The Effect of A Structured Training Program on Intensive Care Nurses Performance

Ishraga Mohamed ,Elham Youssef Elhanafy

doi:10.7176/jhmn/60-07

Abstract

Background: An intensive care unit is that area of a hospital where patients’ serious illnesses or injuries receive special medical and nursing care. ICU nurses are highly knowledgeable and skilled health care professionals that work in an ICU in association with other members of the hospital team to provide optimum patient care. The care of the mechanically ventilated patient is an essential component of a nurse's clinical practice in the intensive care units (ICUs), therefore it seems natural to devote a great deal of work in preparing and training staff before allowing them to work with patients. Aim: to evaluate the effect of a structured training program on intensive care nurses' performance. Design: A quasi-experimental pre and posttest research design was used. Setting : Two teaching hospitals, Al-Shabaab and Al- Khartoum in Khartoum, Sudan. Sample: Purposive sample of intensive care nurses’ working in the two hospitals, (50, 30nurses) from Al- Khartoum, and-Shabaab hospitals. Tools: Two tools were used ; the first tool questionnaire developed by researchers and checklist, the second tool : McCloskey/Mueller Satisfaction Scale (MMSS) was used for data collection. The study result ; there is a positive effect of educational program on enhancing nurses' knowledge, about mechanical ventilation in general, and there were a highly statistically significant difference between nurses' knowledge and their performance at pre and post intervention program, However there was no correlation between nurses' socio-demographic variables and their knowledge of pre and post intervention program. Conclusion and Recommendations ; the education program had a positive effect on the nurses' attitudes toward mechanically ventilated patient. ; the educational programs for all nursing members should be applied as continuing education, and further studies should be carried out with bigger sample and longer time. Keywords: China insurance industry, Foreign fund, Challenge DOI : 10.7176/JHMN/60-07 Publication date :March 31 st 2019

Highlights

Intensive care unit (ICU) provides severe medical treatment to the most ill or injured patients in the hospital
The care of the mechanically ventilated patient is an essential component of a nurse's clinical practice in the intensive care units (ICUs), it seems natural to devote a great deal of work in preparing and training staff before allowing them to work with patients
The results showed that only 5% of the respondents were received special training courses in mechanical ventilation, while the majority 95% of ICU nurses’ didn’t received any specific course in mechanical ventilation, the outcome of mechanically ventilated patient depend completely on the proper nursing management, in spite of that there was a sever lack of continuous training programs, and the explanation was strongly that almost all of nurses were in continuous shifting, there was no a constant staff in one area so there is a need for continuous training and refreshing programs to keep high standard of nursing management providing to mechanically ventilated patient

Summary

Introduction

Intensive care unit (ICU) provides severe medical treatment to the most ill or injured patients in the hospital. These patients have need of continuous monitoring and sophisticated medical treatment. Effective collaboration with them requires open, extensive, and coordinated communication as well as shared team goals that will result in improved quality of management, patient safety, and discharge outcomes. Both doctors and nurses are responsible for making decisions about mechanical ventilation and weaning [27,32].

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