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1. PROBLEM
STATEMENT
•“ A STUDY TO ASSESS THE
EFFECTIVENESS OF PLANNED HEALTH
TEACHING REGARDING KNOWLEDGE
OF GLASGOW COMA SCALE AMONG 3RD
SEMESTER BSC NURSING STUDENTS OF
SELECTED NURSING COLLEGE AT
BANGALORE”

2. INTRODUCTION
The Glasgow coma scale (GCS)
is a neurological assessment tool
used to evaluate a patient’s
level of consciousness after a
head injury or other neurological
conditions.
Developed by graham Teasdale
and bryan.J.Jennetin 1974 , it
assigns scores based on eye ,
verbal , and motor responses ,
providing a standardized way for
healthcare professionals to
communicate and track changes in
a patient’s condition . The scale
ranges from 3 to 15 , with lower
scores indicating more severe
impairment .

3. NEED FOR STUDY
Glasgow come scale (GCS) has been the gold standard of neurological assessment
for trauma patients since it is developed by Jennettand Teasdale in the early
1970s. It is a clinical scale use to “ reliability measure on person’s level of
consciousness after a brain injury. It is a simple tool. It assesses a person based on
their ability to perform eye movements, speak and move their body.
It was designed for continuous use to assess patient’s neurological
functions over time.
it has been widely used because of its simplicity.

4. OBJECTIVES
1. To assess the pre-test
level of knowledge
regarding Glasgow coma
scale among 3 semester
BSC Nursing students of
selected nursing colleges
at Bangalore.
2. To evaluate the
effectiveness of structured
teaching programme on
knowledge regarding
Glasgow coma scale
among 3 semester BSC
nursing students of
selected nursing college at
Bangalore.
3. To find the association
between pre-test levels of
knowledge regarding
Glasgow coma scale
among 3 semester BSC
nursing students of selected
nursing college at
Bangalore with their
selected demographic
variables.

5. HYPOTHESIS
H1: There will be a statistically significant between the pre and post-
test level of knowledge regarding Glasgow coma scale among 3
semester BSC nursing students of selected nursing college at
Bangalore.
H2: There will be a statically significant association between the pre-
test levels of knowledge regarding Glasgow coma scale among 3
semester BSC nursing students of selected nursing college at
Bangalore with their selected demographic variables.

6. METHODOLOGY

7. RESULT
•IN THIS STUDY 52%OF RESPONDENTS
BELONGED TO THE AGE GROUP 20-22 YEARS,
FOLLOWED BY 42%OF RESPONDENTS
BELONGED TO THE AGE GROUP 17-19YEARS,
6% OF RESPONDENTS BELONGED TO 23
YEARS AND ABOVE.

8. 0%
10%
20%
30%
40%
50%
60%
17-19 years 20-22 years 23 years and above
42%
52%
6%
AGE
17-19 years20-22 years23 years and above
Figure 1: Distribution of respondents by age

9. RESULT
•THE DISTRIBUTION BASED ON GENDER
SHOWS THAT 96 %OF RESPONDENTS WERE
FEMALE AND 4%OF RESPONDENTS WERE
MALE.

10. 0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Male Female
4%
96%
GENDER
MaleFemale
Figure 2: Distribution of respondents of gender

11. RESULT
•DISTRIBUTION OF RESPONDENTS BY
RELIGION REGARDING GLASSGOW COMA
SCALE SHOWS THAT 64% OF RESPONDENTS
WERE HINDU,30% OF RESPONDENTS WERE
CRISTIAN,6% OF RESPONDENTS WERE
MUSLIM AND 0% OF RESPONDENTS WERE
OTHERS.

12. 0%
10%
20%
30%
40%
50%
60%
70%
Hindu Christian Muslim Others
64%
30%
6%
RELIGION
HinduChristianMuslimOthers
Figure 3: Distribution of respondents by religion

13. RESULT
•ACCORDING TO THE PLACE OF RESIDENCE, IT
WAS OBSERVED THAT 48% OF RESPONDENTS
WERE LIVING IN URBAN AREA, 40% OF
RESPONDENTS WERE LIVING IN RURAL AREA
AND 12% OF RESPONDENTS WERE LIVING IN
SEMI URBAN AREA.

14. 0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Rural Semi urban Urban
40%
12%
48%
PLACE OF RESIDENCE
RuralSemi urbanUrban
Figure 4: Distribution by place of residence

15. RESULT
•DISTRIBUTION OF RESPONDENTS BY
PREVIOUS KNOWLEDGE REGARDING
GLASSGOW COMA SCALE SHOWS THAT 56%
OF RESPONDENT’S DON’T HAVE PREVIOUS
KNOWLEDGE, 44% OF RESPONDENT’S HAVE
PREVIOUS KNOWLEDGE.

16. 0%
10%
20%
30%
40%
50%
60%
Yes No
44%
56%
PREVIOUS KNOWLEDGE
YesNo
Figure 5 : Distribution of respondents by previous knowledge regarding
Glasgow coma scale

17. RESULT
•DISTRIBUTION OF RESPONDENTS BY USAGE
OF GLASGOW COMA SCALE IN CLINICAL AND
PRACTICAL SETTINGS SHOWS THAT 92% USED
THE GLASGOW COMA SCALE IN CLINICAL
AND PRACTICAL SETTINGS , 8%OF
RESPONDENT’S DON’T USED THE GLASGOW
COMA SCALE IN THE CLINICAL AND
PRACTICAL SETTINGS .

18. 0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Yes No
92%
8%
USAGE OF GLASGOW COMA SCALE
YesNo
Figure 6 : Distribution of respondents by usage of Glasgow coma scale in
Clinical/ practical setting

19. RESULT
•THE FIRST OBJECTIVE OF THE STUDY WAS TO
ASSESS THE PRE-TEST LEVEL OF KNOWLEDGE
REGARDING GLASGOW COMA SCALE. THE
FINDINGS REVEAL THAT THE OBTAINED PRETEST
SCORE OF 24% OF RESPONDENTS WERE HAVING
INADEQUATE KNOWLEDGE, 74% OF THEM WERE
HAVING MODERATELY ADEQUATE KNOWLEDGE
AND 2% OF THEM WERE HAVING ADEQUATE
KNOWLEDGE. THE POST TEST SCORE SHOWS 80%
HAVE ADEQUATE KNOWLEDGE, 18% OF
RESPONDENTS HAVE MODERATELY ADEQUATE
KNOWLEDGE, AND 2% HAVE INADEQUATE
KNOWLEDGE.

20. 0%
10%
20%
30%
40%
50%
60%
70%
80%
Pre test Post test
24%
2%
74%
18%
2%
LEVEL OF KNOWLEDGE
Inadequate knowledge Moderately Adequate knowledgeAdequate knowledge
Figure 7 : Frequency and percentage distribution of level of knowledge

21. RESULT
•THE DATA REVEALS AN OBTAINED MEAN PRE-
TEST KNOWLEDGE LEVEL OF 13.44 WITH A
STANDARD DEVIATION OF 4.814, AND POST-
TEST KNOWLEDGE LEVEL OF 22.14.

22. 0
2
4
6
8
10
12
14
Pre test Post test
13.44
2.5
MEAN
Pre testPost test
Figure 8 : Comparison of pretest and post test knowledge level

23. IMPLICATIONS
THE FINDINGS OF THE STUDY CAN BE USED IN THE FOLLOWING AREAS
OF NURSING PROFESSION.
•1. NURSING PRACTICE
•NURSES ARE THE KEY PERSONS OF THE HEALTH TEAM, WHO PLAY A
MAJOR ROLE IN HEALTH PROMOTION AND MAINTENANCE. THE
STAFF NURSES SHOULD BE UPDATED WITH KNOWLEDGE &
COMPETENCE IN PROVIDING QUALITY CARE. STAFF DEVELOPMENT
PROGRAMS THROUGH CONTINUING EDUCATION, TEACHING AND
PROVIDING LEARNING MATERIALS FOR SHAPING THE FUTURE OF
THE NURSING PROFESSION.
•THE NURSE PERSONNEL NEED TO PREPARE TEACHING AND
LEARNING MATERIALS LIKE INFORMATION GUIDE WHICH CAN BE
STUDIED AT HOSPITAL AND HOME WITH OTHER FAMILY MEMBERS.
THE INFORMATION GUIDE SHEET SHOULD BE SIMPLE, CLEAR AND
UNDERSTANDABLE.
•HEALTH EDUCATION CAN BE IMPARTED THROUGH MASS MEDIA E.G..
RADIO, TELEVISION, DOCUMENTARY FILMS, PAMPHLETS ETC.
•• UNDER THE COMMUNITY PARTICIPATION SHE CAN INVOLVE TO
TEACH NURSING STUDENTS WHICH WILL BE ENHANCING THEIR
KNOWLEDGE REGARDING GLASGOW COMA SCALE.

24. IMPLICATIONS
•2. NURSING EDUCATION
•STAFF NURSES SHOULD BE ENCOURAGED TO PARTICIPATE
IN SPECIALIZED COURSES REGARDING GLASGOW COMA
SCALE.
•THERE SHOULD BE INDIVIDUALIZED TEACHING AND
FEEDBACK ON THEIR PERFORMANCES. AS A NURSE
EDUCATOR THERE IS AN ABUNDANT OPPORTUNITY FOR
NURSING PROFESSIONALS TO EDUCATE THE PEOPLE
REGARDING GLASGOW COMA SCALE.
•THE NURSE EDUCATOR SHOULD CONDUCT HEALTH
CAMPAIGNS AND USE DIFFERENT INFORMATION
MODALITIES AND TEACHING STRATEGIES FOR INCREASING
THE KNOWLEDGE.
•THE NURSE SHOULD EDUCATE ABOUT THE UTILIZATION OF
LOCAL HEALTH SERVICES AND VOLUNTARY HEALTH
AGENCIES WHICH HELPS TO PROMOTE AND PROVIDE
INFORMATION ABOUT GLASGOW COMA SCALE.

25. IMPLICATIONS
3. NURSING ADMINISTRATION
• THE NURSING ADMINISTRATOR SHOULD TAKE
DECISION TO DEVELOP STANDARDIZED
PROTOCOLS REGARDING CARE, MANAGEMENT,
HEALTH EDUCATION AND HEALTH FOLLOW UP
FOR GLASGOW COMA SCALE. THE NURSING
ADMINISTRATOR CAN MOBILIZE THE
AVAILABLE RESOURCE PERSONNEL TOWARDS
THE HEALTH EDUCATION REGARDING
GLASGOW COMA SCALE.

26. LIMITATIONS
•THE STUDY WAS CONDUCTED ONLY IN THE
YELAHANKA, BANGALORE.
•THE STUDY WAS CONFINED TO A SMALL
SAMPLE OF PURPOSIVE SAMPLING
TECHNIQUE WHICH RESTRICTS
GENERALIZATION.
•THE STUDY WAS CONFINED TO THE SUBJECTS
WHO WERE WILLING TO PARTICIPATE IN THE
STUDY. THE TOOL HAD TO BE DEVELOPED
FOR THE STUDY AS NO STANDARDIZED TOOL
WAS AVAILABLE.

27. RECOMMENDATION
•ON THE BASIS OF THE FINDINGS OF THE STUDY
FOLLOWING RECOMMENDATIONS HAVE BEEN
MADE.
•A SIMILAR STUDY CAN BE DONE WITH A LARGE
SAMPLE FOR THE GENERALIZATION.
•AN EXPERIMENTAL STUDY CAN BE UNDERTAKEN
WITH A CONTROL GROUP FOR EFFECTIVE
COMPARISON OF THE RESULTS.
•A STUDY CAN BE CARRIED OUT TO EVALUATE
THE EFFICIENCY OF OTHER TEACHING
STRATEGIES LIKE SELF- INSTRUCTIONAL
MODULE, COMPUTER ASSISTED INSTRUCTION
ETC. ON GLASGOW COMA SCALE AND ITS
PREVENTION.