Effectiveness of Educational Nursing Strategies on Nurse’s Knowledge and Skills regarding Traumatic Head Injury in Children

Hanaa M Sayed ,Hanaa H Ahmed ,Azza Anwar Aly

doi:10.7176/jhmn/69-12

Abstract

Traumatic head injury is a pressing public health problem leading to disability and death in children and adolescents worldwide. Aim : This study aimed to assess the effectiveness of educational nursing strategies on nurse’s knowledge and skills regarding traumatic head injury in children. Setting : The study was conducted in the Paediatric Intensive Care Unit and Emergency Department at Birket El Sabah Central Hospital, Menoufia Governorate, Egypt. Methods : A quasi-experimental design was carried out for this study (pre/post & follow-up). A convenience sample of 40 nurses provided direct nursing care to the children with traumatic head injury in the above-mentioned setting was selected from February to October 2019. Two tools were used for data collection, tool one: A structured interviewing questionnaires, it consisted of 7 sections to assess nurses' knowledge. Tool two: An observational checklist to assess the nurses’ practice of the Glasgow coma scale. Results : The results of this study revealed that there was a high statistical significance difference between pre, post and follow up tests regarding nurses’ knowledge and skills of children with traumatic brain injury at 1% level of statistical significance. Conclusion , Implementation of educational nursing strategies improved nurses' knowledge and skills while managing children with traumatic head injury. Recommendation , Continuous educational programs should be scheduled on a constant base for nurses' about traumatic brain injury to enhance children’s quality of care and improve their outcome. Keywords: Educational nursing strategies , Nurses , Knowledge, Skills, Children, Traumatic head injury DOI : 10.7176/JHMN/69-12 Publication date: December 31 st 2019

Highlights

Traumatic head injury (TBI) is a silent epidemic disease leading to death and disability in children and adolescents worldwide (Ismail, 2019 & Hussein, 2018)
Concerning demographical characteristic of studied sample, it was illustrated that mean ± SD were 29.1 ± 6.36. This was supported by Mahday et al, (2016) who reported that the mean age of the nurses under the study was 32.7±4.5
The study showed that more than half of studied nurses (55%) aged between 20 - < 30 years old and 42.5% of them were aged 30 < 40 years old. This was similar to Abd El Moteleb (2014) who reported that more than two third of nurses age less than thirty years

Summary

Introduction

Traumatic head injury (TBI) is a silent epidemic disease leading to death and disability in children and adolescents worldwide (Ismail, 2019 & Hussein, 2018). It is estimated that over 10 million people sustain a traumatic brain injury around the world (Oyesanya et al, 2018). World Health Organization expected that by 2020, traffic accidents will be the third greatest cause of disease and injury that occur from motor-vehicle use in low-income and middle-income countries (Shehab et al, 2018 & Gennai et al, 2015). In United States, motor vehicle collisions and falls are the most frequent precipitating events resulting in over 500,000 emergency department visits, 37,000 hospitalizations and over 2000 deaths annually in children younger than 14 years old (Borich et al, 2013 & Langlois et al, 2004). In India, approximately 1.5–1.7 million patients are neurologically disabled from TBI reported each year (Das et al, 2012)

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