International journal of nursing practice
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By accurately assessing a patient's conscious level, the nurse is able to detect neurological changes in order to improve survival outcomes and minimize long-term sequelae. However, problems are encountered when using the Glasgow Coma Scale (GCS) to assess a patient's conscious level. This study aims to identify the profile of a group of nurse's knowledge, attitudes and self-confidence (KAS) to perform the conscious level assessment using the GCS. ⋯ Two clusters showed differences in the levels of their KAS. Findings may be used for management to improve support of nurses to ensure accurately assessing patient's conscious level. Management should formulate strategies to encourage nurses to resolve actual problems following training or mentoring and to increase the depth and breadth of nurses' KAS to perform the conscious level assessment using the GCS.