A cross sectional study Assessing the Knowledge of ICU nurses on ABDCEF Bundle in governmental hospitals in the West Bank of the Palestinian Territories رسالة ماجستير

Abstract

Objectives: This investigation aims to assess the level of knowledge of Intensive care nurses on the ABCDEF Bundle as well as its efficacy in preventing delirium. The ABCDEF bundle includes assessing and management of pain (A), both spontaneous awakening and breathing trials (B), choice of sedation (C), delirium monitoring and management (D), early mobility (E), and family engagement (F). Design: The research was conducted as a cross-sectional study among all qualified nurses in intensive care units in major governmental hospitals in the Palestinian Territories to assess the level of knowledge of the ABCDEF bundle. Methods: A quantitative descriptive cross-sectional design was used for this study. A structured questionnaire that breaks down the ABCDEF bundle elements and distributed to 134 ICU nursing staff in major governmental hospitals in the Palestinian territories (Ramallah, Nablus, and Hebron) to assess the level of knowledge of ICU staff members have on this bundle and its importance Questionnaires were distributed, explained, and collected after signing the consent form by the participants. Descriptive and inferential statistics were applied using SPSS v25. Results: There were 134 respondents from 4 governmental hospitals in the region of West Bank, 56.7% of respondents had implemented the PAD guidelines, whereas only 35.1% of respondents had the knowledge about the ABCDEF bundle with varying degrees across hospitals. The knowledge of the ABCDEF bundle was higher for ICUs using a 1:3/1:4 (respectively, 1:4) nurse/patient ratio during the day (respectively, at night), and respondents with a higher average length of stay. VII Conclusions: Interventions should be developed by policymakers and hospital managers to increase critical care nurses' awareness of the ABCDEF bundle and how it may be utilized in the ICU to prevent and treat delirium. Future research on this bundle, as well as its implementation in Palestinian hospitals, should be conducted.