Abstract
Introduction Sight is one of the most important and vital human senses. Lack of proper eye care (EC) in anesthetized patients can lead to serious ocular complications and even vision loss. Insufficient knowledge, attitude, and skills of nurses are considered as a barrier to providing EC in the intensive care unit (ICU). The aim of the present study was to determine the effect of training EC clinical practice guidelines for ICU patients on nurses' knowledge, attitude, and practice of EC. Methods This was an interventional study with a pre-post design performed on 60 ICU nurses. For the experimental group, EC clinical guideline training was performed for anesthetized patients in three sessions. The data collection tool included nurses' clinical competence of the EC questionnaire with a possible score range of 0–86. This tool consists of three domains, including knowledge (0–18), attitude (0–28), and practice (0–40), which was completed in a self-assessment manner before and three months after the training program. Data analysis was carried out using SPSS16. Findings. The mean scores of knowledge, attitude, and practice after the intervention in the experimental and control groups were 15.03 ± 2.72 and 11.11 ± 3.50, 25.65 ± 3.47 and 22.07 ± 3.08, and 33.88 ± 4.14 and 28.5 ± 55.08, respectively, which were statistically significant (P ≤ 0.001). Also, the total score of clinical competence of EC after the intervention in the experimental and control groups was 74.56 ± 7.93 and 61.74 ± 9.66, which showed a significant difference (P ≤ 0.001). Conclusion Training nurses based on EC clinical guidelines for anesthetized patients can improve the knowledge, attitude, and practice of ICU nurses. Evidence-based EC practice requires continuous training based on clinical guidelines and EC practice monitoring by nursing managers according to EC clinical guideline for an anesthetized patient.
Highlights
Sight is one of the most important and vital human senses
Most intensive care unit (ICU) patients, on the other hand, need nursing care to maintain the natural and pathophysiological health of Critical Care Research and Practice their eyes and should not experience complications associated with a lack of standard care [3]. e absence of appropriate care can lead to serious ocular complications and even vision loss
If eye care (EC) is performed regularly, the incidence of ocular surface complications will be reduced to 8%, which indicates the importance of EC in ICU [5]
Summary
Sight is one of the most important and vital human senses through which human beings receive most of their information and cognition [1]. Most ICU patients, on the other hand, need nursing care to maintain the natural and pathophysiological health of Critical Care Research and Practice their eyes and should not experience complications associated with a lack of standard care [3]. Sufficient knowledge and skills of ICU nurses play a key role in providing high-quality care [14] It seems that the education of clinical practice guidelines will lead to evidence-based care. E present study investigated the effect of eye care clinical guidelines (ECCG) education for ICU patients on the nurse’s knowledge, attitude, and practice in EC. Knowledge and attitude domains of the EC clinical competency questionnaire were completed by the nurses of the control and experimental groups in a selfassessment manner and the practice section was completed as an observation by an educational supervisor. Descriptive statistics used included absolute and relative frequency and mean (M) and standard deviation (SD). e inferential statistics used included independent t-test, paired t-test, and chi-square with a 95% confidence interval
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