Glasgow Coma Scale Technique: Effect of Theoretical and Practical Educational Program on Nurses’ Compliance

Abstract

Abstract: Despite the Glasgow Coma Scale is widely used in Egypt as in other countries in the world to assess the level of patient consciousness, it has been noted that there is a lack of interest in the use of neurological assessments by nurses. The present study aimed to effect of theoretical and practical educational intervention on nurses’ professionals' compliance. A quasi experimental design was used. Setting: the study was conducted at the Neurological Intensive care Unit, stroke ICU and neurosurgical ICU at Ain Shams University Hospitals Cairo, Egypt. A purposive sample consisted of (37) nurses. Two tools used to collect data. (1) Structured self-administer questionnaire sheet: It will divided into three parts: a) characteristics of the studied sample; b) to evaluate nurses’ knowledge concerning GCS (pre and post educational program and c) Indicator of theoretical and practical educational intervention success . (2) The Evaluation Form of GCS technique. The Results revealed that: statistical significant differences were found between pre/post and follow-up after educational program regarding level of nurse’s competence knowledge and practice also, there was highly significant correlation between total competent levels (knowledge & practice) r= 0.626 & r=0743 p<0.001 respectively. As well, the study noticed an increase number of performed neurological assessments over time by the nurse & interpretation Score correctly after educational program implemented 83.78% &64.86% respectively. Conclusion: educational program program was confirmed to improvement the competence of nurses’ performance (knowledge and practice) concerning GCS technique and there was also a positive correlation between levels of nurses’ knowledge as regards their practice. The study Recommended that Educational program should be provided to all nurses caring for unconscious patient concerning GCS, establishing and distributing a manual procedure book to all nurses who were working in critical care units and neurological wards including standard of GCS technique.