Exploring Knowledge and Practice of Critical Care Unit Nurses with a View to Develop and Evaluate the Effectiveness of Hemodynamic Monitoring Guidelines
DOI:
https://doi.org/10.31674/mjn.2025.v17i02.023Abstract
Background: Critically ill patients often suffer from a complex cardiopulmonary instability. This instability requires an integrated approach of continuous monitoring. Nurses working in critical care units often found themselves having limited knowledge and practices, which led to inappropriate interventions. Objective: To assess knowledge and practice of CCU nurses on monitoring selected haemodynamic parameters. To develop and evaluate the effectiveness of selected haemodynamic monitoring guidelines in terms of improvement of knowledge and practice. Methods: The 1st phase was an exploratory study among 300, and the 2nd phase was a quasi-experimental study among 60 nurses. Data was collected using the convenience sampling technique with a self-reported knowledge questionnaire and practice observation checklist. Results: Most of the first-phase nurses (57.67%) were in the age group of 25-28 years, and 212 (70.67%) were diploma nurses (GNM). As per level of knowledge, 11 (3.67%) and 146 (49%) had poor and average knowledge, whereas only 65 (21.67%) and 78 (26%) had good and very good knowledge. Regarding practice, the majority, 181 (60.33%), had an average practice score, while only 107 (35.67%) demonstrated good practice. The statistical data revealed a significant positive association between the level of knowledge and the stream of nursing education (χ²=16.21), professional qualification (χ²=17.19), and critical care specialisation (χ²=77.47). In the 2nd phase, a paired t-test highlighted that the pre-test & post-test mean knowledge score difference was 18.93, SD 5.24, with a significant t-value of 27.99, and the pre-test and post-test mean practice score difference was 26.95, SD 7.88, with a significant t-value of 26.50, at P<0.05. Conclusion: Hence, haemodynamic monitoring guidelines were able to improve CCU nurses’ knowledge and practices.
Keywords:
Critical Care Unit, Guidelines, Hemodynamic MonitoringDownloads
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