Implementing an Evidence-Based Tool to Improve Nursing Self-Efficacy of Concussion Assessments: A Quality Improvement Project.

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Pediatric Nursing


Developing concussion assessment skills is a critical component of the school nurse's role. There is a lack of standardized concussion assessment tools for nurses in the school setting to quickly and accurately identify students who require further evaluation. The Acute Con - cussion Evaluation--Emergency Department (ACE-ED) tool is an evidence-based method of standardizing concussion assessments. A review of the literature supported the ACE-ED as a valid and reliable tool for concussion assessment. Registered nurses employed by a special education district in the suburban Midwest participated in the quality improvement project. Results showed a statistically significant increase in self-efficacy scores from preimplementation to post-implementation. This project supports the ACE-ED as a reliable, standardized concussion assessment framework for use by nurses in the school setting. Potential exists for improving nursing self-efficacy of concussion assessments when the ACE-ED tool is used in schools, thus improving time for concussion treatment in school-age children.

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