Effect of Educational Program for Nurses Regarding Critical Care Bundle on Patients Outcomes in Intensive Care Units

Abstract

Background: Critically ill patients experience a variety of distressing symptoms during their intensive care stay including pain, agitation, delirium, weakness, and sleep deprivation. Because of the complexity of caring for those patients, these symptoms are often managed by the “ABCDEF” bundle that improves intensive care unit outcomes. Aim: Evaluate the outcomes of educational program about the critical care bundle for the nurses caring of patients in intensive care units. Design: Quasi experimental research design was used for current study. Setting: Open heart – general Surgery – Neurosurgery ICUs at Nasser institute hospital affiliated to ministry of health /Egypt. Subject: Convenient sample of all available critical ill patients (98) & Convenient sample of all available nurses (80) at previous mention setting. Tools: Patients Structured interview questionnaire, Patient outcome parameters assessment & Nurses’ self-administered Questionnaire and Observational practice checklist. Results: There were highly statistically differences regarding nurses’ level of knowledge domains about critical care bundle components pre, post and slightly decline follow up phases implement program. Also there was a positive correlation regarding practice nurses efficiencies according to their patient’s outcome in pre, post and follow up implement program 96% of patient had complications pre implement program while 45% post implement program and 36 % follow up. Conclusion: Implementation of critical care bundle affecting level among the patient’s outcomes to outline the effective intervention &reduce complications in intensive care units. Recommendation: Conducting training program for the critical care nurses in intensive care units all hospitals to improve nurse’s performance regarding implementation of care bundle for critical ill patients.