الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Transferring a very sick patient inside the hospital may be a terrifying ordeal. Adverse events and problems are possible with IHT. A patient’s clinical state, equipment, system, and human factors are often the root causes of adverse occurrences (AEs). Thus, a well-prepared and informed nurse may increase patient safety during IHT by engaging in thorough planning, creating effective communication, providing necessary equipment, and accurately assessing patients’ clinical status. Aim of the study Analyze how nurses’ knowledge and skills improved as a result of a training program on intra-hospital transfer for very sick patients. Setting: The study was done in the Surgical Intensive Care Unit of the Emergency Hospital and the Surgical Intensive Care Unit of the Teaching Hospital, both affiliated with Tanta University. Subjects: - The sample of this study consisted of: 1. Nurses: Seventy nurses currently employed in the aforementioned fields who provide direct nursing care to critically sick patients and have regular face-to-face contact with these patients 2. Patients: Thirty patients meeting inclusion criteria were randomly selected from the intensive care units of Tanta university hospitals. The sample was divided into two equal groups 30 patients in each as follow: The control group consisted of 30 critically ill patients who met all inclusion criteria and who were transported within the hospital according to standard hospital procedures. These procedures included the use of standard modes of transportation, oxygenation sources, equipment, documentation policies, and emergency medication preparations. After implementing the intra-hospital safety transportation training program for the critical care nurses, a study group of 30 critically ill patients meeting the same inclusion criteria was used to measure clinical outcomes and the incidence rate of adverse events. Tools of data collection: - Three tools were used for data collection of this study: Tool (I): After reading the relevant literature, the researcher devised a structured interview schedule with two sections to obtain baseline data on critical care nurses’ understanding of intrahospital transport safety procedures. Part (1):Data on the demographics of nurses who transport critically sick patients inside the hospital, including their ages, genders, educational backgrounds, years of experience, and levels of formal training in patient safety. Part (2): Questions for Critical Care Nurses to Assess Their Knowledge of Hospital Transportation The researcher conceived of this section after reading the appropriate literature. Tool II: Intra -Hospital Transport Observational Checklist for Critical-Care Nurses. After analyzing the relevant literature, the researcher created this instrument to serve as a monitoring and evaluation tool for nurses’ work. Using a predetermined observational checklist, the critical care nurses’ procedures were assessed before to, during, and after intra-hospital transfer. Tool III: Clinical Outcome Assessment tool for Critically Ill Patients: This tool was designed by the researcher after reading the relevant literature for the collecting of baseline data on critically ill patients, and it consisted of the following three sections: Part (1):clinical results and patients’ socio-demographic information Part (2): Patients in critical care may have their degree of awareness evaluated using the Glasgow Coma Scale. Part (3):Emergencies and complications caused by intra-hospital transportation. The researcher created this section to evaluate potential problems and adverse events experienced by critically sick patients during and after intra-hospital evacuation. Main results: Depending on the finding of the present study, it was clarified that: - The majority of studied nurses (90%) were within the age group of (21<30) years and more than two-thirds of the studied nurses (78%) were females. - More than two thirds of studied nurses (70%) were technical, while only (2.9%) were diploma degree. - The studied patients sample clarified that 40% of study group was between (18-<30) and 33% of control group was in between (30<40). - The majority, (83.3% and 80%) of studied patients in both control and study were males. - The implementation of nursing educational program have appositive effect of improving nurse ’knowledge and practice regarding safe IHT of critically ill patients - There were significant statistical improvement in the total knowledge and practice mean score post implementation of nursing educational program - There were a positive significant correlation between total knowledge and total practice post implementation of educational program - Improving patients‟clinical outcome post implementation of educational program - Most negative outcomes were reduced after the educational program was implemented, as compared to before any intervention. Depending on the results of the present study, it was recommended that: Recommendation for nurses: - Educating nurses on the importance of intrahospital transportation safety by hosting and promoting educational events for nurses - To ensure that nurses’ skills remain sharp during intra-hospital transfer of critically sick patients, it is important to provide them with ongoing education and training. - The purpose of this study is to provide a periodic assessment system for nurses to use in determining methods for increasing their knowledge and improving their practice of IHT for critically sick patients. - The value of having a protocol or set of rules in place for the administration of IHT to very sick patients. - Insisting that all newly hired nurses take a course on IHT for severely sick patients - Graduated nurses need training before they may begin working. - Using the most recent evidence-based recommendations for IHT instead of the status quo in patient treatment. Recommendation for research - The present study’s findings should be confirmed and broadened by conducting replications in other settings.