Evidence to guide initial emergency nursing care of patients with severe traumatic brain injury (TBI) in
Thailand is currently not available in a useable form. A care bundle was used to summarise an evidencebased
approach to the initial emergency nursing management of patients with severe TBI and was
implemented in one Thai emergency department. The aim of this study was to describe Thai emergency
nurses’ perceptions of care bundle use. A descriptive qualitative study was used to describe emergency
nurses’ perceptions of care bundle use during the implementation phase (Phase-One) and then postimplementation
(Phase-Two). Ten emergency nurses participated in Phase-One, while 12 nurses participated
in Phase-Two. In Phase-One, there were five important factors identified in relation to use of the care
bundle including quality of care, competing priorities, inadequate equipment, agitated patients, and teamwork.
In Phase Two, participants perceived that using the care bundle helped them to improve quality
of care, increased nurses’ knowledge, skills, and confidence. Care bundles are one strategy to increase
integration of research evidence into clinical practice and facilitate healthcare providers to deliver optimal
patient care in busy environments with limited resourc
Evidence to guide initial emergency nursing care of patients with severe traumatic brain injury (TBI) inThailand is currently not available in a useable form. A care bundle was used to summarise an evidencebasedapproach to the initial emergency nursing management of patients with severe TBI and wasimplemented in one Thai emergency department. The aim of this study was to describe Thai emergencynurses’ perceptions of care bundle use. A descriptive qualitative study was used to describe emergencynurses’ perceptions of care bundle use during the implementation phase (Phase-One) and then postimplementation(Phase-Two). Ten emergency nurses participated in Phase-One, while 12 nurses participatedin Phase-Two. In Phase-One, there were five important factors identified in relation to use of the carebundle including quality of care, competing priorities, inadequate equipment, agitated patients, and teamwork.In Phase Two, participants perceived that using the care bundle helped them to improve qualityof care, increased nurses’ knowledge, skills, and confidence. Care bundles are one strategy to increaseintegration of research evidence into clinical practice and facilitate healthcare providers to deliver optimalpatient care in busy environments with limited resourc
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