Authors (including presenting author) :
Chu MK(1), Yu CT(2), Boo MS(3), Chan CK(4), Chau SW(5), Man KL(6), Chang HE(1), Lau WS(1), Yeung HC(1), Leung WM(7), TONG WK(8)
Affiliation :
(1) Department of Neurosurgery, Princess Margaret Hospital, Hong Kong
(2) Nursing Services Division, United Christian Hospital, Hong Kong
(3) Department of Neurosurgery, Queen Mary Hospital, Hong Kong
(4) Department of Neurosurgery, Tuen Mun Hospital, Hong Kong
(5) Department of Neurosurgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong
(6) Department of Neurosurgery, Queen Elizabeth Hospital, Hong Kong
(7) Department of Medicine and Geriatrics, Tuen Mun Hospital, Hong Kong
(8) Nursing Services Department, Hospital Authority Head Office, Hong Kon
Introduction :
Glasgow Coma Scale (GCS) is a widely used neurological assessment tool that provides a standardized and objective measure of consciousness and neurological status in patients. The GCS was revised in 2014 to improve its reliability and clinical utility. Nurses play a crucial role in the assessment and monitoring of patients' neurological status, making their knowledge and use of the GCS 2014 essential for accurate patient evaluation and care.
Objectives :
To promulgate and implement GCS 2014 version in Hospital Authority through evidence-based practice approach.
Methodology :
The study employs an Evidence-Based Practice (EBP) approach to investigate the impact of education on increasing the inter-rater reliability and accuracy of rating the Glasgow Coma Scale (GCS). The literature review indicates that education can enhance these aspects of GCS assessment. In response, an e-learning program was developed to introduce the application of the 2014 version of the GCS to all healthcare professionals.
The research study aims to involve all ranks of nurses within six clusters (HKEC, HKWC, KCC, KEC, KWC, NTWC) in Hospital Authority. Participants will be tasked with rating the GCS for 10 video scenarios both before and after completing the e-learning module through the eLC+ platform. This pre- and post-assessment design will allow for an evaluation of the effectiveness of the educational intervention on improving GCS rating consistency and precision among nurses.
Result & Outcome :
The implementation of e-training module yielded positive results, indicating a significant increase in the accuracy of rating GCS by nurses. Total 797 nurses enrolled in the e-learning module. 371 data were collected for analysis including different ranks from Enrolled Nurses to Department Operations Manager and Nurse Consultants. Post-test scores for nurses increased from 5.23 to 6.38. Years of experience and working departments are significant predictor of outcome results. Senior nurses and nurses working in neurosurgery perform better in the pre- and post-test. In addition, Associated Nurse Consultants perform the best among all rankings.
With the support from various Coordinating Committees and Central Committees, as GCS’s application involves different specialties and disciplines, GCS 2014 version has been implemented in e-vital system in November 2024.
