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 THE VIEWS TO DEVELOPING
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 THE VIEWS TO DEVELOPING
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 THE VIEWS TO DEVELOPING
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 THE VIEWS TO DEVELOPING
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 isa 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 sustainedus 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. and my CLASS CO-ORDINATOR, 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. MRS. SUDESHNA BANRJEE,
(Assistant professor, HOD, Fundamental of nursing, SAION), 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 themost 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 tohead 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 theentire 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 ofthis 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 the views to developing 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 theKnowledge with the
views to developing 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 wasbased on Ludwig von Bertalanffy (1968) general system theory. The
study had been conducted in vibrant multispecialtyhospital 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 andinferential statistical method paired ‘t’ test
was used to evaluating the effectiveness of an information booklet on knowledge regarding Revised
traumascore. 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 pretest and post - 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 association 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.
SETING: The study was conducted in vibrant hospital of Surat.

SAMPALING 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 sectionregarding trauma
48(80%) were no.
6. The majority of Previous experience of care given to traumapatient56(93.33%) were
No.
7. The majority of any Previous knowledge about trauma care were50(83.33%) were
NO.

The first objective was to assess the level of knowledge level regarding revised trauma score
and its impact on prognosis of patient with multiple injury in ICU among staff nurse. Study
shows that pre-test level of knowledge among selected 60 sample of staff
nurses studying in selected areas. Inpretest 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 second objective was to evaluate the effectiveness of structured teaching program me
on level of knowledge regarding revised traumascore and its impact on prognosis of patient
with multiple injury in ICU among staff nurse

The comparison of pretest and posttest level of knowledge revised trauma score and its impact on
prognosis of patient with multiple injury in ICU among staff nurse was done by using paired’ test.
The mean score was increased from. 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
The third objective was to determine the association of pre-test levelof knowledge regarding
revised trauma score and its impact on prognosis of patient with multiple injury in ICU
among staff nurse in the pretest level of knowledge there were five demographic variables are
significantly associated with their pretest level of knowledge score such as age, educational status
of staff Experience of the staff source of information, having previous experience of any
educational section
regarding trauma, and previous experience of care given to trauma patient.
The chi square value 9.91 showed that there was a significant associationof age group of staff and
pretest level of 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
SERIAL NO. CONTENT. PAGE NO.

INTRODUCTION
• Introduction
• Need for the study
• Statement of theproblem
• Operational definition
1. 1
• Objectives
• Hypothesis
• Assumption
• Delimitation
• Conceptual framework
LITRATURE REVIEW
• Studies related to knowledge
regardingrevised trauma score .
2. • Studies related accessimpact of RTS 17
on prognosis in Trauma patient
• Study related accessRTS and other
traumascore.
METHODOLOGY
• Schematic representationof
methodology • Research approach
• Research design•Variables
• Setting of the study
• Population
• Sample
• Criteria for sampleselection
• Inclusion criteria
• Exclusion criteria
3. • Sampling techniques 25
• Development of tool
• Description of tool
• Description ofintervention
• Validation of tool
• Pilot study
• Data collection
procedure
• Data analysis plan
• Protection of humanrights
• Ethical clearance
 DATA ANALYSIS &
4. INTERPRETATION 33
Tables, graphs,description

DISSCUSSION, SUMMARY,
5. CONCLUSION, & 53
RECOMMENDATIONS

6. REFERENCES 62

7. APPENDIX

LIST OF TABLES
TABLE NO. TITLE PAGE NUMBER

Frequency and Percentage

distribution according to
1 demographic variables of revised 63
trauma score among ICU staff
nurses.

Frequency and Percentage

distribution of knowledge regarding
revised trauma score in pre- test and
2,3,4 effectiveness of Booklet assisted 69
teaching programme on Revised
trauma score among ICU staff
nurses

Mean, Standard Deviation and ‘t’

5 value of knowledge of revised 73
trauma score

. χ2 Association between the levels

of knowledge among ICU staff
6,7 75
nurses with their selected
demographic variables
 LIST OF FIGURES
FIGURE NO. FIGURES PAGENO.
Frequency and percentage distribution of age group
1 38
of staffs.
Frequency and percentage distribution of
2 38
Experience of staff
Frequency and percentage distribution of
3 39
educational status of Staff
Frequency and percentage distribution of
4 39
Source of information

Frequency and percentage distribution of

5 40
educational sectionregarding trauma.

Frequency and percentage distribution of previous

6 40
experience of care given to trauma patient
Frequency and percentage distribution ofprevious
7 knowledge about the warning signs of suicidal 41
thoughts.
Comparative study Level of Knowledge among
8 45
staff nurses

Comparison of mean between the pretest and

9 47
posttest level of knowledge among staff nurses.
Percentage distribution of according to
10 47
previous knowledge about trauma care
 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