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Original Article



Effect of invasive hemodynamic monitoring training program on nurses’ knowledge and practice in cardiac centers in Sudan

Mudathir Mohamedahmed Eltayeb, Suad Ahmed Mohamed Salahen, Waled Amen Mohammed Ahmed.




Abstract

Background and Aim: The critically ill patients often complain of complex medical or surgical conditions need a continuous assessment for their circulatory system using a well-established monitoring system in diagnoses and management. Thus, invasive hemodynamic monitoring is quite necessary and considered one of essential competences for the critical care nurses. This study aimed to assess the effect of invasive hemodynamic monitoring training program on nurses’ knowledge and practice in governmental cardiac centers in Sudan during the period 2015 to 2018.

Methods: In this quasi; experimental study, the training program was designed and applied in four selected Sudanese governmental cardiac centers through proportional random sampling method of the participants (n = 61), an official permission was obtained from National Ribat University, Federal Ministry of Health, then the data was collected by validated questionnaire and checklist, then managed by SPSS v.20, only values less than 0.05 was considered significant, with a confidence interval of 95%.

Results: Participants’ overall knowledge before the interventional program was 54.3% increased to 92.0% after the interventional program, and 93.4% in the follow up phase. Participant’ mean practice before applying of the program was 34.2% increased to 80.9% after the interventional program and 84.0% in the follow up phase. These results indicated significant improvement in nurses’ competences before and early after interventional program by one month (P = 0.004), before and late after 3 months in the follow up phase (P = 0.003).

Conclusions: Baseline level of critical care nurses’ competences about invasive hemodynamic monitoring in the Sudanese cardiac centers was not satisfactory. There was a considerable improvement in nurses’ competences when they received a structured educational program on invasive hemodynamic monitoring.

Key words: Invasive hemodynamic monitoring, knowledge, practice, training, nurses.






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