ОСТРИ НЕВРОЛОГИЧНИ СЪСТОЯНИЯ В СПЕШНАТА МЕДИЦИНА. РОЛЯТА НА МЕДИЦИНСКАТА СЕСТРА ПРИ ЛЕЧЕНИЕ НА ПАЦИЕНТИ С ЧЕРЕПНО МОЗЪЧНА ТРАВМА
ACUTE NEUROLOGICAL CONDITIONS IN EMERGENCY MEDICINE: THE NURSE'S ROLE IN TREATING PATIENTS WITH TRAUMATIC BRAIN INJURY (TBI)

Summary/Abstract: Acute neurological conditions, such as traumatic brain injuries (TBIs), require rapid and coordinated medical interventions, in which nurses play a crucial role. This study aims to evaluate their professional preparation, practical experience, and competencies in providing initial care and managing patients with TBIs in emergency departments. The study involves 92 nurses, with an average age of 44.6 years. Nearly 40% of participants have more than 15 years of professional experience, but only 36% have undergone specialized training, highlighting the need for additional education. The results show that 39% of nurses rate their preparedness for working with TBI patients as unsatisfactory, while only 12% consider it very good. The main challenges include a lack of resources (42%), insufficient knowledge and skills (27%), and limited communication with medical teams (15%). The use of the Glasgow Coma Scale as a diagnostic tool is limited only 9% of nurses use it routinely, reflecting the need for better training and the implementation of standardized practices. According to the participants, the most important measures for improving care are ensuring adequate resources and conducting additional training. The study's conclusions emphasize the need for investments in qualification improvement, enhancement of equipment, and promotion of team communication to raise the quality of nursing care and achieve better outcomes for patients with TBIs.

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