Abstract
Background: When a patient with an acute medical illness is admitted to a hospital, their safety is a prime concern for healthcare professionals. Ongoing nursing assessment is a type of nursing assessment that commences at the beginning of every shift. and **is completed on every patient. This information is used to develop a plan of care. The aim of this study is to assess the application of ongoing nursing assessment approaches in intensive care units. 
 Methods: This cross-sectional hospital-based study included a total of 135 nurses, of which 23 (17%) were from Khartoum hospital, 62 (46%) from Alshaab hospital, 15 (11%) from Soba University Hospital, and 35 (26%) from National Center for Neurological Science.
 Results: The ongoing nursing assessment approaches were available in most intensive care units of the study area with the domination of ABCDE approach. Factors that can impact the thoroughness of the ongoing nursing assessment performance suggested by the studied participants were nurses' knowledge and competency, followed by insufficient time and resources to carry out the assessment.
 Conclusions: Most participants did not complete the assessment suggesting a poor performance. The knowledge base of the participants was not reflected in their practice with a wide difference between them.
 Key words: Nursing assessment approach, intensive care unit, assessment performance, Sudan
Highlights
Nurses comprise the largest group of professionals within the healthcare workforce and provide for 75% of the care received by patients in hospital settings
Regarding the knowledge about the effect of work environment on patient safety, most nurses stated that all factors mentioned affect patient safety as follows: volume of work assigned to individuals from 67.1–78.3%, 76.1–78% for professional skills required for specific job assignments, when the duration of experience in a particular job category accounted by 74.4% to 86.7%, 69.6% to 72% for work schedules
The effect of work environment on patient safety represented that more than half of the nurses knew ways to assess the effect of their work environment and practices on patient safety and that they need to be committed to following it because the goal is to deliver the best care to every patient every day
Summary
Nurses comprise the largest group of professionals within the healthcare workforce and provide for 75% of the care received by patients in hospital settings. Montaha Mohammed Ibrahim and Hammad Ali Fadlalmola attempt to measure the attributes of an excellent staff nurse work environment began with 1984 [2]. When a patient with an acute medical illness is admitted to a hospital, their safety is a prime concern for healthcare professionals. The aim of this study is to assess the application of ongoing nursing assessment approaches in intensive care units. Factors that can impact the thoroughness of the ongoing nursing assessment performance suggested by the studied participants were nurses’ knowledge and competency, followed by insufficient time and resources to carry out the assessment. The knowledge base of the participants was not reflected in their practice with a wide difference between them
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