Oyesanya Tolu O, Brown Roger L, Turkstra Lyn S
School of Nursing, University of Wisconsin-Madison, Madison, WI, USA.
Department of Communication Sciences and Disorders, University of Wisconsin-Madison, Madison, WI, USA.
J Clin Nurs. 2017 Jun;26(11-12):1562-1574. doi: 10.1111/jocn.13457. Epub 2017 Mar 20.
The purpose of this study was to determine nurses' perceptions about caring for patients with traumatic brain injury.
Annually, it is estimated that over 10 million people sustain a traumatic brain injury around the world. Patients with traumatic brain injury and their families are often concerned with expectations about recovery and seek information from nurses. Nurses' perceptions of care might influence information provided to patients and families, particularly if inaccurate knowledge and perceptions are held. Thus, nurses must be knowledgeable about care of these patients.
A cross-sectional survey, the Perceptions of Brain Injury Survey (PBIS), was completed electronically by 513 nurses between October and December 2014. Data were analysed with structural equation modelling, factor analysis, and pairwise comparisons.
Using latent class analysis, authors were able to divide nurses into three homogeneous sub-groups based on perceived knowledge: low, moderate and high. Findings showed that nurses who care for patients with traumatic brain injury the most have the highest perceived confidence but the lowest perceived knowledge. Nurses also had significant variations in training.
As there is limited literature on nurses' perceptions of caring for patients with traumatic brain injury, these findings have implications for training and educating nurses, including direction for development of nursing educational interventions.
As the incidence of traumatic brain injury is growing, it is imperative that nurses be knowledgeable about care of patients with these injuries. The traumatic brain injury PBIS can be used to determine inaccurate perceptions about caring for patients with traumatic brain injury before educating and training nurses.
本研究旨在确定护士对护理创伤性脑损伤患者的看法。
据估计，全球每年有超过1000万人遭受创伤性脑损伤。创伤性脑损伤患者及其家属通常关注康复期望，并向护士寻求信息。护士的护理观念可能会影响向患者及其家属提供的信息，特别是如果存在不准确的知识和观念。因此，护士必须了解这些患者的护理知识。
2014年10月至12月期间，513名护士通过电子方式完成了一项横断面调查——脑损伤认知调查（PBIS）。数据采用结构方程模型、因子分析和两两比较进行分析。
通过潜在类别分析，作者能够根据感知知识将护士分为三个同质亚组：低、中、高。研究结果表明，护理创伤性脑损伤患者最多的护士感知信心最高，但感知知识最低。护士在培训方面也存在显著差异。
由于关于护士对护理创伤性脑损伤患者看法的文献有限，这些发现对护士的培训和教育具有启示意义，包括护理教育干预措施的发展方向。
随着创伤性脑损伤发病率的不断上升，护士必须了解这些损伤患者的护理知识，这一点至关重要。在对护士进行教育和培训之前，创伤性脑损伤PBIS可用于确定对护理创伤性脑损伤患者的不准确看法。
