Manuscript Title:

EFFECT OF CRITICAL CARE NURSES’ ADHERENCE TO PATIENT SAFETY GOALS PROTOCOL ON CLINICAL OUTCOMES OF CRITICALLY ILL PATIENTS

Author:

BADRIA ABD ELSHAHID AHMED, SANAA LOTFY ABDELGHANY, AIDA FARIED ABDELWANEES ALI, WAFAA WAHDAN ABD EL-AZIZ, RASHA AWAD ABDELMAGIED SALIME

DOI Number:

DOI:10.5281/zenodo.17301506

Published : 2025-10-10

About the author(s)

1. BADRIA ABD ELSHAHID AHMED - Assistant Professor, Adult Health Care Nursing, Faculty of Nursing, Helwan University, Egypt.
2. SANAA LOTFY ABDELGHANY - Lecturer, Medical-Surgical Nursing, Faculty of Nursing, Badr University in Cairo, Affiliated to Cairo University, Egypt.
3. AIDA FARIED ABDELWANEES ALI - Assistant professor, Critical Care and Emergency Nursing Faculty of Nursing, Mansoura University.
4. WAFAA WAHDAN ABD EL-AZIZ - Assistant Professor, Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt, Al-Baha University, Baha, Kingdom of Saudi Arabia.
5. RASHA AWAD ABDELMAGIED SALIME - Assistant Professor, Adult Health Care Nursing, Faculty of Nursing, Helwan University, Egypt.

Full Text : PDF

Abstract

Background: Patient safety is an essential element of high-quality healthcare. It remains a significant concern for developing countries. The execution of global patient safety objectives within healthcare institutions is crucial for enhancing outcomes for critically sick patients. This study aimed to assess the impact of critical care nursing compliance with patient safety goals protocol on the clinical outcomes of critically ill patients. A quasi-experimental pretest-posttest approach was employed to fulfill the objectives of this study. The investigation was conducted in the general adult intensive care units 1 and 2 at Ain Shams University Hospital, Egypt. Tools: (1) self-administered interview questionnaire: encompasses personal information of nurses and their understanding of patient safety objectives. (2) Observational checklists for nursing practice, (3) Questionnaire on patient safety outcomes. Results: The current study demonstrated that 7.5% of the examined nurses possessed adequate knowledge before the intervention, which increased to 40% following the intervention. Before the intervention, 30% of the examined nurses demonstrated competency in implementing patient safety measures, which increased to 77.5% following the intervention, in relation to patient outcomes. 62.5% experience problems, with infectious and systemic complications accounting for 36%. Conclusion: Two-fifths of the examined nurses possessed adequate knowledge, while over three-fourths demonstrated competence in implementing patient safety goals following the protocol intervention. Additionally, a statistically significant positive correlation existed between the nurses' knowledge and practice after the protocol intervention. Over sixty percent experience complications. Recommendation: Establish periodic educational and training programs for nurses to augment their knowledge and practical skills concerning Patient Safety Goals, alongside ongoing assessment of the nurses' knowledge and practices related to the intervention of Patient Safety Goals.


Keywords

Critically Ill Patients, Patient Outcomes, Nurses Adherence & Patient Safety Goals.