Document Type : Original Article
Authors
1
Bachelor of Nursing, Faculty of Nursing, Tanta University, Egypt
2
Professor of Medical Surgical Nursing, Medical Surgical Nursing department, Faculty of Nursing, Tanta University, Egypt
3
Professor of Anesthesia and Surgical Intensive Care, And Pain Medicine, Faculty of Medicine, Tanta University, Egypt
4
Assist. professor of Critical care Nursing, Critical care Nursing department, Faculty of nursing, Tanta University, Egypt
Abstract
Background: Critical care nurses must understand the importance of neuromuscular blockade
agent (NMBA) is used. The study aimed to evaluate the efficacy of educational module
about patients receiving neuromuscular blockade agents on nurses' performance and patient’s
clinical outcomes. Subjects and method: All (50) nurses working in Intensive Care Unit and
30 patients under effect of treatment with (NMBA) in Anesthesia Care Unit at Tanta
Emergency Hospital and El-Minshawy General Hospital. Three tools were used for data
collection. Tool I: Nurse’s Assessment Tool, two parts, part one: Nurse’s Socio-demographic
Assessment, part two Nurse’s Knowledge Assessment. Tool II: Nurses Practice Observational
Checklist. Tool III: Patient Undergoing Neuromuscular Blockade Agent observation
checklist, three parts; part one: Biosocio demographic patient data, part two: lab investigation
part three: Neuromuscular Blockade agent side effects Observational checklist for patient.
The Results revealed that an improvement in the nurses’ knowledge and practice and
improvement of the patient clinical outcomes. The study concluded that nurse's improvement
in their knowledge level and practices regarding safe administration of NMBAs and this
improvement have positive effect on patient clinical outcomes. Recommended: It can be
recommended that for prevention of NMBAs side effects as corneal ulceration six time safe
care per day must be done, for hypotension and tachycardia measure blood pressure, pulse
every one hour, for bed sores change position every one hour, for edematous limbs elevation
of lower limbs 30c.as well as applying the educational module for nurses in continuing up to
date education.
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