This article is part of Clinical Advisor’s coverage of the National Association of Pediatric Nurse Practitioners (NAPNAP) 2019 meeting, taking place in New Orleans, Louisiana. Our staff will report on medical research related to pediatric health conducted by experts in the field. Check back regularly for more news from NAPNAP 2019.


NEW ORLEANS―Providing nurse practitioners with standardized order sets and education on identifying and treating concussions in pediatric patients promotes enhanced care of these patients, according to research presented at the National Association of Pediatric Nurse Practitioners 2019 meeting held March 7-10 in New Orleans.

Megan M Nute, CPNP-AC, from Duke University Hospital in Durham, NC, and associates sought to improve the consistency of care for pediatric patients admitted with a traumatic brain injury (TBI) by implementing concussion guidelines. The nursing staff at Duke University Hospital were surveyed initially about their knowledge and comfort level in caring for pediatric concussion patients. A Pediatric Concussion/ (TBI) Education Booklet was created and distributed by pediatric general surgery, speech therapy, physical therapy, child life, and nursing staff members and reviewed at a pediatric nurse practitioner skills day. Nursing staff were re-surveyed 4 months after implementation of the education booklet.

Survey results indicate that the majority of nurse respondents (33.3%) felt that asking a more experienced colleague was the best possible method of learning about a patient care-related topic; attending a face-to-face education class was the second highest preferred method (30.3%). Prior to the intervention, the majority of nurses (43.8%) felt that they had some knowledge of concussion/TBI clinical guidelines, whereas after the intervention, the same amount of nurses reported increased knowledge of concussion/TBI clinical guidelines.

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“Creating inpatient concussion guidelines promotes consistency of practice across providers and services,” the authors concluded. “Providing an education intervention based on the nurses preferred method of learning increases their knowledge and confidence in caring for patients in the acute care phase of a concussion.”

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Reference

Nute MM. Implementation of pediatric inpatient concussion guidelines and nurse education. Presented at: National Association of Pediatric Nurse Practitioners annual meeting 2019; March 7-10, 2019; New Orleans, LA. Abstract F6.