IMPACT OF TRAINING IN CLINICAL PRACTICE STANDARDS ON EYE CARE FOR SEDATED PATIENTS: A PRE-POST INTERVENTIONAL STUDY AMONG INTENSIVE CARE UNIT NURSES

R PERVAIZ; S AKASH; S BANO; M MALIK; AZ RIZVI; MI SHOAIB; H KANDEEL; S RAZA

doi:10.54112/pjicm.v3i02.20

Authors

R PERVAIZ Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan.
S AKASH Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan.
S BANO Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan.
M MALIK Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan.
AZ RIZVI Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan.
MI SHOAIB Medical Intensive Care Unit, Rashid Hospital, Dubai Health, Dubai, UAE.
H KANDEEL Department of Critical Care Medicine, Hatta Hospital, Dubai Health, UAE.
S RAZA Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan.

DOI:

https://doi.org/10.54112/pjicm.v3i02.20

Keywords:

Attitude, Clinical competence, Eye care, Intensive care unit, Knowledge

Abstract

Background: Vision is one of the most critical senses for humans, particularly in the intensive care unit (ICU) setting. Inadequate eye care for sedated patients can lead to significant ocular problems, including blindness. Nursing knowledge, attitudes, and abilities are essential for delivering effective eye care in the critical care unit. Objectives: To determine the impact of training ICU nurses on clinical practice standards for eye care in sedated patients on their knowledge, attitudes, and practices regarding eye care. Study Design: A pre-post interventional study was conducted on 40 ICU nurses. Setting: The study was conducted in the intensive care units of Bahria International Hospital, Lahore, Pakistan. Duration of Study This study was conducted from July 2022 to February 2023. Material and Methods: The experimental group received clinical guideline training for eye care for sedated patients over three sessions. Data collection utilized an eye care questionnaire assessing nurses' clinical competence, with domains including knowledge, attitude, and practice. Nurses self-assessed their competence before and three months after training. Data analysis was performed using SPSS 21. Results: Following the intervention, a significant difference was observed in the mean score of overall eye care clinical competence (ECCC) between the experimental and control groups (P ≤ 0.05). The experimental group's mean scores for knowledge, attitude, and practice significantly improved before and after the intervention (P ≤ 0.05). Conclusion: Training ICU nurses on clinical principles for eye care in sedated patients leads to improvements in their knowledge, attitudes, and practices. Ongoing training and supervision based on clinical guidelines are crucial for implementing evidence-based eye care practices in the ICU.

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