Effect of Implementing Bundle of Care Regarding Intraventricular Hemorrhage on Nurses’ Performance and Clinical Outcomes for Premature Neonates on Mechanical Ventilator

Khalefa, Abdel Rahman Sobhy; Bahgat, Rahma Soliman; Elsharkawy, Mai Hassan  Hassan

doi:10.21608/tsnj.2025.450272

Effect of Implementing Bundle of Care Regarding Intraventricular Hemorrhage on Nurses’ Performance and Clinical Outcomes for Premature Neonates on Mechanical Ventilator

Document Type : Original Article

Authors

¹ 1Nursing specialist at Tanta University Hospital, Egypt 2Master student at Pediatric Nursing Deptment, Faculty of Nursing, Tanta University, Egypt

² Professor of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt

³ 4Assistant Professor of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt

10.21608/tsnj.2025.450272

Abstract

Background: Intraventricular hemorrhage is one serious neurological issue that
affects morbidity and mortality in premature neonates. Aim of the study was to
evaluate the effect of implementing bundle of care regarding intraventricular
hemorrhage on nurses’ performance and clinical outcomes for premature
neonates on mechanical ventilator. Subjects and Method: A quasi
experimental research approach was used. Setting: The study was carried out at
Neonatal Intensive Care Unit of Tanta Main University Hospital's, affiliated to
the Ministry of Higher Education and Scientific Research. Tools of data
collection: Tool I: Nurses’ knowledge regarding interventricular hemorrhage
structured questionnaire, Tool II: Nurses practices Bundle of care
Observational checklists regarding Intraventricular Hemorrhage, Tool III:
Intraventricular hemorrhage grading scale, Tool IV: premature neonatal clinical
outcomes. Result: nurses’ level of knowledge and practice was significantly
increased after implementation of care bundle, the majority of the neonates
maintained normal premature vital signs, reduced intraventricular hemorrhage
occurrence and decrease length of hospital stay. Conclusions: Bundle of care
was effective in improving nurses’ knowledge and practices regarding
intraventricular hemorrhage for premature neonates on mechanical ventilator
and this was reflected on neonatal clinical out come and their length of hospital
stay. Recommendation: Developing educational programs about preventive
bundle of care regarding intraventricular hemorrhage for premature neonates on
mechanical ventilator
should be done for nurses periodically at neonatal
intensive care unit