Nurses’ Knowledge and Practice of Trauma Patients during Golden Hours of Care

Document Type : Original Article

Authors

1 B.SC, Zagazig University

2 Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University

3 Lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University

Abstract

Background: Trauma is the leading cause of mortality in young adults. Many such deaths are preventable if patients are treated effectively. The term "golden hour" is commonly used to characterize the urgent need for the care of trauma patients. Aim of the study: to assess the level of nurses' knowledge and practice for trauma patients during the golden hour of care. Subject and method, Research design: Descriptive exploratory design was utilized. Setting: Data were collected from two setting; the emergency departments EDs of Emergency Hospital at Zagazig University and Al-Ahrar Hospital. Subject: The study subject includes 40 Emergency nurses from the same hospital setting which have been selected to the study. Tools of data collection: two tools were used for collection of data, the first tool was questionnaire self-administer tool to collect demographic characteristics of study nurses and questions to assess nurses' knowledge regarding trauma patients during the golden hour of care. Second tool was an observational checklist to assess nurses' practice regarding trauma patients during the golden hour of care. Results: less than one third of the studied nurses had satisfactory total knowledge regarding trauma patients during golden hour. Less than one fifth of the studied nurses had total satisfactory practice regarding trauma patients during golden hour of care. Relation's analysis showed no significant relationship between total nurses’ knowledge and practice with personnel data such as age, training and year's experiences. There was no significant association between total knowledge score and total practice score. Conclusion nurses had unsatisfactory level of knowledge and practice about trauma patients during golden hour of care. They did not apply the most recommended nursing practices regarding trauma patients during golden hour of care. Recommendation: provide a training program for all nurses who provide care to trauma patients in EDs, periodic evaluation of nurses' practice.

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