Discharge Education for Mild Traumatic Brain Injury Patients at Emergency Department

  • Praneed Songwathana Prince of Songkla University
  • Nurhayati Nurhayati University of Muhammadiyah Bengkulu

Abstract

This study aims to review the literature on educational interventions for the discharge of mild traumatic brain injury (mTBI) patients in the Emergency Room (IGD). Database searches were performed based on PICO queries and keywords. using ProQuest, ScienceDirect, Scopus, and PubMed for the period 2012-2019. Ten studies were reviewed. The findings revealed the contents of discharge information for mTBI patients including diagnosis, signs and symptoms, treatment and medication, pain management, home care, and ED return instructions. Four methods of discharge intervention are commonly used in the ED; written, spoken, animated and moving videos, and printed instructions measured over two time periods, either pre-discharge in the ED or follow-up 1-2 weeks post-discharge at home. In conclusion, combined teaching was more effective in terms of level of knowledge, understanding, and ED repeat visits.

 

Keywords: Discharge education, Emergency, Minor Traumatic Brain Injury

References

Bay, E., & Strong, C. (2011). Mild Traumatic Brain Injury: A Midwest Survey of Discharge Teaching Practices of Emergency Department Nurses. Advanced Emergency Nursing Journal, 33(2), 181-192

Buckley, B. A., McCarthy, D. M., Forth, V. E., Tanabe, P., Schmidt, M. J., Adams, J. G., & Engel, K. G. (2013) Patient Input Into the Development and Enhancement of ED Discharge Instructions: A Focus Group Study. Journal of Emergency Nursing, 39(6), 553-561. DOI: 10.1016/j.jen.2011.12.018

Chaboyer W, Ringdal M, Aitken L, Kendall E. (2013). Self‐Care after Traumatic Injury and the Use of the Therapeutic Self-Care Scale in Trauma Populations. Journal of advanced nursing, 69(2), 286-294. DOI: 10.1111/j.1365-2648.2012.06005.x

Curran, J. A., Murphy, A., Burns, E., Plint, A., Taljaard, M., MacPhee, S., & Bourque, M. (2017). Essential Content for Discharge Instructions in Pediatric Emergency Care: A Delphi Study. Pediatric Emergency Care, 34(5), 339-343. DOI: 10.1097/PEC.0000000000000986

Engel, K. G., Buckley, B. A., Forth, V. E., McCarthy, D. M., Ellison, E. P., Schmidt, M. J., & Adams, J. G. (2012). Patient Understanding of Emergency Department Discharge Instructions: Where are Knowledge Deficits Greatest?. Academic Emergency Medicine, 19(9), E1035-E1044. http://ovidsp.ovid.com/ovidweb.cgi?

Ismail, S., McIntosh, M., Kalynych, C., Joseph, M., Wylie, T., Butterfield, R., & Osian, S. R. (2016). Impact of Video Discharge Instructions for Fever and Closed Head Injury from the Emergency Department. The Journal of Emergency Medicine, 50(3), e177-e183. DOI: 10.1016/j.jemermed.2015.10.006

Kempe, C. B., Sullivan, K. A., & Edmed, S. L. (2014). A Critical Evaluation of Written Discharge Advice for People with Mild Traumatic Brain Injury: What Should We Be Looking For?. Brain Injury, 28(12), 1551-1558.

Kornburger, C., Gibson, C., Sadowski, S., Maletta, K., & Klingbeil, C. (2013). Using “Teach-Back” to Promote a Safe Transition from Hospital to Home: An Evidence-Based Approach to Improving the Discharge Process. Journal of Pediatric Nursing, 28(3), 282-291. DOI: 10.1016/j.pedn.2012.10.007

Lane, A. D., Berkman, M. R., Verbunker, D., Shekell, T., Bouska, M., Barnett, L. &, Waterbrook, A. L. (2017). Retrospective Chart Analysis of Concussion Discharge Instructions in the Emergency Department. The Journal of Emergency Medicine, 52(2), 690-698. DOI: 10.1016/j.jemermed.2016.12.017

Marshall, S., Bayley, M., McCullagh, S., Velikonja, D., & Berrigan, L. (2012). Clinical Practice Guidelines for Mild Traumatic Brain Injury and Persistent Symptoms. Canadian Family Physician, 58(3), 257-267. http://www.pubmedcentral.nih.gov/

Minen, M., Shome, A., Femia, R,, Balcer, L., Grudzen, C., & Gavin, N. P. (2017). Emergency Department Concussion Revisits: Chart Review of the Evaluation and Discharge Plans of Post-Traumatic Headache Patients. The American journal of emergency medicine, 35(2), 365-367. DOI: 10.1016/j.ajem.2016.10.076

Nurhayati, N., & Madsiri, M. (2019). Managing Acute Pain after Abdominal Surgery: Examples from Practice. Gastrointestinal Nursing, 17(8), 20-25. DOI: 10.12968/jprp.2020.2.2.78

Nurhayati, N., Praneed, S., & Ratjai, V. (2019). The Quality of Discharge Teaching Perceived by Surgical Nurses Working in Public Hospitals of Indonesia. International Journal of Caring Sciences, 12(1), 100-106. http://search.ebscohost.com/login.aspx?direct=true&db

Qureshi, K. L., Hawley, C. A., Peachey, T., Cooke, M. W., & Unsworth, L. (2013). Minor Head Injury in Children: Evaluating Written Discharge Advice Provided by Scottish Emergency Departments. Brain Injury, 27(13-14), 1549-1554. DOI: 10.3109/02699052.2013.837197

Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarths’ Texbook of Medical-Surgical Nursing. 12th ed. China: Lippincott William & Wilkins

White, L., Duncan, G., & Baumle, W. (2013). Medical-Surgical Nursing an Integrated Approach. 3rd ed. Canada: Delmar Cengage Learning

Zavala, S., & Shaffer C. (2011). Do Patients Understand Discharge Instructions?. Journal of Emergency Nursing, 37(2), 138-140. DOI: 10.1016/j.jen.2009.11.008
Published
2021-06-30
How to Cite
Songwathana, P., & Nurhayati, N. (2021). Discharge Education for Mild Traumatic Brain Injury Patients at Emergency Department. JOSING: Journal of Nursing and Health, 1(2), 65-74. https://doi.org/https://doi.org/10.31539/josing.v1i2.2122
Abstract viewed = 2 times
pdf downloaded = 1 times