Title : Assessment Of Knowledge And Practices And Impact Of Intervention About Early Diagnosis And Management Of Increased Intracranial Pressure Among Residents And Nurses Working At Tash
Abstract:
Background
Increased intracranial pressure is a common and possibly fatal complication of neurologic and systemic diseases. Diagnosis is made mainly based on clinical and neuroimaging findings. There are medical and surgical treatment options. Early diagnosis and prompt management is critical to diminish mortality and disability.
Method
We conducted a cross-sectional analysis of data collected from September 1, 2021, to October 31, 2021, from 183 residents and nurses working in TASH. Self-administered questionnaire was administered pre and post-training to assess knowledge and practice on diagnosis and management of increased intracranial pressure. They were shown a video of 18 minutes that was prepared by the investigator on increased intracranial pressure diagnosis and management. Adequate time was given for the participants to see and analyze the intervention material. Data were entered into SPSS version 26 for analysis.
Categorical variables were summarized by frequency and percentages. Continuous variables were summarized by mean SD. Associations were done by one-way analysis of variants and paired-t-test.
Result
The total correct answer score of residents pretraining range from 55.75% - 90.4%. post training, the scores raised to 81.5% - 98.78% (p<0.05).
Post-intervention shows the level of knowledge of residents risen in terms of the 20 questions out of 21 (p<0.05).
Regarding the nurses intervention has shown increasing the level of Knowledge score of 10 out of 12 questions and 7/10 of practice scores.
Conclusion
There is substantial knowledge and practice gap among the health care professionals and as the intervention resulted in significant increment of scores, continuous trainings is important in advancing the level of understanding, practice and improving patient outcomes.