Background: The GCS is a universally recognized instrument for assessing patients’ level of consciousness. Although doctors, nurses, anaesthetists and medical assistants generally receive training on this score during their studies, it appeared that their practice in the concrete evaluation of the GCS might not be sufficiently thorough, as suggested by some studies. Method: We conducted a descriptive and analytical cross-sectional study over a period of 7 months, covering the health regions of Togo (Lomé-commune, Maritime, and Kara). Five clinical scenarios were used to evaluate the practice of the health workers, considering as having a good practice those who answered correctly to at least 3 clinical scenarios. Data were collected using an online form and a self-administered questionnaire. The Chi2 test was used to analyze the variables influencing the use of the Glasgow Scale. A logistic regression model was used to identify factors associated with good practice. Results: The overall good practice rate for use of the GCS was 35.96%. The frequency of use influences good practice. However, the seniority of the agents surveyed was not associated with good practice. Conclusion: Practical assessment of the Glasgow Coma Scale (GCS) by healthcare professionals remains inadequate. Despite good theoretical knowledge of the tool, there is a lack of practical assessment.
References
[1]
Andualem, H., Beyene, T., Tuli, W., Walelgn, N., Habtegiorgis, S.D., Gietaneh, W., et al. (2022) Practice and Associated Factors of Glasgow Coma Scale Assessment among Nurses Working in Adult Intensive Care Units of Federally Administered Hospitals in Addis Ababa, Ethiopia. Nursing Practice Today, 9, 251-258. https://doi.org/10.18502/npt.v9i3.10227
[2]
Mehta, R. and Chinthapalli, K. (2019) Glasgow Coma Scale Explained. BMJ, 365, l1296. https://doi.org/10.1136/bmj.l1296
[3]
Rowley, G. and Fielding, K. (1991) Reliability and Accuracy of the Glasgow Coma Scale with Experienced and Inexperienced Users. The Lancet, 337, 535-538. https://doi.org/10.1016/0140-6736(91)91309-i
[4]
McNarry, A.F. and Goldhill, D.R. (2004) Simple Bedside Assessment of Level of Consciousness: Comparison of Two Simple Assessment Scales with the Glasgow Coma Scale. Anaesthesia, 59, 34-37. https://doi.org/10.1111/j.1365-2044.2004.03526.x
[5]
Heim, C., Schoettker, P., Gilliard, N. and Spahn, D.R. (2009) Knowledge of Glasgow Coma Scale by Air-Rescue Physicians. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 17, Article No. 39. https://doi.org/10.1186/1757-7241-17-39
[6]
Shinde, M. and Kulkarni, S.M. (2020) Knowledge Regarding Glasgow Coma Scale among Nurses Working at Tertiary Care Hospital. International Journal of Advanced Science and Technology, 29, 1225-1231.
[7]
Basauhra Singh, H.K., Chong, M.C., Thambinayagam, H.C., Zakaria, M.I., Cheng, S.T., Tang, L.Y., et al. (2016) Assessing Nurses Knowledge of Glasgow Coma Scale in Emergency and Outpatient Department. Nursing Research and Practice, 2016, Article 8056350. https://doi.org/10.1155/2016/8056350
[8]
AL-Quraan, H. and AbuRuz, M. (2015) Simplifying Glasgow Coma Scale Use for Nurses; This Paper Has Been Withdrawn. International Journal of Advanced Nursing Studies, 4, 69-74. https://doi.org/10.14419/ijans.v4i2.4639
[9]
Hien, N.T. and Chae, S.-M. (2011) The Accuracy of Glasgow Coma Scale Knowledge and Performance among Vietnamese Nurses. Perspectives in Nursing Science, 8, 54-61.
[10]
Ehwarieme, T.A. and Anarado, A.N. (2017) Nurses Use of Glasgow Coma Scale in Neurological Assessment of Patients in University of Benin Teaching Hospital, Benin City Edo State, Nigeria. Journal of Biomedical Science, 16, 47-61.
[11]
Yusuf, A., Salaudeen, A., Adewale, A. and Babalola, O. (2013) Knowledge of Glasgow Coma Scale by Physicians in a Tertiary Health Institution in Nigeria. Nigerian Postgraduate Medical Journal, 20, 34-38. https://doi.org/10.4103/1117-1936.165603
[12]
Reith, F.C.M., Brennan, P.M., Maas, A.I.R. and Teasdale, G.M. (2016) Lack of Standardization in the Use of the Glasgow Coma Scale: Results of International Surveys. Journal of Neurotrauma, 33, 89-94. https://doi.org/10.1089/neu.2014.3843
[13]
Bansal, S. and Chawla, R. (2016) Awareness of Glasgow Coma Scale in Anaesthesiology Post-Graduates in India: A Survey. Journal of Neuroanaesthesiology and Critical Care, 3, 227-232. https://doi.org/10.4103/2348-0548.190068
[14]
Ahamed, S.T. and Ebraheim, M.N. (2017) Glasgow Coma Scale Technique: Effect of Theoretical and Practical Educational Program on Nurses’ Compliance. IOSR Journal of Nursing and Health Science, 6, 21-28.
[15]
Alhassan, A., Fuseini, A. and Musah, A. (2019) Knowledge of the Glasgow Coma Scale among Nurses in a Tertiary Hospital in Ghana. Nursing Research and Practice, 2019, Article ID: 5829028. https://doi.org/10.1155/2019/5829028
[16]
Juarez, V.J. and Lyons, M. (1995) Interrater Reliability of the Glasgow Coma Scale. Journal of Neuroscience Nursing, 27, 283-286. https://doi.org/10.1097/01376517-199510000-00008
[17]
Holdgate, A., Ching, N. and Angonese, L. (2006) Variability in Agreement between Physicians and Nurses When Measuring the Glasgow Coma Scale in the Emergency Department Limits Its Clinical Usefulness. Emergency Medicine Australasia, 18, 379-384. https://doi.org/10.1111/j.1742-6723.2006.00867.x
[18]
Mattar, I., Liaw, S.Y. and Chan, M.F. (2013) A Study to Explore Nurses’ Knowledge in Using the Glasgow Coma Scale in an Acute Care Hospital. Journal of Neuroscience Nursing, 45, 272-280. https://doi.org/10.1097/jnn.0b013e31829db970
