Critically Head Injured Patients: Improving Nurses` Awareness and Self – Efficacy to Control Extremities Muscles Contracture
Egyptian Journal of Health Care
Aim: This study aimed to evaluate the effect of improving nurses' awareness and selfefficacy to control extremities muscles contracture in critically head injured patients. Subjects and Method : A quasi-experimental design was utilized for the conduction of this study in the Surgical Hospital affiliated to Ain Shams University in the following Critical Care Units (Neuro-Surgery , ICU and Emergency ). Sample: A purposive sample was composed of 50 nurses with different ages, education and
... ucation and experiences. In addition, 40 critically head injured patients from the above mentioned settings. Tools of data collection : 1) Self administered questionnaire (pre / post tests ) to assess the studied nurses' knowledge as regards controlling extremities muscles contracture . 2) An observation checklist (pre / post tests) to evaluate studied nurses ' practices in relation to care of patient's withcritically head injury to control extremitiesmuscle contracture. 3) General self-efficacy scale (pre / post tests) to assess studied nurses' selfefficacy level. 4) Patients' condition assessment sheet (pre / posttests): a) Glasgow Coma Scale to assess level of consciousness . b) Muscle contracture assessment sheet. Results: Mean ages of studied nurses were (16.7± 9.6). More than half of them had diploma nursing with less than five years of experience. In addition, there were unsatisfactory level of nurses ' knowledge, practices and selfefficacy in pre test . As regards the studied patients , significant improvement was indicated in post and follow-up tests for muscle contracture . Conclusion : In light of the present study, improving nurses' awareness ( knowledge and practices ) and selfefficacy through educational guidelines was helpful on controlling extremities muscles contracture in critically head injured patients , whereas significant improvement was indicated in post tests compared to pre. Moreover, patients' health condition assessment (incidence of extremities muscles contracture) was reduced in post -tests. Recommendations: Further studies should be carried out on a large number of critical care nurses with evidence of results and generalization.