Effectiveness of planned teaching programme on knowledge and practice regarding secondary survey of trauma patients among trauma nursing officers
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20241181Keywords:
Knowledge, Nursing officers, Practice, Trauma-care, Trauma-patients, Secondary surveyAbstract
Background: Secondary survey is crucial for quickly and methodically evaluating damaged patients from head to toe, discovering any injuries that were underlooked in the first survey, and quickly and methodically evaluating polytrauma patients when it's unclear what's causing their symptoms. The study aimed to assess the knowledge and practice of secondary survey in nursing officers in AIIMS Rishikesh.
Methods: This pre-experimental (one group pre-test and post test research) study was conducted to assess the effectiveness of planned teaching programme. 30 minutes of secondary survey class followed by demonstration of same. Using non- probability convenient sampling technique, total of 133 nursing officers were selected from Trauma Center of AIIMS Rishikesh. Self structured questionnaire was given to participants and practice was assessed using practice checklist.
Results: The pre-test and post-test mean knowledge was found 14.08 and 18.40 and mean practice was 12.51 and 31.11 indicating the enhancement of knowledge and practice (tcal 130.28 >t table1.98 at p <0.05). Difference between pre-test knowledge (14.08±2.455) and Pre-test practice (12.51±5.188) indicate adequate knowledge with inadequate practice.
Conclusions: The study concluded that the secondary survey knowledge and practice improves with adequate guidance and information. So, there is need for regular training session for trauma nursing officers to sustain this information and practice enhancement can be done by regularly implementing practice checklist in documentation.
Metrics
References
Amato S, Bonnell L, Mohan M, Roy N, Malhotra A. Comparing trauma mortality of injured patients in India and the USA: a risk-adjusted analysis. Trauma Surg Acute Care Open. 2021;6(1):e000719.
Abstracts of the 2021 Association of Surgeons in Training International Surgical Conference ,January, 2020–2021. Available at: https://jqph.org/index.php/JQPH/article/view/430. Accessed on 28 January 2024.
Carter EA, Waterhouse LJ, Kovler ML, Fritzeen J, Burd RS. Adherence to ATLS primary and secondary surveys during pediatric trauma resuscitation. Resuscit. 2013;84(1):66-71.
Civil ID. Current imaging technology and trauma: Has the secondary survey been superceded?. Injury. 2008;39(5):505-6.
Gianola S, Bargeri S, Biffi A, Cimbanassi S, D’Angelo D, Coclite D, et al. Structured approach with primary and secondary survey for major trauma care: an overview of reviews. Wo J Emerg Surg. 2023;18(1):2.
Hajibandeh S, Toner E, Saliani H, Faruqi F. Retrospective study of compliance with secondary survey standards in management of major trauma patients. Am J Emerg Medi. 2016;34(12):2446-8.
Houshian S, Larsen MS, Holm C. Missed injuries in a level I trauma center. J Traum Acute Care Surg. 2002;52(4):715-9.
Keijzers GB, Campbell D, Hooper J, Bost N, Crilly J, Steele MC, et al. A prospective evaluation of missed injuries in trauma patients, before and after formalising the trauma tertiary survey. W J Surg. 2014;38(1):222-32.
Kelleher DC, Carter EA, Waterhouse LJ, Parsons SE, Fritzeen JL, Burd RS. Effect of a checklist on advanced trauma life support task performance during pediatric trauma resuscitation. Acad Emerg Medi. 2014;21(10):1129-34.
Kool DR, Blickman JG. Advanced Trauma Life Support®. ABCDE from a radiological point of view. Emerg Radiol. 2007;14(3):135-41.
Trauma Assessment Technique or Treatment. 1–5. Available at: https://www.ncbi.nlm.nih.gov/books/NBK555913/. Accessed on 28 January 2024.
Sae-Sia W, Songwathana P, Ingkavanich P. The development of clinical nursing practice guideline for initial assessment in multiple injury patients admitted to trauma ward. Austra Emerg Nurs J. 2012;15(2):93-9.
Wo Wong TW, Lau CC, Yong BH, Tan IK, Kong JH. Knowledge base of doctors and nurses participating in a trauma workshop. Hong Kong J Emerg Med. 2000;7(2):81-4.
Yan DH, Slidell MB, McQueen A. Using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma. BMC Medi Educat. 2020;20(1):1-7.
