ASSESSMENT OF NURSES’ COMPETENCY IN NEUROLOGICAL ASSESSMENT SKILLS IN ACUTE CARE SETTINGS AT A TERTIARY CARE HOSPITAL

Abstract

Background: Neurological assessment is a critical skill for nurses working in acute care settings, where early detection of neurological deterioration can significantly influence patient outcomes. Competency in this area requires both theoretical knowledge and clinical practice, yet many nurses lack confidence and consistency in performing comprehensive neurological evaluations. Aim: This study aimed to assess the competency of nurses in neurological assessment skills in acute care units at a tertiary care hospital in Swat, Pakistan, and to determine the relationship between experience and knowledge levels. Methods: A descriptive cross-sectional study was conducted at Saidu Teaching Hospital, Swat. The study population included registered nurses from emergency, ICU, and neurology units. Using the Raosoft calculator, a sample size of 80 nurses was selected from a total population of 100. Data were collected using a validated questionnaire consisting of knowledge-based multiple-choice questions and a self-reported competency checklist. Descriptive statistics and the Chi-square test were used for data analysis using SPSS version 27. Results: Among the participants, 47.5% demonstrated moderate knowledge, 32.5% had good knowledge, and 20% had poor knowledge. The highest mean competency score was for the Glasgow Coma Scale (4.1), while the lowest was for cranial nerve examination (2.8). A significant association was found between years of experience and knowledge level (p = 0.032), with more experienced nurses demonstrating higher competency. Conclusion: The study highlights moderate overall competency in neurological assessment among nurses, with gaps in advanced skills. Targeted training and continuous professional development are recommended to improve clinical outcomes.