A STUDY TO ASSESS KNOWLEDGE ON REVISED TRAUMA SCORE AND

ITS IMPACT ON PROGNOSIS OF PATIENT WITH MULTIPLE INJURY IN

ICU AMONG STAFF NURSES WITH A VIEW TO DEVELOP
INFORMATION BOOKLET IN SELECTED.
HOSPITAL AT
SURAT.

BY
MS. PATEL KHUSHBU NATHUBHAI

DISSERTATION SUBMITTED TO SAURASHTRA UNIVERSITY, GUJARAT,

IN PARTIAL FULFILMENT OF REQUIREMENT FOR THE DEGREE OF
M.Sc. NURSING
2023 – 2024
A STUDY TO ASSESS KNOWLEDGE ON REVISED TRAUMA SCORE AND
ITS IMPACT ON PROGNOSIS OF PATIENT WITH MULTIPLE INJURY IN
ICU AMONG STAFF NURSES WITH A VIEW TO DEVELOP
INFORMATION BOOKLET IN SELECTED
HOSPITAL AT
SURAT.

BY
MS. PATEL KHUSHBU NATHUBHAI

DISSERTATION SUBMITTED TO SAURASHTRA UNIVERSITY, GUJARAT,

IN PARTIAL FULFILMENT OF REQUIREMENT FOR THE DEGREE OF
M.Sc. NURSING
2023 – 2024
A STUDY TO ASSESS KNOWLEDGE ON REVISED TRAUMA SCORE
AND ITS IMPACT ON PROGNOSIS OF PATIENT WITH MULTIPLE
INJURY IN ICU AMONG STAFF NURSES WITH A VIEW TO DEVELOP
INFORMATION BOOKLET IN SELECTED

HOSPITAL AT

SURAT.

BY
MS. PATEL KHUSHBU NATHUBHAI

DISSERTATION SUBMITTED TO SAURASHTRA UNIVERSITY, GUJARAT,

IN PARTIAL FULFILMENT OF REQUIREMENT FOR THE DEGREE OF
M.Sc. NURSING
2023 – 2024
A STUDY TO ASSESS KNOWLEDGE ON REVISED TRAUMA SCORE
AND ITS IMPACT ON PROGNOSIS OF PATIENT WITH MULTIPLE
INJURY IN ICU AMONG STAFF NURSES WITH A VIEW TO DEVELOP
INFORMATION BOOKLET IN SELECTED

HOSPITAL AT

SURAT.

APPROVED BY THE DESSERTATION COMMITTEE ON

………………….
RESEARCH GUIDE ……………………………………………
Mrs. SUDESHNA
BANERJEE, M.Sc. (N),
ASSISTANT PROFESSOR
AHN DEPARTMENT,
SHRI ANAND INSTITUTE OF
NURSING, RAJKOT.

DISSERTATION SUBMITTED TO SAURASHTRA UNIVERSITY, GUJARAT,

IN PARTIAL FULFILMENT OF REQUIREMENT FOR THE DEGREE OF
M.Sc. NURSING
2023 – 2024
 DEDICATION
“Dedication is like climbing a mountain with all your skill, hard work and persistence, when you
reach to speak after all the obstacles, that feeling of achievement tells, how your dedication help
reach your goal”

I thank God for making all these wonderful things happen to me and pray for his continued
blessing and success.

MY HUSBAND: I am very grateful for being my back bond who always supporting me
throughout my study and research. Thank you very much for always believing in me and
motivating me in my tough time. I LOVE YOU THE MOST.

MY PARENTS: Thank you for unconditional support with my studies. I am honoured to

have you as my parents. Thank you for giving me a chance to prove and improve my-self
through all my walks of life Please do not ever change. I Love You.

MY FAMILY: Thank you to my family for believing in me; for allowing me to further my
studies. Please do not ever doubt my dedication and love towards you.

MY COLLEAGUES: Finally, and above all, I cannot begin to express my unfailing

gratitude and love to my colleagues, who has supported me throughout this process and has
constantly encouraged me when the tasks seemed arduous and insurmountable.
 ACKNOWLEDGEMENT

A journey is easier we travel together. Interdependence is certainly more valuable than

independence. This dissertation is the result of unbound, immeasurable contribution and support
from many people. It is a pleasure that, I have an opportunity to express our gratitude to all of
them.
I express I am grateful to God almighty for his grace, blessing guidance and support which
strengthened us in the research process and sustained us throughout this endeavor.

It is my sincere thanks to our beloved principal, Mr. JEENATH JUSTIN DOSS. K, Ph.D.,
PGDCA, for his constant guidance, motivation, encouragement and support throughout the
study.

I am highly obliged the dynamic due, eminent personality Vice-principal, MR. SUNEESH P.M
M.Sc. (N), HOD, Department Medical Surgical Nursing, for his valuable suggestion, guidance,
support and encouragement to achieve this goal.
The present study has been accomplished under the expert guidance & supervision of and my
Guide MRS. SUDESHNA BANRJEE, (Assistant professor, HOD, Fundamental of nursing,
SAION), I would like to show immense gratitude for her valuable suggestions, guidance,
support and encouragement to achieve this goal. I consider it as a great honour and
privilege to have completed under her supervision. I am truly thankful for her continuous
support as it wouldn’ t has been possible to complete my study without her guidance.
Excellent teachers is a complex matrix of builder, artis, leader and harvester. I would like to
express my immense gratitude and whole hearted thanks to. MS. MITAL JAGATIYA., M.Sc.
(N), Department of medical surgical nursing, for their insisting support, constructive suggestions
and immense encouragement which enable us to reach my objectives. I consider it as a great
honor and privilege to have completed under their supervision. I would like to thanks for their
continuous support as it wouldn’t have possible to complete my study without their guidance.
I have immense pleasure in thanking
DR.J.P. SONAVALE, M.B.B.S., M., S.F.M.A.S.F.L.A.G.E.S. GENERAL &LAPAROSCOPIC
SURGEON who kindly consented to shoulder the most difficult task of our performance and for
his expert guidance and valuable suggestions, encouragement keen interest in the conception,
planning and execution of the study. I wish to extend my sincere thanks to head of department,
Doctors and staff of vibrant multispecialty hospital Surat, who offered timely support and
guidance in conducting the study.

I proudly and honestly express our deep sincere thanks and gratitude to, to MR. FRANCIS,
M.Sc.(N), ASSISTANT PROFFESOR, HOD OF MENTAL HEALTH NURSING, MS.
MITAL JAGATIYA, M.Sc.(N) TUTOR, DEPARTMENT OF MEDICAL SURGICAL
NURSING, MS. TWINKLE VORA, M.Sc.(N) TUTOR, DEPARTMENT OF CHILD
HEALTH NURSING, MS. CHANDANI APARNATHI ,M.Sc.(N) TUTOR,
DEPARTMENT OF MEDICAL SURGICAL NURSING, MRS MANSI MEHTA, M.Sc.
(N) TUTOR, DEPARTMENT OF MENTAL HEALTH NURSING, MS. JANKI
MARADIYA, M.Sc.(N) TUTOR, DEPARTMENT OF OBSTETRICS AND
GYNAECOLOGY, MR. PARTH BHANUGARIYA, M.Sc.(N) TUTOR, DEPARTMENT
OF COOMUNITY HEALTH NURSING, for their illuminating comments, patience and
intuitiveness and untiring interest shown throughout the study. They showed us different
ways to approach research.
I would like to thank my family members – GRAND PARENTS, PARENTS, BROTHERS,
and all my special friends, for their love, support, constant prayer and encouragements with
forbearance during the entire period of my study.

I would like to acknowledge and thank our college for allowing me to conduct my research and
providing any assistance requested special thanks goes to the members of staff for their continued
support. Their excitement and willingness to provide feedback made the completion of this
research an enjoyable experience.

With Regards,

MS. PATEL KHUSHBU

 ABSTRACT
“A study to assess knowledge on revised trauma score and its impact on prognosis of patent
with multiple injury in ICU among staff nurse with a view to develop information booklet in
selected hospital Surat.”

The improvement of knowledge regarding Revised trauma score and its impact on prognosis of
patient with multiple injury in ICU has an important play in enabling the Knowledge with a
view to develop information booklet as an independence nursing intervention. The objective
of the study is to evaluate the knowledge levels among staff nurses.

The research design adopted was descriptive study in that pre- test post-test. The conceptual
framework for this study was based on Ludwig von Bertalanffy (1968) general system theory.
The study had been conducted in vibrant multispecialty hospital Surat.

Purposive sampling technique had been adopted to select the desired samples. The sample size
was 60. As a part of intervention, a view to developing information book let on knowledge
regarding revised trauma score and its impact on prognosis of patient with multiple injury in ICU
staff nurses 30 minutes and the data was collected by information booklet on the revised trauma
score with structured of questionnaires will be developed to assess the level of knowledge
regarding Revised trauma score.

The data were analysed by using both descriptive and inferential statistical method paired ‘t’ test
was used to evaluating the effectiveness of an information booklet on knowledge regarding
Revised trauma score. The obtained value 9.39, which shows highly significant at the level
of 0.001 their findings of the study revealed, that distribution of booklet was effective in
improving knowledge regarding Revised trauma score and prognosis of patients with multiple
injury in ICU. There is significant association between demographic variables such as age,
knowledge, from, previous. Source of information, previous experience of any educational
section, previous knowledge about trauma care.

KEY WORDS – Knowledge, information booklet, trauma, revised trauma score.

OBJECTIVE
1. To 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.

2. To 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 nurses.
3.To find out association between selected demographic variables with pre - test knowledge of
staff nurses regarding revised trauma score & its impact on prognosis of patients with multiple
injury in ICU.

4. To find out association between selected demographic variables and post – test level of
knowledge of staff nurses regarding revised trauma score & its impact on prognosis of patient
with multiple injury in ICU.

HYPOTHESES

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

H01: There will be no significant improvement in level of knowledge regarding revised trauma
score among nurses working in ICU.

H2: There will be no significant association between the demographic variables and pre – test
level of knowledge of revised trauma score among nurses working in ICU.

H02: There will be no significant association between the demographic variable and pre- test
level of knowledge of revised trauma score among 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.

H03: There will be no significant association between the demographic variables and post- test
level of knowledge of revised trauma score among nurses working in ICU.

METHODOLOGY
RESEARCH APPROCH

Quantitative research approach

RESEARCH DESIGN

Pre experimental one group pre – test post - test research design

VARIABLES
Independent variable: Information booklet on knowledge regarding revised trauma
score

Dependent variable: knowledge regarding revised trauma score among staff nurses working in ICU.

SETTING: The study was conducted in vibrant hospital of Surat.

SAMPLING TECHNIQUE

The research study was conducted by non-probability purposive sample technique.

MAJOR FINDING OF THE STUDY

Major study finding includes

A. Findings related to demographic variables of the study

1. The Majority of age groups of staff nurses were 29(48.33%) 26-30years

2. The majority of educational status of staff were 35(58.33%) B.Sc. nursing.
3. The majority of source of information were 35(58.33%) online.
4. The majority of experience of the staff were, 45(75%) more than 5 yrs.
5. The majority of Previous experience of any educational section regarding trauma
48(80%)

6. The majority of Previous experience of care given to trauma patient56(93.33%)

7. The majority of any Previous knowledge about trauma care were 50(83.33%)

1.Findings related to assessment of pre and post – test level of knowledge level among staff nurse
working in ICU.
The finding of in pretest score of level knowledge shows that, 36 (60%) of staff nurses had
inadequate knowledge and 21 (35%) of them had moderate knowledge only. 3 (5%) of them had
adequate knowledge.
The finding of post test score level knowledge shows that, 5 (9%) of staff nurse had inadequate
knowledge and 10(17%) of them had moderate knowledge and only 45(75%) of them had
adequate knowledge.
2.Findings related to comparison of pre and posttest level of knowledge score among staff nurse
working in ICU.
The analysis revealed that the mean score was increased from 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.The finding related to association between the selected demographic variables and their mean
differed score on level of knowledge.
It is interesting to note that six variables significant association between knowledge score of staff
nurses working in ICU unit with knowledge as revealed by statical chi square test (>0.01).

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.
 TABLE OF CONTENT
SERIAL NO. CONTENT. PAGE NO.
INTRODUCTION
1
 Background of study
5
 Need for the study
9
 Statement of the problem
9
 Operational definition
9
 Objectives
1. 10
 Hypothesis
10
 Assumption
10
 Delimitation 12
 Conceptual framework

LITRATURE REVIEW 18
• Studies related to knowledge 18
regarding revised trauma score.
2. • Studies related access impact of RTS 19
on prognosis in Trauma patient
• Study related access RTS and another 21
trauma score.
3. METHODOLOGY
• Schematic representation of 26
methodology
• Research approach 28
• Research design• Variables 28
• Setting of the study 28
• Population 29
• Sample 29
• Criteria for sample selection 29
•Inclusion criteria 29
• Exclusion criteria 29
• Sampling techniques 29
• Development of tool 29
• Description of tool 30
• Description of intervention 30
• Validation of tool 30
• Pilot study 31
• Data collection 32
procedure
• Data analysis plan
 33
33
33

• Protection of human
rights
• Ethical clearance

35
DATA ANALYSIS &
INTERPRETATION 37
4.  Analysis of demographic
variable 45
 Analysis of knowledge score

DISSCUSSION, SUMMARY,
5. CONCLUSION, & 55
RECOMMENDATIONS

6. REFERENCES 64

7. APPENDIX
 LIST OF TABLES
TABLE NO. TITLE PAGE NUMBER

Frequency and percentage

demographic variables of revised
1 37
trauma score among ICU staff
nurses.

Frequency and percentage

distribution of knowledge regarding
Revised trauma score in pre – test
2,3,4 and 43
Effectiveness of booklet assisted
teaching programme on revised
trauma score among ICU staff nurses

Mean, Standard Deviation and ‘t’

5 value of knowledge of revised 47
trauma score

. χ2 Association between the levels

of knowledge among ICU staff
6,7 49
nurses with their selected
demographic variables
LIST OF FIGURES
FIGURE
FIGURES PAGE NO.
NO.
Frequency and percentage distribution of age
1 39
group of staffs.
Frequency and percentage distribution of
2 39
Experience of staff
Frequency and percentage distribution of
3 educational status of Staff
40
Frequency and percentage distribution of
4 40
Source of information
Frequency and percentage distribution of
5 41
educational section regarding trauma.

Frequency and percentage distribution of previous

6 41
experience of care given to trauma patient
Frequency and percentage distribution of previous
7 knowledge about the warning signs of suicidal 42
thoughts.
Comparative study Level of Knowledge among
8 46
staff nurses

Comparison of mean between the pretest and

9 48
posttest level of knowledge among staff nurses.
 LIST OF APPENDIXES

APPENDIX NO. TITLE

1 Letter seeking expert opinion for

content validity of the tools
2 Certificate of validation
3 Name list of experts who validated the
tool
4 Letter seeking permission to conduct
pilot study
5 Letter seeking permission to conduct
study
6 Letter seeking ethical clearance
permission
7 Statistical certificate

8 Research tool, Questionnaires (English

and Gujrati) And Answer tool
9 Content, booklet of RTS

10 Master Sheet