الفهرس 
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Abstract
Summary Endotracheal intubation is an advanced airway procedure where an orotracheal tube is placed under direct vision through the larynx into the trachea. It has the advantage of providing a protected airway whilst enabling ventilation, a route for oxygenation and suctioning The nursing role consist of providing oral care every 2 hours, monitoring respiratory status and placement of the endotracheal (it can slip out of position), and repositioning the client to prevent hazards of immobility (e.g. pneumonia). Sectioning of lung secretions that they are unable to mobilize. Carefully observe any secretions that the patient expectorates or that are sectioned The present study aimed to measure the impact of educational training programme on nurse’s performance for patient undergoing endotracheal tube at Assiut University Hospital.
The study was conducted in the department of intensive care units at Assiut University Hospital; traumatic intensive care unit, general intensive care unit A Quiz-experimental design used for the presented study. The sample of this study included of nurses in the trauma and general intensive care units were recruited in the study (60 nurses). In additional, (120 patients) will be recruited from general and the traumatic intensive care units before and after application of the endotracheal tube care The following tools were utilized for data collection: Tool (1) Nurses questionnaire sheet (Pre and post-implementation) which consisted of two parts; Part 1: Demographic data for nurses and Summary 95 Part 2: Assess nurse’s knowledge about endotracheal tube care. Tool (2) Observation checklist sheet (Pre and post-implementation) which included general nursing care for endotracheal tube and instruction given by nurses. Tool (3) Patient assessment sheet, which consisted four parts; Part 1: hemodynamic, respiratory assessment and modified Glasgow coma scale, Part 2: biosocial demographic data about the patient, Part 3: Laboratory investigation and Part 4: assessment of expected endotracheal tube care complication and Tool (4) Educational booklet: For nurses’ knowledge and performance about endotracheal tube.
Data were analyzed. A probability of 0.05 was adopted as the level of significant for testing the research hypothesis. Mean standard deviation, percentage, distribution, coefficient and T-test (Paired sample t-test, Independent sample t-test and Chi-squire test) for comparison of means were used to test the research variables.
The main results of the present study are:
For nurses:
It was found in this study that all the studied nurses were females and 50% aged between 25 to 30 years old. Moreover, more than two third (70%) hold a diploma and technical degree of nursing. Less than one third of nurses were working in the general ICU, more than two third of them working in the trauma ICU (28.3%, 71.7% respectively). About more than one third of nurses (36.7%) had from five to less than ten years ICU experience. More than one quarter of them (26.6%) of nurses attend education/ training program about endotracheal tube care.
Summary
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There was significant relation between total nurses’ knowledge and performance scores as regard pre and post-implementing the endotracheal tube care (P=0.001).
For patients:
As regarding patient characteristics, result of present study revealed that less than half of them age between 18 to less than 30years old pre and post implementation (48.4%, 41.6% respectively). Most of patients for pre and post implementation (60%, 53,4% respectively) had head injury on admission.
As regard post endotracheal tube care complications it was found that there was significant difference between post endotracheal tube care complications as regard pre and post implementing endotracheal tube care program.
In conclusion, that there is highly statistical significant difference between the nurse knowledge and performance in pre and post-implementing program. Improving nurses’ knowledge and performance have a favorable effect in preventing or reducing post-endotracheal tube care complications.
It is recommended that continues training programs contain knowledge, health education and performance about endotracheal tube care, which will be reflected on better outcome and service for patients. Periodic monitoring of nurses knowledge and performance about universal precaution to evaluate level of performance. Newly employed critical care nurses are required to successfully complete a test of basic knowledge and skills before assuming independent responsibility for patient care.