Critical Care Nurses’ Knowledge, Practices and Perceptions Regarding Mouth Care of Ventilated Patients in Palestine Hospital رسالة ماجستير

Abstract

Background: Oral care is a fundamental aspect of nursing practice, particularly in intensive care units where mechanically ventilated patients are at increased risk of complications. Maintaining proper oral hygiene can significantly reduce the risk of infections, including ventilator-associated pneumonia (VAP), which is one of the most common and serious ICU complications. Despite its importance, oral care practices remain inconsistent, especially in resource-limited settings, leading to increased morbidity, prolonged hospital stays, and healthcare costs. Aim: This study aims to assess critical care nurses' knowledge, practices, and perceptions regarding oral care for mechanically ventilated patients. Method: This descriptive cross-sectional study included 304 critical care nurses from intensive care units in the West Bank. A structured self-administered questionnaire assessed their knowledge, practices, and perceptions of oral care for mechanically ventilated patients. Data were analyzed using descriptive and inferential statistics. Results: Knowledge scores were categorized as poor (0–16), moderate (17–25), and good (26–34). Practices and attitudes were also categorized based on their total possible score Among 304 participants (52% private, 48% governmental ICUs), most were male (57.9%), married (62.8%), and had a bachelor’s degree (78.9%), with a mean age of 29.8 ± 6.0 years. Nurses had moderate knowledge (17.78 ± 3.26/34), suboptimal practices (34.5% followed protocols), and moderately positive attitudes (25.88 ± 3.41/40). Barriers included lack of time (60.7%) and supplies (44.3%). Higher education correlated with better knowledge, and private sector nurses had better practices. Attitudes correlated with knowledge (r = 0.227, p < 0.001), but no significant links were found between knowledge, practices, or attitudes. VI Conclusion: The study founded a significant positive association between oral care perceptions and knowledge. Nurses with higher academic qualifications had better knowledge, while married nurses, those trained in oral care, and those with more ICU experience performed care more frequently. Private ICU nurses and those in larger ICUs had better practices and perceptions. The study emphasizes the need for mouth care protocols and enhanced educational resources to improve oral care in Palestinian ICUs.