Educational Intervention Effect on Nurses’ Knowledge of Glasgow Coma Scale for Neurological Patient Assessment in Tertiary Hospitals in Edo State, Nigeria

Context: Nigeria reports increasing cases of neurological patients requiring close monitoring using the Glasgow Coma Scale (GCS). Although nurses are key health personnel managing these patients, evidence suggests they lack knowledge of the GCS and neurological assessment. Aim: This study assesse...

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Main Authors: Timothy Ehwarieme, Roselynd Esewe, Anwuli Emina
Format: Article
Language:English
Published: Egyptian Electronic Publisher 2024-07-01
Series:Evidence-Based Nursing Research
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Online Access:https://eepublisher.com/index.php/ebnr/article/view/336
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author Timothy Ehwarieme
Roselynd Esewe
Anwuli Emina
author_facet Timothy Ehwarieme
Roselynd Esewe
Anwuli Emina
author_sort Timothy Ehwarieme
collection DOAJ
description Context: Nigeria reports increasing cases of neurological patients requiring close monitoring using the Glasgow Coma Scale (GCS). Although nurses are key health personnel managing these patients, evidence suggests they lack knowledge of the GCS and neurological assessment. Aim: This study assessed the effect of an educational intervention on nurses' knowledge of GCS for neurological patients’ assessment in selected tertiary hospitals in Edo State, Nigeria. Methods: This is a quasi-experimental, non-equivalent control group, pre-post-test research design. The sample consisted of 98 nurses purposely selected from the neurological wards of the selected hospitals. A researcher-developed self-report questionnaire with a reliability Cronbach's alpha index of 0.832. Data analysis used descriptive and inferential statistics at the 5% significance level. Results: Knowledge of GCS increased from a  (0%) pre-test to 29(60.4%) very good knowledge level post-test one and 15(31.3%) post-test two, whereas the control group had 0% throughout the three periods. Significant differences (p 0.000) over the assessment times were found in the intervention group. The post hoc test revealed statistically significant differences between pre-test versus post-test one/and post-test two. A chi-square analysis of association showed no association between socio-demographic characteristics and level of knowledge on GCS among participants pre and post-intervention for both study groups (p>0.05). Conclusion: This study has convincingly demonstrated the effectiveness of the developed educational intervention package in improving nurses' knowledge of the GCS. The self-instructional format offers an appealing approach to promoting self-directed learning among nurses. This approach can empower nurses to confidently assess patients using the GCS, interpret scores accurately, and apply their knowledge in clinical practice.
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spelling doaj-art-2d87bbec3ea54a2a8f9015e51d7b568d2025-08-20T03:52:20ZengEgyptian Electronic PublisherEvidence-Based Nursing Research2636-39922636-400X2024-07-016310.47104/ebnrojs3.v6i3.339Educational Intervention Effect on Nurses’ Knowledge of Glasgow Coma Scale for Neurological Patient Assessment in Tertiary Hospitals in Edo State, NigeriaTimothy Ehwarieme0Roselynd Esewe1Anwuli Emina2Department of Nursing Science, School of Basic Medical Science, University of Benin, Edo State, Nigeria.Department of Nursing Science, University of Benin Benin City Edo State Nigeria.Department of Nursing Science, Faculty of Basic Medical and Health Sciences, Behson Idahosa University, Benin City, Edo State, Nigeria. Context: Nigeria reports increasing cases of neurological patients requiring close monitoring using the Glasgow Coma Scale (GCS). Although nurses are key health personnel managing these patients, evidence suggests they lack knowledge of the GCS and neurological assessment. Aim: This study assessed the effect of an educational intervention on nurses' knowledge of GCS for neurological patients’ assessment in selected tertiary hospitals in Edo State, Nigeria. Methods: This is a quasi-experimental, non-equivalent control group, pre-post-test research design. The sample consisted of 98 nurses purposely selected from the neurological wards of the selected hospitals. A researcher-developed self-report questionnaire with a reliability Cronbach's alpha index of 0.832. Data analysis used descriptive and inferential statistics at the 5% significance level. Results: Knowledge of GCS increased from a  (0%) pre-test to 29(60.4%) very good knowledge level post-test one and 15(31.3%) post-test two, whereas the control group had 0% throughout the three periods. Significant differences (p 0.000) over the assessment times were found in the intervention group. The post hoc test revealed statistically significant differences between pre-test versus post-test one/and post-test two. A chi-square analysis of association showed no association between socio-demographic characteristics and level of knowledge on GCS among participants pre and post-intervention for both study groups (p>0.05). Conclusion: This study has convincingly demonstrated the effectiveness of the developed educational intervention package in improving nurses' knowledge of the GCS. The self-instructional format offers an appealing approach to promoting self-directed learning among nurses. This approach can empower nurses to confidently assess patients using the GCS, interpret scores accurately, and apply their knowledge in clinical practice. https://eepublisher.com/index.php/ebnr/article/view/336Educational intervention, effect, Glasgow Coma Scale, knowledge, nurses
spellingShingle Timothy Ehwarieme
Roselynd Esewe
Anwuli Emina
Educational Intervention Effect on Nurses’ Knowledge of Glasgow Coma Scale for Neurological Patient Assessment in Tertiary Hospitals in Edo State, Nigeria
Evidence-Based Nursing Research
Educational intervention, effect, Glasgow Coma Scale, knowledge, nurses
title Educational Intervention Effect on Nurses’ Knowledge of Glasgow Coma Scale for Neurological Patient Assessment in Tertiary Hospitals in Edo State, Nigeria
title_full Educational Intervention Effect on Nurses’ Knowledge of Glasgow Coma Scale for Neurological Patient Assessment in Tertiary Hospitals in Edo State, Nigeria
title_fullStr Educational Intervention Effect on Nurses’ Knowledge of Glasgow Coma Scale for Neurological Patient Assessment in Tertiary Hospitals in Edo State, Nigeria
title_full_unstemmed Educational Intervention Effect on Nurses’ Knowledge of Glasgow Coma Scale for Neurological Patient Assessment in Tertiary Hospitals in Edo State, Nigeria
title_short Educational Intervention Effect on Nurses’ Knowledge of Glasgow Coma Scale for Neurological Patient Assessment in Tertiary Hospitals in Edo State, Nigeria
title_sort educational intervention effect on nurses knowledge of glasgow coma scale for neurological patient assessment in tertiary hospitals in edo state nigeria
topic Educational intervention, effect, Glasgow Coma Scale, knowledge, nurses
url https://eepublisher.com/index.php/ebnr/article/view/336
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