Faculty Collaboration Database

Parental Knowledge and Recall of Concussion Discharge Instructions. J Emerg Nurs 2018 Jan;44(1):52-56

Date

05/22/2017

Pubmed ID

28527643

DOI

10.1016/j.jen.2017.04.012

Scopus ID

2-s2.0-85020124168 (requires institutional sign-in at Scopus site)   18 Citations

Abstract

INTRODUCTION: Children increasingly are being seen in the emergency department for a concussion, or mild traumatic brain injury (mTBI). A key aim of the ED visit is to provide discharge advice that can help parents to identify an evolving neurosurgical crisis, facilitate recovery, and prevent reinjury. The present study examined parents' knowledge of symptoms and recall of discharge instructions after their adolescent's mTBI and the effect of supplementing written discharge instructions with verbal instruction and reinforcement.

METHODS: We performed a nested observational study of parents/caregivers of patients who participated in a larger mTBI study. After their adolescent's mTBI, parents were given verbal and standardized written instructions. The ED discharge process was observed using a structured checklist, and parents were surveyed 3 days after discharge on knowledge and recall of discharge instructions.

RESULTS: Ninety-three parents completed the postsurvey. Nearly 1 in 5 parents were confused about when to return to the emergency department after evaluation for head injury. Up to 1 in 4 parents could not recall specific discharge advice related to concussion. Parents who received verbal reinforcement of written discharge instructions were more likely to recall them.

CONCLUSION: Emergency nurses and clinicians should strive to utilize both verbal and written discharge instructions with families to help increase understanding.

Author List

Thomas DG, Bradley L, Servi A, Reilly S, Niskala Apps J, McCrea M, Hammeke T

Authors

Jennifer A N Apps PhD Assistant Provost, Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Michael McCrea PhD Professor in the Neurosurgery department at Medical College of Wisconsin
Danny G. Thomas MD, MPH Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Brain Concussion
Child
Emergency Service, Hospital
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Mental Recall
Parents
Patient Discharge