Mahmoud, N., Ayoub, M., khalaf Mahran, G. (2025). The knowledge-practice gap among critical care nurses regarding intra-abdominal pressure measurement. Assiut Scientific Nursing Journal, 13(48), 9-17. doi: 10.21608/asnj.2024.324813.1930
Nasma Hamdy Mahmoud; mahmoud Thabet Ayoub; Ghada Shalaby khalaf Mahran. "The knowledge-practice gap among critical care nurses regarding intra-abdominal pressure measurement". Assiut Scientific Nursing Journal, 13, 48, 2025, 9-17. doi: 10.21608/asnj.2024.324813.1930
Mahmoud, N., Ayoub, M., khalaf Mahran, G. (2025). 'The knowledge-practice gap among critical care nurses regarding intra-abdominal pressure measurement', Assiut Scientific Nursing Journal, 13(48), pp. 9-17. doi: 10.21608/asnj.2024.324813.1930
Mahmoud, N., Ayoub, M., khalaf Mahran, G. The knowledge-practice gap among critical care nurses regarding intra-abdominal pressure measurement. Assiut Scientific Nursing Journal, 2025; 13(48): 9-17. doi: 10.21608/asnj.2024.324813.1930
The knowledge-practice gap among critical care nurses regarding intra-abdominal pressure measurement
1Teacher at the Technical Secondary School of Nursing for Girls in Assuit Directorate of Health, Assiut Governorate, Egypt.
2Assistant Professor of General and Oncological Surgery, Faculty of Medicine, Assiut University, Egypt.
3Assistant Professor of Critical Care and Emergency Nursing Department, Faculty of Nursing, Assiut University, Egypt.
Abstract
Abstract: Background: Critically ill patients are prone to life-threatening conditions, including intra-abdominal hypertension and abdominal compartment syndrome. These complications require prompt diagnosis and intervention, as elevated intra-abdominal pressure can lead to compromised organ perfusion and failure. Aim: Assess the gap between nurses' knowledge and practices regarding intra-abdominal pressure measurement. Research design: A cross-sectional survey research design was adopted for this study. Sample: A cross-sectional study was conducted among 64 nurses working in Assiut University Hospital’s intensive care units. Setting: The research was conducted in intensive care units of Assiut University Hospital including trauma care and general care, critical care, anesthesia care and surgical care units. Tools: Data was gathered using two tools: Nurses' knowledge assessment questionnaire comprising 20 multiple-choice questions, and an observational checklist to evaluate nurses' practices regarding intra abdominal pressure measurement. Results: The study revealed that 39.1% of nurses had very low knowledge, while 81.3% exhibited unsatisfactory practices in intra-abdominal pressure measurement. A strong positive correlation (R=0.804, p < 0.001) was observed between knowledge and practice. Conclusions: The majority of nurses had a poor knowledge and fall into the "unsatisfactory practice" category regarding intra-abdominal pressure measurement, intra-abdominal hypertension and abdominal compartment syndrome percentage of (81.8%), so it is essential to construct a continuous instructional program for nurses. Recommendations:Develop educational programs that emphasize the importance of accurate intra-abdominal pressure measurement.
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