“A STUDY TO ASSESS KNOWLEDGE ON REVISED TRAUMA SCORE AND

ITS IMPACT ON PROGNOSIS OF PATIENT WITH MULTIPLE

INJURY IN ICU AMONG STAFF NURSE WITH
A VIEW TO DEVELOP INFORMATION
BOOKLET IN SELECTED
HOSPITAL.’’
BY

MS. GAMIT AMITABEN DARJIBHAI

Dissertation submitted to the

VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT

In partial fulfilment of the

requirement for the degree of
Master of Science

in

MEDICAL SURGICAL NURSING

Under the guidance of

GUIDE CO-GUIDE
PROFF. MR. BHUVNESH PANDYA MRS AVNI KHALASI
Assistant Professor Nursing Tutor
Medical Surgical Nursing Medical Surgical Nursing

At
S.S AGRAWAL COLLEGE OF NURSING TRAINING COLLEGE AND RESEARCH
CENTRE, NAVSARI
2024
 DEDICATION

I dedicate my dissertation work to my family, teachers, class mates who support

me, seniors and many friends. A special feeling of gratitude to my Loving
Parents, whose words of encouragement have always lifted up my spirits. I will
always appreciate all they have done.
 DECLARATION BY THE CANDIDATE

I Ms Amita D. Gamit hereby that the dissertation entitled “ A STUDY TO ASSESS

KNOWLEDGE ON REVISED TRAUMA SCORE AND ITS IMPACT ON
PROGNOSIS OF PATIENT WITH MULTIPLE INJURY IN ICU AMONG
STAFF NURSE WITH A VIEW TO DEVELOP INFORMATION BOOKLET
SELECTED HOSPITAL OF NAVSARI DISTRICT.’’ is a bonafide and genuine
work carried out by me under the guidance of proff. Mr. Bhuvnesh pandya M. Sc
(N), Medical Surgical Nursing S. S. Agrawal College of Nursing Training College
and Research Centre, Navsari.

Date: Signature of the candidate

Place: Navsari Ms Amitaben Darjibhai Gamit

M. Sc. Nursing Student

Medical Surgical Nursing.

S. S. Agrawal College of Nursing,

Training College and Research Centre, Navsari

 CERTIFICATE BY THE GUIDE

This is to certify that dissertation entitled “ A STUDY TO ASSESS

KNOWLEDGE ON REVISED TRAUMA SCORE AND ITS IMPACT ON
PROGNOSIS OF PATIENT WITH MULTIPLE INJURY IN ICU AMONG
STAFF NURSE WITH A VIEW TO DEVELOP INFORMATION BOOKLET
SELECTED HOSPITAL OF NAVSARI DISTRICT.’’ Under my direct
supervision and guidance and has completed to my entire satisfaction at S. S.
Agrawal College of Nursing Training College and Research Centre, Navsari, in
partial fulfillment of the requirement and regulation for the degree of Master of
science in Nursing. Department of Medical Surgical Nursing. Examination of Veer
Narmad University. She has undergone the prescribed course of studies for a
continuous period of two year in accordance with university regulation.

Date: Signature of the Guide

Place : Navsari Prof. Mr. Bhuvnesh pandya.

Medical Surgical Nursing

S. S. Agrawal College of Nursing,

Training College and Research Centre, Navsari

 CERTIFICATE BY THE CO-GUIDE

This is to certify that dissertation entitled “ A STUDY TO ASSESS

KNOWLEDGE ON REVISED TRAUMA SCORE AND ITS IMPACT ON
PROGNOSIS OF PATIENT WITH MULTIPLE INJURY IN ICU AMONG
STAFF NURSE WITH A VIEW TO DEVELOP INFORMATION BOOKLET
SELECTED HOSPITAL OF NAVSARI DISTRICT.’’ Under my direct
supervision and guidance and has completed to my entire satisfaction at S. S.
Agrawal College of Nursing Training College and Research Centre, Navsari, in
partial fulfillment of the requirement and regulation for the degree of Master of
science in Nursing. Department of Medical Surgical Nursing. Examination of Veer
Narmad University. She has undergone the prescribed course of studies for a
continuous period of two year in accordance with university regulation.

Date: Signature of the Co-Guide

Place: Navsari Mrs. Avni khalasi

Assistant prfessor

Medical Surgical Nursing.

S. S. Agrawal College of Nursing,

Training College and Research Centre, Navsari

ENDORESEMENT BY THE PRINCIPAL/HEAD OF THE INSTITUTION
S.S. AGRAWAL COLLEGE OF NURSINF, TRAINING COLLEGE AND
RESEARCH CENTRE, NAVSARI.
(Affiliated to Veer Narmad South Gujarat University, Surat)
This is to certify that dissertation entitled “ A STUDY TO ASSESS
KNOWLEDGE ON REVISED TRAUMA SCORE AND ITS IMPACT ON
PROGNOSIS OF PATIENT WITH MULTIPLE INJURY IN ICU AMONG
STAFF NURSE WITH A VIEW TO DEVELOP INFORMATION BOOKLET
SELECTED HOSPITAL OF NAVSARI DISTRICT.’’ Is a bonafide research
work done by Miss Amitaben D. Gamit under the guidance of Proff. Mr. Bhuvnesh
pandya. [Link].(N) Department of Medical Surgical Nursing.

Date: Signature of the Principal

Place: Navsari PROF. ASHISH JAIN

Principal

S. S. Agrawal College of Nursing,

Training College and Research Centre, Navsari

 COPYRIGHT DECLARATION BY THE CANDIDATE

I hereby declare that Veer Narmad South Gujarat University, Surat shall have the rights to
preserve, use and disseminate the dissertation in print or electronic format for academic
research purpose.

Date: Signature of the candidate

Place: Navsari Ms Amitaben Darjibhai Gamit

M. Sc. Nursing Student

Medical Surgical Nursing.

S. S. Agrawal College of Nursing,

Training College and Research Centre, Navsari

 ACKNOWLEDGEMENT
Appreciation is a thing; it makes what is excellent in others belong to us as
well.

Gratitude is the sign of respect and appreciation. It is fairest blossom which

springs from the soul. The success of this study would not have been possible
without the help, guidance and contribution of teachers and well-wishers,

Firstly, I express my deep gratitude to ALMIGHTY GOD with reverence and

sincerity for his heavenly choicest blessing and abundance grace and love which
strengthened me in each and every step throughout this endeavor.

I express my warm gratitude in abundance to Prof. Ashish Jain, Principal, of

S.S. Agrawal College of Nursing, Training College and Research Centre,
Navsari for providing me the opportunity to conduct this study. I am grateful for
his constant help and guidance in sharping this thesis into the present form. He
has constantly given his guidance for this study from his busy schedule.

I express my gratitude to Mr. Bhuvnesh Pandya, Vice Principal of S.S.

Agrawal College of Nursing, Training College and Research Centre, Navsari for
providing me the opportunity to conduct this study. I am grateful for his
constant help and guidance in sharping this thesis into the present form. He has
constantly given his guidance for this study from his busy schedule.

A grateful acknowledgement is extended to MS. Poonam Patel, Associate

Professor, S. S. Agrawal College of Nursing, Training College and Research
Centre, Navsari for valuable help in completion of study.

I take opportunity to express my deep sense of gratitude and respect to my

Guide Proff. Mr Bhuvnesh pandya, Assistant professor, Medical Surgical
Nursing, S. S. Agrawal College of Nursing. Training College and Research
Centre, Navsari for being the source of inspiration, guidance, continuous
support and encouragement in every phase of this thesis. I would like to thank
her for always being there during any stage of the work with teaching, treasured
guidance, sustained dedication and ongoing attention to the details in
completing this study.

I take opportunity to express my deep sense of gratitude and respect to my Co-

guide Mrs Avni khalasi, Nursing Tutor, Medical Surgical Nursing, S. S.
Agrawal College of Nursing, Training College and Research Centre, Navsari for
being the source of inspiration, guidance, continuous support and
encouragement in every phase of this thesis.

I express my deep attitude to librarian MS. Nirali Dhimmar. S. S. Agrawal

College of Nursing, Training College and Research Centre, Navsari for helping
me through the invaluable treasure.

My sincere thanks to all experts who had validated the tool providing with
necessary information and guidance.

I extend my thanks to Medical Officer who permitted to do research study in

Selected Hospital of Navsari district.

I feel genuinely thank the staff of brothers and sisters of selected Hospital who
belonging from there who support and guide in my research activity.

My sincere gratitude to all the participants of the study, without their sincere
cooperation it was impossible to conduct the research study.

My sincere and immense gratitude to Mr. Justin, statistician for helping me in

statistical analysis.

I would like to thank Mr. Ishvarbhai Jamoriya for assessing and helping me in
English Grammar for his valuable suggestion and grammatical correction in the
study.

I would like to thank MS. Sonalben Chaudhari for assessing and helping me in
Gujarati editor for his valuable suggestion and grammatical correction in the
study.
I extend my thanks to All Family members, well wisher , friend for their
constant prayer, love, sacrifice, encouragement, and support without which this
study would have not been possible.

I take this opportunity to thank my classmates and seniors who have offered
helping hands and shared their views during the period of study.

Last but not least, it is my privilege to salute my esteemed of S. S. Agrawal

College of Nursing. Training College and Research Centre, Navsari for
grooming me into an expert once again my deepest thanks to all.

I am grateful to all of them who has directly or indirectly helped me in completion

of this study.

With grateful heart thank you.....

Yours Sincerely.

MS. GAMIT AMITABEN DARJIBHAI

 ABSTRACT

Trauma is a leading cause of mortality and morbidity worldwide, which took the lives
of 4.4 million people in 2019 and constituted 8% of all deaths, with multiple injuries
often presenting complex challenges in intensive care units (ICUs). The Revised
Trauma Score (RTS) is a vital tool used by healthcare professionals to assess the
severity of injuries and predict patient outcomes. Staff nurses play a critical role in
the care of trauma patients within the ICU, and their knowledge of the RTS can
significantly impact patient prognosis and the overall quality of care provided.

OBJECTIVES OF THE STUDY

[Link] assess the knowledge levels among ICU staff nurses regarding the Revised
Trauma score and its impact on the prognosis of patients with multiple injuries in
ICU.

[Link] assess the effectiveness of information booklet on knowledge regarding revised

trauma score and its impact on prognosis of patient with multiple injury in ICU
among staff nurse

[Link] assess Association between the level of pre and posttest level of Knowledge and
selected demographic variables.

HYPOTHESES
H1: There will be significant improvement in level of knowledge regarding revised
trauma score among nurses working in ICU.

H2: There will be significant association between the demographic variables and pre –
test level of knowledge of revised trauma score among nurses working in ICU.

H3: There will be significant between the demographic variables and post- test level
of knowledge of revised trauma score among nurses working in ICU.

ASSUMPTIONS
 There may be less knowledge regarding revised trauma score among ICU staff
nurses
 There will be increases in knowledge after distribution information booklet regarding
revised trauma score among ICU staff nurses

DELIMITATIONS
 The study is delimited to nurses working in ICU.
 The study is delimited to patients who are admitted in selected hospital.
 The study is delimited to the selected hospital, in Surat.
 The sample size is delimited to 60 nurses
 The study is delimited to nurses who were present at the time of conducting study

RESEARCH APPROACH

Quantitative research approach.

RESEARCH DESIGN
Exploratory one group pre –test and post –test research design is used.

VARIABLES UNDER THE STUDY

The variables under the study were independent variable and dependent variables.
Independent Variable: Information booklet on knowledge regarding revised trauma
score

Dependent Variable: Knowledge regarding revised trauma score working in ICU

staff nurses

SETTING OF THE STUDY

Setting is the physical location and condition in which data collection takes place.
The study was conducted in selected Hospital at Navsari.

POPULATION

Accessible Population: The accessible population for this study comprises staff
nurses who are available and willing to participate in the research within the ICU of
the selected hospital.

Target Population: The target population is staff nurses working in ICUs across
hospitals in Gujarat.

SAMPLE

A sample of 60 staff nurses working in the ICU of the selected hospital will be
included in this study.
SAMPLING TECHNIQUE

Non probability Purposive sampling technique was used to select the sample for the
study.

SAMPLING CRITERIA
Inclusion Criteria for Sample Selection:

1. Registered nurse

2. Currently employed in the ICU of the selected hospital

3. Willingness to participate in the study

Exclusion Criteria for Sampling:

1. Participants who decline to participate will be excluded from the study.

Major finding of the study

Major study findings includes,

[Link] Majority of age groups of staff nurses were 29(48.33%) 26-30years

[Link] majority of educational status of staff were 35(58.33%) [Link]. nursing.
[Link] majority of source of information were 35(58.33%) online.
[Link] majority of experience of the staff were, 45(75%) more than 5 yrs.
[Link] majority of Previous experience of any educational section regarding
trauma 48(80%)
[Link] majority of Previous experience of care given to trauma patient56(93.33%)
[Link] majority of any Previous knowledge about trauma care were 50(83.33%)

1. Findings related to assessment of pre – test level of knowledge score Among

staff nurses working in ICU.

The finding of p r e – t e s t level of knowledge among selected 60 sample of

staff nurses studying in selected areas. In pre - test 36 (60%) of staff nurses had
inadequate knowledge and 21 (35%) of them had moderate knowledge only. 3 (5%)
of them had adequate knowledge.
2. Findings related to comparison of pre – test level of knowledge score among staff
nurses working in ICU.
10.95 to 17.50 which showed a marked difference of 6.55 respectively and
the standard deviation was decreased from 5.33 to 4.35 after the administration of
structured teaching programme. The paired’ “t” test value at, 9.39 was very highly
significant at p<0.001 level. It indicates the effectiveness of structured teaching
programme on increasing the level of knowledge regarding revised trauma score and
its impact on prognosis of patient with multiple injury in ICU among staff nurses.

3. Finding related to association between the selected demographic variables and their
mean different score on level of knowledge.
The chi square value 9.91 showed that there was a significant association of age
group of staff and pretest level of knowledge at the level of p<0.05

With regard to the educational status of staff’s chi square value of

13.57 was significant at the interval of p<0.05. In concern with previous experience
of care given to trauma patient8.71 was significant at the interval of p<0.05.

There was no significant association was found with other demographic variables
such as educational status’ education, staffs’ occupation, any medical professionals in
family, previous experience of any educational section regarding trauma., any
previous knowledge about trauma care

There are six demographic variables are significantly associated with their posttest
level knowledge score. The chi square value 12.59 showed that there was a
significant association of age and posttest level of knowledge after structure teaching
programme at the level of p<0.05. With regard to the religion of college student’s chi
square value of 10.52 was significant at the interval of p< 0.05. In concern with
educational status of parent’s chi square value of 17.51 was significant at the interval
of p< 0.05. The chi square value 8.80 showed that was significant association of any
medical professional in the family and posttest level of knowledge after structural
teaching programme at the level of p< 0.05. The chi square value 7.87showed that
there was significant association of frequency of previous experience of care given to
trauma patient and posttest level knowledge after structure teaching programme at the
level of p< 0.05. The chi square value 9.23showed that there was a significant
association of duration of previous knowledge about trauma care and posttest level
knowledge at the level of p<0.05.
CONCLUSION
The main conclusion of this present study is that most of the college students had
inadequate and moderately adequate level of knowledge in pre-test and they
improved to moderately adequate and adequate knowledge in post-test. This shows
the imperative need to understand the purpose of structured teaching programme
regarding revised trauma score and its impact on prognosis of patient with multiple
injury in ICU among staff nurse
 CONTENT
TABLE OF CONTENT

CHAPTER PAGE
CONTENTS
NO. NO.

I INTRODUCTION
 Back ground of the study.
 Need for the study
 Statement for the problem
 Operational definition
 Objective
 Hypothesis/Assumption
 Delimitations
 Significance of the study
 Conceptual framework

II LITERATURE REVIEW

III METHODOLOGY
 Schematic presentation of methodology
 Research approach
.  Research design
 Variables
 Setting of the study
 Population
 Sample
 Criteria for sample selection
 Sampling technique
 Development of tool
 Description of tool
 Scoring procedure
  Validity
 Pilot study
 Data collection procedure
 Plan for data analysis
 Protection of human rights
 Ethical clearance

IV DATA ANALYSIS AND INTERPRETATION

V DISCUSSION, SUMMARY,CONCLUSION,AND
RECOMMENDATION
 Discussion
 Summary
 Major finding of study
 Conclusion
 Implication of the study
 Recommendation

VI REFERRENCES
VII APPENDICES
 LIST OF TABLES

TABLE NO. TITLE PAGE NO

Frequency and percentage distribution of
1
demographic variables regarding revised
trauma score and its impact on prognosis
of patient with multiple injury in ICU
among staff nurse.

2 Frequency and percentage distribution of

pretest level of knowledge regarding
revised trauma score and its impact on
prognosis of patient with multiple injury in
ICU among staff nurse.

Frequency and percentage distribution of

3
posttest level of knowledge regarding
revised trauma score and its impact on
prognosis of patient with multiple injury in
ICU among staff nurse.

4 Comparison between pretest and posttest

level of knowledge regarding revised
trauma score and its impact on prognosis of
patient with multiple injury in ICU among
staff nurse
5
Comparison of mean and standard
deviation of pretest and posttest level of
knowledge regarding revised trauma score
and its impact on prognosis of patient with
multiple injury in ICU among staff nurse.

6 Association of pretest level of knowledge

regarding revised trauma score and its
impact on prognosis of patient with
 multiple injury in ICU among staff nurse
Association of posttest level of knowledge
7
regarding revised trauma score and its impact
on prognosis of patient with multiple injury in
ICU among staff nurse

LIST OF FIGURES

FIGURE FIGURES PAGE NO

NO.

1 Conceptual framework for the was based on Pender’s

Health promotion model
2 Schematic representation of research methodology
3 Frequency and percentage distribution of age group staff
nurses.
4 Frequency and percentage distribution of Experience of
staff nurses.

5 Frequency and percentage distribution of education of Staff

nurses

6 Frequency and percentage distribution of source of

information

7 Frequency and percentage distribution o f educational

section regarding trauma

8 Frequency and percentage distribution of previous

experience of care given to trauma patient

9 Frequency and percentage distribution of previous

knowledge about the warning signs of suicidal thoughts.

Comparative study Level of Knowledge

10

11 Comparison of mean between the pretest and post – test

level of knowledge among staff nurses.

LIST OF APPENDICES
PAGE NO TITLE

A Letter seeking expert opinion for content validity of the tools

B Certificate of validation

C Name list of experts who validated the tool

D Letter seeking permission to conduct study

E Informed consent form for Information Booklet

F Letter seeking ethical clearance permission

G Research Tool