Effect of Comprehensive Nursing Care Protocol on Nurses' Performance regarding Ectopic Pregnancy

Salem, Eman Mohamed; Gaheen, Manal Abdalla; Belal, Ghada Abd El-Salam; El-Nagar, Anaam Ebrahim

doi:10.21608/tsnj.2025.464018

Effect of Comprehensive Nursing Care Protocol on Nurses' Performance regarding Ectopic Pregnancy

Document Type : Original Article

Authors

¹ 1Demonstrator of Maternal and Neonatal Health Nursing, Faculty of Nursing, Tanta University, Egypt.

² Professor of Maternal and Neonatal Health Nursing, Faculty of Nursing, Tanta University, Egypt

³ Assist. Prof of Maternal and Neonatal Health Nursing, Faculty of Nursing, Tanta University, Egypt

⁴ Lecturer of Maternal and Neonatal Health Nursing, Faculty of Nursing, Tanta University, Egypt.

10.21608/tsnj.2025.464018

Abstract

Background: Ectopic pregnancy is still one of the main causes of maternal morbidity and mortality as a result of tubal rupture, life-threatening internal hemorrhage and subsequent hemodynamic instability. Nurses have a pivotal role in the early identification, clinical management, and psychological support of women experiencing ectopic pregnancy. The study aimed to determine the effect of comprehensive nursing care protocol on nurses' performance regarding ectopic pregnancy. Subjects and method: Design: A quasi-experimental research design was used. Setting: The study was conducted at antenatal in-patient unit of Obstetric and Gynecological Department at Tanta University Hospitals. Sample: All nurses (50 nurses) in the previously mentioned study setting were included in the study. Two tools were used: Tool (I): Nurses' knowledge regarding ectopic pregnancy, consisting of two parts: Part (1): Socio-demographic characteristics of the studied nurses. Part (2): Nurses' knowledge regarding ectopic pregnancy. Tool (II): Nurses' practices regarding ectopic pregnancy observational checklists. Results: the vast majority of the studied nurses experienced a high level of knowledge and satisfactory practices regarding methotrexate administration, pre- and post-operative care in case of ectopic pregnancy immediate and one-month post-comprehensive nursing care protocol implementation in contrast to low and unsatisfactory practices pre-protocol implementation. Conclusion: The comprehensive nursing care protocol provided to the studied nurses achieved a significant enhancement in their performance regarding ectopic pregnancy and the research hypothesis has been ascertained. Recommendation: Adopt a nursing care protocol based on the evidence-based practice principles at obstetrics units for standardizing nursing practices regarding ectopic pregnancy management.