽

10.31674/mjn.2019.v11i02.003 ◽

2019 ◽

Vol 11 (02) ◽

pp. 23-30

Author(s):

Abdulrhman Albougami

Keyword(s):

Saudi Arabia ◽

Intensive Care ◽

Glasgow Coma Scale ◽

Emergency Departments ◽

Tertiary Hospital ◽

Coma Scale ◽

Riyadh City ◽

Nurses Knowledge

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A Study to Explore Nurses’ Knowledge in Using the Glasgow Coma Scale in an Acute Care Hospital

Journal of Neuroscience Nursing ◽

10.1097/jnn.0b013e31829db970 ◽

2013 ◽

Vol 45 (5) ◽

pp. 272-280 ◽

Cited By ~ 14

Author(s):

Ihsan Mattar ◽

Sok Ying Liaw ◽

Moon Fai Chan

Keyword(s):

Glasgow Coma Scale ◽

Acute Care ◽

Acute Care Hospital ◽

Care Hospital ◽

Coma Scale ◽

Nurses Knowledge

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Learning on the job? Exploring first-year experiences of newly-qualified criminal justice social workers in Scotland

Probation Journal ◽

10.1177/0264550516682106 ◽

2017 ◽

Vol 64 (1) ◽

pp. 33-49 ◽

Cited By ~ 1

Author(s):

Scott Grant

Keyword(s):

Criminal Justice ◽

Social Workers ◽

Mixed Method ◽

Mixed Method Study ◽

First Year ◽

Learning Needs ◽

Workload Management ◽

Community Justice ◽

First Time ◽

Professional Guidance

Little is known about the experiences of newly-qualified criminal justice practitioners as they enter the field of community justice for the first time. This article reports on isolated data on newly-qualified criminal justice social workers who participated in a national mixed-method study of readiness to practice in Scotland. Findings suggest that new staff felt well-prepared for practice, but many felt employers failed to provide adequate support and development opportunities. Participants report that disproportionate emphasis is placed on workload management during professional supervision sessions where learning needs and emotions are often underplayed. Professional guidance is often sought from informal sources.

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