Abstract | AIMS AND OBJECTIVES: To test the feasibility of an evidence-based care bundle in a Thai emergency department. The specific objective of this study was to examine the impact of the implementation of the care bundle on the initial emergency nursing management of patients with severe traumatic brain injury. BACKGROUND: A care bundle approach is one strategy used to improve the consistency, quality and safety of emergency care for different patients groups, however, has not been tested in patients with severe traumatic brain injury. DESIGN: A pretest/post-test design was used. The study intervention was an evidence-based care bundle for initial emergency nursing management of patients with severe traumatic brain injury. METHODS: Nonparticipant observations were conducted between October 2012-June 2013 at an emergency department of a 640 bed regional hospital in Southern Thailand. The initial emergency nursing care was observed in 45 patients with severe traumatic brain injury: 20 patients in the pretest period and 25 patients in the post-test period. RESULTS: CONCLUSION: This study demonstrated that implementation of an evidence-based care bundle improved specific elements of emergency nurses' clinical management of patients with severe traumatic brain injury. RELEVANCE TO CLINICAL PRACTICE:
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Authors | Jintana Damkliang, Julie Considine, Bridie Kent, Maryann Street |
Journal | Journal of clinical nursing
(J Clin Nurs)
Vol. 24
Issue 23-24
Pg. 3365-73
(Dec 2015)
ISSN: 1365-2702 [Electronic] England |
PMID | 26299272
(Publication Type: Journal Article, Observational Study, Research Support, Non-U.S. Gov't)
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Copyright | © 2015 John Wiley & Sons Ltd. |
Topics |
- Adolescent
- Adult
- Brain Injuries
(nursing)
- Emergency Nursing
- Emergency Service, Hospital
- Feasibility Studies
- Female
- Humans
- Male
- Middle Aged
- Patient Care Bundles
- Thailand
- Young Adult
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