Basauhra Singh Harvinderjit Kaur A/P, Chong Mei Chan, Thambinayagam Hari Chandran A/L, Zakaria Mohd Idzwan Bin, Cheng Siew Ting, Tang Li Yoong, Azahar Nurul Hafizan
University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Nurs Res Pract. 2016;2016:8056350. doi: 10.1155/2016/8056350. Epub 2016 Dec 1.
Assessment of level of consciousness using the Glasgow Coma Scale (GCS) is a tool requiring knowledge that is important in detecting early deterioration in a patient's level of consciousness. Critical thinking used with the skill and knowledge in assessing the GCS is the foundation of all nursing practice. This study aims to explore the knowledge and competence in assessing the GCS among staff nurses working in the Emergency and Outpatient Departments. This is a quantitative descriptive cross-sectional study design using the GCS Knowledge Questionnaire. Convenience sampling method was used. Nurses in these Departments were asked to partake in the survey. Data collected was analyzed using the Statistical Package of Social Sciences (SPSS) version 20. Descriptive and Pearson's chi square was used. Result showed that 55.56% of nurses had poor knowledge followed by 41.48% and 2.96% with satisfactory knowledge and good knowledge, respectively. The result on the association between knowledge and education level showed a significant association between the two variables ( = 18.412, df = 3, = 135, and < 0.05). There was also a significant correlation between knowledge and age group ( = 11.085, df = 2, = 135, and < 0.05). Overall, this study supports that good knowledge and skill are important in assessing GCS level.
使用格拉斯哥昏迷量表(GCS)评估意识水平是一项需要专业知识的工具,对于检测患者意识水平的早期恶化非常重要。在评估GCS时运用批判性思维以及相关技能和知识是所有护理实践的基础。本研究旨在探讨急诊科和门诊部在职护士评估GCS的知识和能力。这是一项采用GCS知识问卷的定量描述性横断面研究设计。采用便利抽样法。要求这些科室的护士参与调查。收集的数据使用社会科学统计软件包(SPSS)20版进行分析。使用描述性统计和Pearson卡方检验。结果显示,55.56%的护士知识水平较差,分别有41.48%和2.96%的护士知识水平令人满意和良好。知识与教育水平之间的关联结果显示这两个变量之间存在显著关联(χ² = 18.412,自由度 = 3,样本量 = 135,P < 0.05)。知识与年龄组之间也存在显著相关性(χ² = 11.085,自由度 = 2,样本量 = 135,P < 0.05)。总体而言,本研究支持在评估GCS水平时良好的知识和技能很重要这一观点。