scholarly journals Misconceptions about traumatic brain injury among nursing students in India: implications for nursing care and curriculum

BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Jothimani Gurusamy ◽  
Sailaxmi Gandhi ◽  
Senthil Amudhan ◽  
Kathyayani B. Veerabhadraiah ◽  
Padmavathi Narayanasamy ◽  
...  

Abstract Background Despite the devastating consequences of Traumatic brain injuries (TBIs), TBI misconceptions are common among healthcare professionals. As an essential member of multi-professional team providing TBI care, it is important that nurses have correct information and adequate skills to achieve the best possible outcomes for TBI. For example, some common misconceptions about TBIs are that a second blow to the head can improve memory functioning and wearing seatbelts can cause as many brain injuries as it prevents. In India, perhaps such misconceptions towards TBI among nursing professionals were not yet documented. As nursing students form the future health workforce, understanding TBI misconceptions among nursing students in resource-limited settings like India will provide useful information for strengthening the nursing curricula for improved care and rehabilitation of TBIs. Methods We used a cross-sectional survey to study the TBI misconceptions among nursing students in India. A Common Misconceptions about Traumatic Brain Injury (CM-TBI) questionnaire was administered to 154 nursing students from a nursing college of a tertiary care neuro-centre in India. The mean percentage of misconceptions were calculated for 7-domains of CM-TBI. T-test for independent samples and ANOVA were used to study the association of misconception with socio-demographic variables using total score for each respondent. Results Of the 143 nursing students who completed the survey, majority of them were female (97%) and in the 19-20 year age-group (95.1%). Domain on brain damage (81.1%) had highest rate, while amnesia domain (42.0%) had lowest rate of misconception. The overall mean-score was 22.73 (Standard Deviation: 4.69) which was significantly higher than the median score of 19.5. The study did not show significant differences on overall misconceptions about TBI for any of the socio-demographic characteristics. Conclusions Misconceptions about TBIs were common among nursing students and it was pervasive irrespective of age, gender, place of residence and year of education. A need to strengthen nursing curriculum in the area of TBIs has been emphasized for improved care and management of TBIs. The study findings also suggest the need for understanding such misconceptions among other healthcare professionals involved in TBI care.

2021 ◽  
Vol 53 (1) ◽  
pp. 31
Author(s):  
Selvaraj Samuelkamaleshkumar ◽  
CatherineJudithHossanna ◽  
Ranjan Aruna ◽  
Suresh Annpatriciacatherine ◽  
Stephen Reethajanetsurekha ◽  
...  

2011 ◽  
Vol 12 (3) ◽  
pp. 165-178 ◽  
Author(s):  
Skye McDonald ◽  
Julia Rosenfeld ◽  
Julie D. Henry ◽  
Leanne Togher ◽  
Robyn Tate ◽  
...  

AbstractPrimary objective:Recent research studies attest to the presence of deficits in emotion perception following severe traumatic brain injury (TBI). Additionally, a growing number of studies report significant levels of alexithymia (disorder of emotional cognition) following TBI. This research aimed to examine the relation between the two, while assessing the influence of posttraumatic stress disorder (PTSD).Design:Cross-sectional study examining levels of alexithymia, emotion perception disorders and PTSD and their association, in 20 people with severe, chronic TBI and 20 adults without brain injuries.Methods:Participants were assessed on the Toronto Alexithymia — 20 Scale, the Posttraumatic Diagnostic Scale and on two emotion perception tasks: matching and labelling of photos depicting the 6 basic emotions.Results:The group with TBI were impaired relative to controls when matching facial expressions. Their performance on ‘fear’ was especially poor. Performance on labelling was similar in pattern, although failed to reach significance. There was no association between poor performance on fear, or other negative expressions, and either PTSD or alexithymia symptoms in the TBI group.Conclusions:Alexithymia, as assessed by the TAS-20, taps a constellation of difficulties that do not appear to include difficulties with emotion perception in people with traumatic brain injuries.


Neurosurgery ◽  
2019 ◽  
Vol 85 (5) ◽  
pp. E842-E850 ◽  
Author(s):  
James E Gardner ◽  
Masaru Teramoto ◽  
Colby Hansen

Abstract BACKGROUND A complicated mild traumatic brain injury (C-mTBI) is an mTBI with some form of intracranial abnormality identified radiographically. The lack of knowledge in recovery patterns and no clear guidelines on return to activity in children with C-mTBI provide unique challenges to physicians. OBJECTIVE To examine recovery patterns among three cohorts: mTBI, mTBI with skull fracture only (mTBI-SF), and C-mTBI via a cross-sectional survey. METHODS Caregivers of children with mTBI (from hospital database queries 2010–2013) were mailed a questionnaire on preinjury health, postinjury recovery, and activity patterns before and after injury. We examined degree (0-10 with 10 being complete recovery) and length (in months) of recovery in children with mTBI, and associations of potential risk factors to these variables. RESULTS Of the 1777 surveyed, a total of 285 complete responses were analyzed for this study. Data included 175 (61.4%) children with mTBI, 33 (11.6%) children with mTBI-SF, and 77 (27.0%) children with C-mTBI. Older age and C-mTBI (vs mTBI) were significantly associated with a lower degree and longer period of recovery (P < .05). Predicted probabilities of complete recovery for children with mTBI, those with mTBI-SF, and those with C-mTBI were 65.5%, 52.7%, and 40.0%, respectively. Predicted probabilities of not yet completely recovered after more than a year since injury for these groups were 11.3%, 24.4%, and 37.6%, respectively. CONCLUSION These results demonstrate significant differences in children with different forms of mTBI, and argue for further investigation of treatment plans individualized for each form of mTBI.


2013 ◽  
Vol 2 (2) ◽  
pp. 89
Author(s):  
M Veera Prasad ◽  
S Satish Kumar ◽  
Amit Agrawal ◽  
D Rama Mohan

Background: The objective of the present study was to develop an instrument that could be helpful to measure the level of satisfaction with hospital services in cases of traumatic brain injuries. Methods: The present pilot study was a prospective analysis of traumatic brain injury patients. The study was approved by the institutional ethical committee. The data was collected regarding demographics, clinical presentation, management offered, complications and survival. Patient satisfaction was measured by a validated questionnaire with six domains: information, human care, comfort, visiting, intimacy, and cleanliness. The data was collected in self-administered questionnaire to measure attendants’ desires and expectations for a broad spectrum of frequently used services in a hospital. Attendants indicated their level of satisfaction by selecting responses ranging from poor=1, fair=2, good=3, very good=4 and excellent=5. Each domain was scored from excellent to poor, with higher scores indicating higher levels of patient satisfaction. Results: During the pilot study period, data for a total 86 patients was collected. The mean age was 36.81 years (Age range 6-73 years, median-35.5 years). Mean hospital stay was 9.25 days (range 2-35 days, median 6.9 days). In present study almost all the patients were brought by close relatives. Most of the patients belonged to the low socio-economic status (coolie 33/86, farmers’ 17/86). Sixty six patients made good recovery, 14 had moderate disability and 6 patients had severe disability at the time of discharge. The overall satisfaction level was classified into excellent, very good, good, average and poor. Details of the level of satisfaction and most of the time it was excellent to very good and good level of satisfaction. There were no averages or poor response. Conclusions: We believe the scores obtained from the questionnaire from present pilot study can serve as baseline against which to compare the results from future surveys.


2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Francisca Mibei ◽  
Felicity Daniels

A worldwide high prevalence of low health literacy has been reported, and despite the emergence of health literacy as a better determinant of health than socio-economic status, it is alarming that little attention is being accorded to training health workers on health literacy practices. This study thus sought to describe the health literacy knowledge and experiences of nursing students gained during training in order to establish a basis that will inform future health literacy training. A descriptive cross-sectional survey was carried out using a questionnaire to establish the health literacy knowledge and experience of 82 nursing students. Data were analysed using descriptive as well as inferential statistics. The students exhibited unsatisfactory health literacy knowledge as measured by the questionnaire, with an average score of 73 per cent, with knowledge gaps in some areas – for example with regard to the effect of low health literacy on patient health outcomes and identification of patients with low health literacy. Their health literacy experience was also lacking, with students only reporting some experience in the use of written materials in providing patient education. The results portray that the emphasis of health literacy in the curriculum failed to have a sufficient effect on health literacy knowledge.


2021 ◽  
pp. 44-46
Author(s):  
Nemani Srividya ◽  
P. Ramkumar ◽  
Yandra Ganga Sree Harika

Background: The objective of the study was to determine the awareness and attitude towards HPV vaccination among medical and nursing students. Methods: A descriptive cross sectional study was done among nal MBBS part 2 and nal year BSC nursing students with a pretested questionnaire about HPV vaccine. Results: About 79.3% students were aware of the availability of HPV vaccine.69.8% knew the correct age of vaccination.25.8% of the students have been vaccinated with HPV vaccine. About 72.4% students were willing to advice or receive vaccine which was more among medical students compared to nursing students(p value<0.05). High cost and inadequate information were stated as the main obstacle preventing vaccination. Conclusion: Lack of awareness among medical and paramedical students can be detrimental to the health of society. So, there is need to increase awareness and improve vaccination status among future health care providers against Human papilloma virus


2021 ◽  
Author(s):  
Thien Phu Do ◽  
Mikala Dømgaard ◽  
Simon Stefansen ◽  
Espen Saxhaug Kristoffersen ◽  
Messoud Ashina ◽  
...  

Abstract Background: A major barrier to adequate headache care is lacking formal education and training of healthcare professionals. Concerted efforts should be made to pinpoint major gaps in knowledge in healthcare professionals to facilitate better educational policies in headache training. The aim of this study was to identify deficiencies and barriers in headache training among residents in neurology in Denmark.Methods: We conducted a national cross-sectional survey of residents in neurology in Denmark from April 2019 to September 2019. The survey included questions on participant demographics, knowledge of and barriers in headache disorders, guidelines and diagnostic tools usage, contact with primary and tertiary care, medication overuse, and non-pharmacological interventions.Results: Sixty residents across Denmark accepted the invitation and 54/60 (90%) completed the survey. Although two-thirds, 35/54 (65%), of the population had prior formalized training in headache disorders, we identified gaps in all explored domains including diagnosis, management, and referral patterns. Particularly, there was an inconsistent use of guidelines and diagnostic criteria from the Danish Headache Society (2.74 (±1.14)), the Danish Neurological Society (3.15 (±0.86)), and the International Classification of Headache Disorders (2.33 (±1.08)); 1: never/have not heard of, 4: always. Headache was ranked second to last out of six sub-specializations in popularity.Conclusions: Overall knowledge on headache disorders amongst neurology residents in Denmark do not meet the expectations set out by national and international recommendations. Stakeholders should make strategic initiatives for structured education in headache for improved clinical outcomes in parallel with costs reduction through resource optimization.


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Mathias Ogbonna Nnanna Nnadi ◽  
Olufemi Babatola Bankole ◽  
Beleudanyo Gbalipre Fente

Summary. With increasing use of motorcycle as means of transport in developing countries, traumatic brain injuries from motorcycle crashes have been increasing. The only single gadget that protects riders from traumatic brain injury is crash helmet. Objective. The objectives were to determine the treatment outcome among traumatic brain injury patients from motorcycle crashes and the rate of helmet use among them. Methods. It was a prospective, cross-sectional study of motorcycle-related traumatic brain injury patients managed in our center from 2010 to 2014. Patients were managed using our unit protocol for traumatic brain injuries. Data for the study were collected in accident and emergency, intensive care unit, wards, and outpatient clinic. The data were analyzed using Environmental Performance Index (EPI) info 7 software. Results. Ninety-six patients were studied. There were 87 males. Drivers were 65. Only one patient wore helmet. Majority of them were between 20 and 40 years. Fifty-three patients had mild head injuries. Favorable outcome among them was 84.35% while mortality was 12.5%. Severity of the injury affected the outcome significantly. Conclusion. Our study showed that the helmet use by motorcycle riders was close to zero despite the existing laws making its use compulsory in Nigeria. The outcome was related to severity of injuries.


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