Initial emergency nursing management of patients with severe traumatic brain injury: Development of an evidence-based care bundle for the Thai emergency department context

Damkliang, Jintana; Considine, Julie; Kent, Bridie; Street, Maryann

doi:10.1016/j.aenj.2014.05.005

Cited by 16 publications

(38 citation statements)

References 19 publications

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“…The Knowledge to Action Framework (Graham et al, 2006) provided rigorous processes to develop and implement the care bundle in a particular context, while the seven theoretical steps for care bundle development by Fulbrook and Mooney (2003) guided the process of developing the care bundle. Details of the care bundle development process have been published elsewhere (Damkliang et al, 2014). The care bundle was developed specifically for implementation in one Thai ED including consideration of the structure, staffing, processes and resources of the emergency healthcare system, and more specifically the ED setting (Table 1).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…International evidence-based guidelines for the management of patients with severe TBI were reviewed and it was established that they were either derived from Western countries with welldeveloped trauma care systems and emergency care facilities or, if relevant to the Asian content, were directed at physician care (Damkliang et al, 2014). Further, due to the different contexts, currently available evidence cannot be directly implemented into the Thai ED context, and specifically, the Thai emergency nursing context, without considerable adaptation.…”

Section: Introductionmentioning

confidence: 99%

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Nurses' perceptions of using an evidence-based care bundle for initial emergency nursing management of patients with severe traumatic brain injury: A qualitative study

Damkliang

Considine

Kent

et al. 2015

International Emergency Nursing

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Evidence to guide initial emergency nursing care of patients with severe traumatic brain injury (TBI) in Thailand is currently not available in a useable form. A care bundle was used to summarise an evidence-based approach to the initial emergency nursing management of patients with severe TBI and was implemented in one Thai emergency department. The aim of this study was to describe Thai emergency nurses' perceptions of care bundle use. A descriptive qualitative study was used to describe emergency nurses' perceptions of care bundle use during the implementation phase (Phase-One) and then post-implementation (Phase-Two). Ten emergency nurses participated in Phase-One, while 12 nurses participated in Phase-Two. In Phase-One, there were five important factors identified in relation to use of the care bundle including quality of care, competing priorities, inadequate equipment, agitated patients, and teamwork. In Phase Two, participants perceived that using the care bundle helped them to improve quality of care, increased nurses' knowledge, skills, and confidence. Care bundles are one strategy to increase integration of research evidence into clinical practice and facilitate healthcare providers to deliver optimal patient care in busy environments with limited resources.

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Section: Theoretical Frameworkmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nurses' perceptions of using an evidence-based care bundle for initial emergency nursing management of patients with severe traumatic brain injury: A qualitative study

Damkliang

Considine

Kent

et al. 2015

International Emergency Nursing

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“…As a result, an evidence‐based care bundle for initial emergency nursing management of patients with severe TBI was developed based on the Thai ED context, facilities, and resources and implemented in one Thai ED (Damkliang et al . ).…”

Section: Introductionmentioning

confidence: 97%

Using an evidence‐based care bundle to improve initial emergency nursing management of patients with severe traumatic brain injury

Damkliang

Considine

Kent

et al. 2015

Journal of Clinical Nursing

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“…The ED nursing role in triage processing has been found to have produced a dramatic reduction in waiting times (Bruijns, Wallis, & Burch, 2008), and it has significantly reduced the percentage of patients who leave EDs without being seen (Love, Murphy, Lietz, & Jordan, 2012). A further important role of senior ED nurses is in patient management (Fry, 2011a) and particularly of severe traumatic brain injury (Damkliang, Considine, Kent, & Street, 2014). Nursing work in an ED is also involved in non-clinical dimensions of organizational and interdepartmental management (Nugus & Forero, 2011).…”

Section: Introductionmentioning

confidence: 99%

Expanding knowledge and roles for authority and practice boundaries of Emergency Department nurses: a grounded theory study

Trisyani

Windsor

2019

International Journal of Qualitative Studies on Health and Well

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Purpose: While emergency department nurses in Indonesia are critical to quality care, the role lacks recognition and standard practices and regulation of scope of practice are absent. This research explored the role of nurses in Indonesian EDs. Method: The conceptual lens applied in the research was grounded theory. The main data source was 51 semi-structured interviews with 43 ED nurses, three directors of nursing, three nurse leaders and two nurse educators. Data were also generated through observations and memos. Results: Two key categories were constructed; shifting work boundaries and lack of authority. Shifting work boundaries was symbolic of a lack of professional authority and legitimized knowledge. Lack of authority reflected the dimension of professional autonomy through the nexus of power and knowledge. The interrelationship of these two concepts constructed a core category, securing legitimate power, which underpinned the positioning of nursing in Indonesia. Conclusions: The interconnection between political gains, tertiary knowledge, professional regulation and implementation of gender-sensitive policies was critical to the development of the ED role, the positioning of nursing within the health care system and improvement in quality of care.

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Initial emergency nursing management of patients with severe traumatic brain injury: Development of an evidence-based care bundle for the Thai emergency department context

Cited by 16 publications

References 19 publications

Nurses' perceptions of using an evidence-based care bundle for initial emergency nursing management of patients with severe traumatic brain injury: A qualitative study

Nurses' perceptions of using an evidence-based care bundle for initial emergency nursing management of patients with severe traumatic brain injury: A qualitative study

Using an evidence‐based care bundle to improve initial emergency nursing management of patients with severe traumatic brain injury

Expanding knowledge and roles for authority and practice boundaries of Emergency Department nurses: a grounded theory study

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