ORCID

Abstract

Aims and objectives. To test the feasibility of an evidence-based care bundle in aThai emergency department. The specific objective of this study was to examinethe impact of the implementation of the care bundle on the initial emergencynursing 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 patientswith 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 withsevere traumatic brain injury: 20 patients in the pretest period and 25 patients inthe post-test period.Results. There were significant improvements in clinical care of patients with severetraumatic brain injury after implementation of the care bundle: (1) use of end-tidalcarbon dioxide monitoring, (2) frequency of respiratory rate assessment, (3)frequency of pulse rate and blood pressure assessment, and (4) patient positioning.Conclusion. This study demonstrated that implementation of an evidence-basedcare bundle improved specific elements of emergency nurses’ clinical managementof patients with severe traumatic brain injury.Relevance to clinical practice. The study suggests that a care bundle approachcan be used as a strategy to improve emergency nursing care of patients withsevere traumatic brain injury.

Publication Date

2015-12-01

Publication Title

Journal of Clinical Nursing

Volume

24

Issue

23-24

ISSN

0962-1067

Deposit Date

2024-06-04

Embargo Period

2014-07-01

First Page

3365

Last Page

3373

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