The Development of the care model for patients with mild traumatic brain injury
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Abstract
Abstract
This research and Development study aimed to develop and examine the outcomes of the care model for patients with mild traumatic brain injury. The sample composed of 40 patients with mild traumatic brain injury, 40 caregivers and 52 multidisciplinary staff. The model development consisted of 4 phases: (1) situation analysis (2) development of the care model (3) model implementation and (4) model evaluation. The study instrument included the care model for patients with mild traumatic brain injury. Data were collected using interview form, medical record checklist, knowledge test for caregivers and the nurses, competency assessment of caregivers, skill assessment of the nurses, satisfaction of the patients and caregivers, and satisfaction of the nurses and multidisciplinary staff. The content validity was examined by 5 experts and the reliability for knowledge, capability and satisfaction were .79, .80, .90, .89, .92 and .95 respectively. Data were analyzed using frequency, percentage, mean, standard deviation, paired t-test, and content analysis.
The results showed that the care model for patients with mild traumatic brain injury composed of 6 components (1) care map for patients with mild traumatic brain injury (2) nurse case manager (3) using clinical nursing practice guidelines (4) family participation (5) discharge planning and (6) visit by phone. Implementation of the care model revealed that the patient's outcome on revisit within 72 hours was 1 case and all the patients did not have intracranial hemorrhage. The average knowledge scores of the caregivers after implementing the model was significantly higher than before implementing the model ($p<.01$). The average scores of competency and satisfaction of the caregivers were at high level (Mean 18.20, SD .96 และ Mean 4.88, SD .47 respectively). The average score of knowledge and capability of the nurses after training was significantly higher than the score before getting training ($p<.01$). Satisfaction of the nurses and multidisciplinary staff were at high level (Mean 4.75, SD .58).
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