Effect of training sessions about Full Outline of Un-Responsiveness scale compared to Glasgow Coma Scale on nurses’ performance, perception and its reliability | ||||
| Egyptian Journal of Health Care | ||||
| Article 5, Volume 12, Issue 1, March 2021, Page 54-72 PDF (317.58 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2021.135122 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Azza Abd Elrazek Baraka* 1; Samah A. Shalaby2 | ||||
| 1Assistant Professor of Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Egypt 2. Assistant Professor of Critical Care and Emergency Nursing, College of Nursing, King Saud bin Abdulaziz University for Health Sciences, Al-Ahsa, Saudi Arabia 3. King Abdullah International Medical Research Center, Al-Ahsa, Saudi Arabia | ||||
| 2Assistant Professor of Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Egypt | ||||
| Abstract | ||||
| Background: Assessing patients’ level of consciousness in intensive care units (ICUs) through Full Outline of Un-Responsiveness (FOUR) scale versus the Glasgow Coma Scale (GCS) requires critical care nurses’ (CCNs) knowledge and skills to detect deterioration of patients’ level of consciousness. Objectives: To evaluate the effect of implementing training sessions on critical care nurses’ performance and perception regarding FOUR scale compared to GCS and reliability of each one. Research hypotheses: Nurses who attend training sessions will show a significant improvement in performance of FOUR scale compared to GCS. Study design: A pretest posttest study design was used in this study. Method: The study was conducted at seven ICUs at Alexandria Main University Hospital including; Unit I, Unit II, Unit III, Medical, Respiratory, Neurosurgery, and Emergency anesthesia ICUs. Subject: A convenient sampling technique of all CCNs (100) and a purposive sample of adult critically ill patients equivalent to the number of nurses’ sample was used to recruit the participants from previously mentioned CCUs. Results: The implemented training sessions were significantly effective in increasing CCNs’ performance and positive perception of FOUR scale compared to GCS. There was overall higher inter-rater reliability regarding FOUR score than that of GCS score Cohen’s kappa (0.92 versus 0.81) and 83% of nurses agreed that FOUR scale is a preferred scale to assess the depth of coma. Conclusion: training sessions were significantly effective in increasing CCNs’ performance and positive perception regarding FOUR scale compared to GCS. Recommendation: Nursing administrators should provide continuous training sessions. Manual for procedures is advised to be distributed to all CCNs including all methods for assessing patients’ level of consciousness (LOC). | ||||
| Keywords | ||||
| Training sessions; Critical care nurses; performance; perception; reliability; Full outline of un-responsiveness scale; Glasgow coma scale | ||||
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