Effectiveness of implementation of evidence-based educational intervention regarding chest tube on clinical patient’s outcomes in cardiothoracic care unit

Document Type : Original Article

Authors

1 Lecturer of Adult Health Care Nursing, Faculty of Nursing, Helwan University, Egypt

2 Lecturer of Critical Care and Emergency Nursing Department, Faculty of Nursing, Mansoura University, Egypt

3 Assistant Prof of Critical Care Nursing, Faculty of Nursing, Tanta University, Egypt

4 Prof of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt

Abstract

Background: Ineffective evacuation of the accumulated intra-thoracic air and/or fluid
after cardiothoracic surgery may upsurge postoperative complications, morbidity, and
mortality. So, chest drains are a prevalent intervention for patients admitted to acute
respiratory or cardiothoracic care areas. Aim: To evaluate the effectiveness of nurses’
evidence-based educational intervention regarding the chest tube on clinical patient’s
outcomes in intensive cardiothoracic care. Setting: The study was carried out at the
cardio-thoracic care unit affiliated to Mansoura University Hospital. Method: A
quasi-experimental research design was utilized to conduct this study using a pretest
posttest approach. A convenience sample of 55 nurses and 60 patients were selected to
achieve the aim of the present study. The results revealed that there were a highly
statistically significant differences regarding total mean scores of nurses' knowledge
and practice pre and post implementation of evidence-based educational intervention.
Also there were an improvement in total mean scores of the patients’ outcomes
regarding chest tube. Conclusion: There was a statistical significant improvement in
nurses’ total mean knowledge and practice scores post evidence-based educational
intervention. Also, there was a statistically significant positive effect of nurses’
evidence-based educational intervention regarding the chest tube on clinical patient’s
outcomes in intensive cardiothoracic care. Recommendation: The nurses should
implement nursing care for patients undergoing cardiothoracic surgery based on
evidence based practice. The nurses must enroll into internal and external training
programs and attain and participate in conferences to renovate their knowledge and
practices regarding EBP about chest tube post cardiothoracic surgery

Keywords

Egyptian Journal of Health Care
Volume 12, Issue 1
March 2021
Pages 171-192

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