Effect of Implementing Bundle of Care Regarding Intraventricular Hemorrhage on Nurses’ Performance and Clinical Outcomes for Premature Neonates on Mechanical Ventilator | ||||
| Tanta Scientific Nursing Journal | ||||
| Volume 38, Issue 3, August 2025 PDF (1012.46 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/tsnj.2025.450272 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Abdel Rahman Sobhy Khalefa1; Rahma Soliman Bahgat2; Mai Hassan Hassan Elsharkawy3 | ||||
| 11Nursing specialist at Tanta University Hospital, Egypt 2Master student at Pediatric Nursing Deptment, Faculty of Nursing, Tanta University, Egypt | ||||
| 2Professor of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt | ||||
| 34Assistant Professor of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt | ||||
| Abstract | ||||
| Background: Intraventricular hemorrhage is one serious neurological issue that affects morbidity and mortality in premature neonates. Aim of the study was to evaluate the effect of implementing bundle of care regarding intraventricular hemorrhage on nurses’ performance and clinical outcomes for premature neonates on mechanical ventilator. Subjects and Method: A quasi experimental research approach was used. Setting: The study was carried out at Neonatal Intensive Care Unit of Tanta Main University Hospital's, affiliated to the Ministry of Higher Education and Scientific Research. Tools of data collection: Tool I: Nurses’ knowledge regarding interventricular hemorrhage structured questionnaire, Tool II: Nurses practices Bundle of care Observational checklists regarding Intraventricular Hemorrhage, Tool III: Intraventricular hemorrhage grading scale, Tool IV: premature neonatal clinical outcomes. Result: nurses’ level of knowledge and practice was significantly increased after implementation of care bundle, the majority of the neonates maintained normal premature vital signs, reduced intraventricular hemorrhage occurrence and decrease length of hospital stay. Conclusions: Bundle of care was effective in improving nurses’ knowledge and practices regarding intraventricular hemorrhage for premature neonates on mechanical ventilator and this was reflected on neonatal clinical out come and their length of hospital stay. Recommendation: Developing educational programs about preventive bundle of care regarding intraventricular hemorrhage for premature neonates on mechanical ventilator should be done for nurses periodically at neonatal intensive care unit | ||||
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