Ali Reem Mohamed Seddik, Mosbeh Asmaa Nasreldin, Hafez Mona Mohamed
Pediatric Nursing Department, Faculty of Nursing, Damietta University, Dumyat, Egypt.
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University, Cairo, Egypt.
BMC Nurs. 2025 Feb 25;24(1):212. doi: 10.1186/s12912-025-02821-7.
Recent guidelines in paediatric critical care emphasize the implementation of the evidence-based liberation bundle to improve patient outcomes in paediatric intensive care units (PICUs). However, there is limited information on the application of this bundle in Egyptian hospitals, and the effectiveness of educational programs on nurse performance in this context remains unclear.
This study aimed to evaluate the effect of an educational program on nurses' performance regarding the application of the liberation bundle in paediatric intensive care unit.
A one-group pre/post quasi-experimental design was employed. The study was conducted in the PICUs of Al-Azhar University Hospital and Menoufia University Hospital, involving a convenient sample of 52 paediatric nurses. Data were collected using two tools: a predesigned questionnaire to assess knowledge about the liberation bundle and an observational checklist to evaluate nurse practices before and after the educational program.
The results demonstrated significant improvements in nurses' knowledge and practices post-intervention. The studied nurses' total level of knowledge regarding the liberation bundle increased from 13.7 to 92.3% post-educational program X2 (P. value) = 89.143(0.000). The studied nurses' total level of practices regarding the liberation bundle increased from 9.6 to 80.8% post-educational program X2 (P. value) = 89.143(0.000).
The educational program significantly enhanced the nurses' knowledge and practices in applying the liberation bundle in PICUs. This improvement in knowledge and practices is expected to lead to better outcomes for paediatric patients, including reduced mortality, shorter PICU stays, and fewer post-intensive care complications. By equipping nurses with the skills to implement the bundle, the program can improve recovery and long-term health outcomes in critically ill children.
儿科重症监护的最新指南强调实施基于证据的解放套餐，以改善儿科重症监护病房（PICU）的患者预后。然而，关于该套餐在埃及医院的应用信息有限，在此背景下教育项目对护士绩效的有效性仍不明确。
本研究旨在评估一项教育项目对儿科重症监护病房护士应用解放套餐绩效的影响。
采用单组前后准实验设计。研究在爱资哈尔大学医院和米努夫大学医院的儿科重症监护病房进行，纳入52名儿科护士的便利样本。使用两种工具收集数据：一份预先设计的问卷，用于评估对解放套餐的知识；一份观察清单，用于评估教育项目前后护士的实践情况。
结果表明，干预后护士的知识和实践有显著改善。接受教育项目后，参与研究的护士关于解放套餐的知识总水平从13.7%提高到92.3%，X2（P值）=89.143（0.000）。接受教育项目后，参与研究的护士关于解放套餐的实践总水平从9.6%提高到80.8%，X2（P值）=89.143（0.000）。
该教育项目显著提高了护士在儿科重症监护病房应用解放套餐的知识和实践水平。知识和实践的这种改善有望为儿科患者带来更好的预后，包括降低死亡率、缩短儿科重症监护病房住院时间以及减少重症监护后并发症。通过使护士具备实施该套餐的技能，该项目可以改善危重症儿童的康复情况和长期健康预后。
