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IRCT20230126057239N1 IRCT 2023-03-11 Shahid Beheshti University of Medical Sciences The Effect Of Using Evidence-Based Care Package in brain trauma Comparing The Effectiveness of Using Evidence-Based Care Packages By Emergency Nurses On on The Hemodynamic Status of Brain Trauma Patients 2023-03-06 anticipated 60 Complete https://irct.ir/trial/68277 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Other, Other design features: First, the demographic information questionnaire is completed by the nurses of both groups in the first meeting, and then the quality of the emergency nurse's usual care of patients with moderate to severe brain trauma and the hemodynamic status of these patients, through the management checklist of patients with moderate to severe head trauma. It is completed by the researcher and the researcher's colleague through monitoring the hemodynamic status of the patients and also reviewing the documentation of their files, during the work shifts of these nurses for 3 patients with moderate to severe head trauma.After completing the checklist in the first stage, these nurses will be trained in the management of moderate to severe brain trauma patients based on the evidence-based care package, through 4 2-hour training workshops (during 2 weeks); After the end of the intervention, for each nurse to implement the instructions on 3 patients by monitoring the patient's hemodynamic status for a period of eight weeks, it is again evaluated by the same initial checklist and the average of the patient's hemodynamic status is determined. Finally, the hemodynamic status of the patients before and after the intervention will be compared and analyzed, Randomization description: In order to carry out this research, multi-stage sampling will be done. First, the selection of trauma centers is done by random cluster method, in this way, Tehran is divided into four parts (clusters) North, South, East and West, and one hospital with a trauma center is selected from each region. And then in these centers, 60 nurses will be selected by quota sampling method, in such a way that the selection is improbable and among the people in the available units, but it will be proportional to the number of nurses working in the selected hospitals. Then the allocation of nurse samples to groups will be done randomly and based on lottery. To select patients with moderate to severe trauma, through available sampling during 8 weeks during the work shifts of these nurses, 3 patients who meet the criteria for entering the research are selected and included in the study. To prevent leakage of information between the two groups, first the control group and then the intervention group are examined. N/A Brain Trauma. Intervention 1: Intervention group:60 nurses are randomly selected and placed in two control and intervention groups. In the intervention group, firstly, the effect of the performance of 30 nurses on the hemodynamic status of brain trauma patients is investigated using the brain trauma patients management checklist for a period of 8 weeks. 3 patients are evaluated for each nurse; Then they are trained in the management of brain trauma patients based on the evidence-based care package, through 4 two-hour training workshops; And within eight weeks after the end of the sessions, their performance in the field of caring for these patients will be evaluated again by the same checklist. The results of two tests of the control group and the results of two tests of the intervention group are also compared. Also, the results of the control and intervention groups will be compared. Intervention 2: Control group: There was no intervention in the control group, and the effect of the performance of 30 nurses in the control group on the hemodynamic status of brain trauma patients was investigated using the brain trauma patients management checklist. 3 patients are evaluated for each nurse. Again, 8 weeks later, the effect of the performance of 30 nurses in the control group on the hemodynamic status of brain trauma patients will be evaluated by the same checklist. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is The publication program is the publication of the article extracted from the thesis.
public shiva yousefi
No. 33, Panzdeh East Alley, Shahid Sadoqi Street, Yas Blvd., Tehran, Sar
Tehran Iran (Islamic Republic of) 1388973586 +98 21 4454 7203 shivayousefi@sbmu.ac.ir Shahid Beheshti University of Medical Sciences scientific Dr. Seyedeh Narjes Mousavizadeh
No. 33, Panzdeh East Alley, Shahid Sadoqi Street, Yas Blvd., Tehran, Sar
Tehran Iran (Islamic Republic of) 1388973586 +98 21 4454 7203 n.mousavi@sbmu.ac.ir Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) For nurses, having at least a bachelor's degree and at least 6 months of continuous clinical work experience in the emergency department of the hospital For patients, the presence of moderate to severe head trauma based on the GCS criterion and the diagnosis of the attending physician no limit no limit Both for nurses, participating in research or similar training courses, simultaneously with the present study; transfer to another department, transfer to other medical centers, sick leave, immigration; Absence in more than 2 training sessions and not being able to make up for the sessions For patients, death or transfer to departments other than trauma emergency before completion of checklists N/A N/A Intervention group:60 nurses are randomly selected and placed in two control and intervention groups. In the intervention group, firstly, the effect of the performance of 30 nurses on the hemodynamic status of brain trauma patients is investigated using the brain trauma patients management checklist for a period of 8 weeks. 3 patients are evaluated for each nurse; Then they are trained in the management of brain trauma patients based on the evidence-based care package, through 4 two-hour training workshops; And within eight weeks after the end of the sessions, their performance in the field of caring for these patients will be evaluated again by the same checklist. The results of two tests of the control group and the results of two tests of the intervention group are also compared. Also, the results of the control and intervention groups will be compared. Control group: There was no intervention in the control group, and the effect of the performance of 30 nurses in the control group on the hemodynamic status of brain trauma patients was investigated using the brain trauma patients management checklist. 3 patients are evaluated for each nurse. Again, 8 weeks later, the effect of the performance of 30 nurses in the control group on the hemodynamic status of brain trauma patients will be evaluated by the same checklist. Hemodynamic Status of Brain Trauma Patients. Timepoint: 8 weeks. Method of measurement: Care management checklist for brain trauma patients. Shahid Beheshti University of Medical Sciences Approved 2022-08-15 Ethics committee of Shahid Beheshti School of Midwifery Nursing No. 33, Panzdeh East Alley, Shahid Sadoqi Street, Yas Blvd., Tehran, Sar Tehran Tehran Iran (Islamic Republic of)