![]() ![]() Jennettto, called the Glasgow Coma Scale (GCS) which tested 3 neurological aspects of the patient’s response: eye opening, limb movement, and vocalization. ![]() The important components to assess altered level of consciousness were designed in 1974 by Graham Teasdale and Bryan J. Coma is the severest impairment of arousal and is defined as the inability to obey commands, speak, or open eyes to pain. Impairment of arousal can vary from mild (drowsiness or somnolence) to coma. Ĭonsciousness has two components: arousal and content. The common presentation to the ED is with an acutely altered level of consciousness that requires quick assessment, which is the crucial action of all health providers. In Malaysia, the statistics for the year 2009-2010 reveal that the causes of death from motor vehicle accidents are head injury (56.5%) followed by brain injury (38.1%), both head and brain injury (34%) and skull/craniofacial fractures (27.9%). Yearly, about 1.5 million people die from TBI and those several millions that survive receive emergency treatment. Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. Overall, this study supports that good knowledge and skill are important in assessing GCS level. There was also a significant correlation between knowledge and age group (, df = 2,, and ). The result on the association between knowledge and education level showed a significant association between the two variables (, df = 3,, and ). Result showed that 55.56% of nurses had poor knowledge followed by 41.48% and 2.96% with satisfactory knowledge and good knowledge, respectively. ![]() Descriptive and Pearson’s chi square was used. Data collected was analyzed using the Statistical Package of Social Sciences (SPSS) version 20. ![]() Nurses in these Departments were asked to partake in the survey. This is a quantitative descriptive cross-sectional study design using the GCS Knowledge Questionnaire. This study aims to explore the knowledge and competence in assessing the GCS among staff nurses working in the Emergency and Outpatient Departments. Critical thinking used with the skill and knowledge in assessing the GCS is the foundation of all nursing practice. Assessment of level of consciousness using the Glasgow Coma Scale (GCS) is a tool requiring knowledge that is important in detecting early deterioration in a patient’s level of consciousness. ![]()
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