Abstract

Background: Intensive care nurses must possess good knowledge and high professional skills in everything related to the critical care environment such as tools and equipment for specialized technical devices and nursing care for critically ill patients whose cases require mechanical ventilation through endotracheal intubation.
 Aim of the study: The study aim was to evaluate knowledge and practices of the nurses regarding nursing care guide at the intensive care units in Al-Sadder teaching hospital and Al Zahrawi surgical hospital.
 Methodology: Conducted is a descriptive design study in the intensive care units at Al-Shaheed Al-Sadder teaching hospital and Al Zahrawi surgical hospital, started in the 25 \ September \ 2018 to the 30 \ October \ 2019. Select purposive sample comprised of 60 nurses. Instrument of the study is adopted and developed via the researcher. Questionnaire was consisted (30) questions to evaluate the nurses' knowledge and (65) checklist items to evaluate the nurses' practices concerning the nursing care guide. The validity of the instrument obtained by 17 expert's panel, Analysis of data is performed via the application of description statistic (frequencies, percentages, arithmetic mean, and standard deviations), and the inferential statistical (chi-square test) to present association between variables.
 Results: Outcomes of study is revealed that the majority of nurses have a moderate level of knowledge, and practices about nursing care guide at the intensive care unit, total mean are with regard to knowledge (0.41) and, and in practice (1.84).
 Conclusion: Study Illustrated that not all intensive care unit nurses were trained adequately on the nursing care guide in the ICU, approved by Iraqi Ministry of Health. That there are non-significant differences between demographical data with their knowledge, while showed that there was high significant differences with practices related to nursing care.
 Recommendation: Assert to update nurses' knowledge and current skill set in critical care units in hospitals to provide nursing care through adequate and high practices by training continuously, it is preferable to increase the proportion of males to females into the intensive care unit, and as for nurses who have less than five courses must intensify and double the number of training courses for their.

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