The effect of a neurological training module on the competency of neurocritical care staff nurses
Ruperto Asesor Jr. | Leonor Fruto
Discipline: medicine by specialism
Abstract:
Aim This study aimed to determine the effect of the Brain EMERGENTTraining Module on the competency
of neurocritical care staff nurses (SNs) assigned to the Neurocritical Care Unit (NCCU) and Acute Stroke
Unit (ASU) in the management of post-operative neurological patients (PONP) with increased intracranial
pressure (II??).
Methods This quasi-experimental study included 19 SNs recruited through purposive sampling to undergo
the Brain EMERGENT training module. Four instruments were developed based on Miller's framework
to measure pre- and post-test competencies across four domains: (1) Knowledge (Cronbach's a = 0.82),
(2) Affective (Cronbach's a = 0.88), (3) Psychomotor (Cronbach's a = 0.84), and (4) "Does" domain, assessed
through skills validation four weeks after training.
Results The training module produced a highly significant improvement in the Knowledge domain (pretest mean = 7.8, SD = 1.6; post-test mean = 9.7, SD = 1.3; p = 0.0009) and a significant improvement in
the Affective domain (pre-test mean = 58.8, SD = 7.6; post-test mean = 63.2, SD = 6.6; p = 0.0228). There
was no significant effect on the Psychomotor domain (pre-test mean = 27.8, SD = 3.1; post-test mean =
28.5, SD = 2.8; p = 0.0855). In the "Does" domain, 8 out of 10 SNs met the competency standards during
skills validation, while 2 did not.
Conclusion The Brain EMERGENT training module significantly improved competencies in the Knowledge
and Affective domains but showed no significant effect on Psychomotor skills.
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