The Gap Between Knowledge and Practice among Critical Care Nurses Regarding the Basic Standards of Critically Ill Patients Shift Handover

Document Type : Original Article

Authors

1 Demonstrator, Faculty of Nursing, Badr University in Assuit, Egypt.

2 Professor of Critical Care Nursing, Faculty of Nursing, Assiut University, Egypt

3 Professor of Critical Care Nursing, Faculty of Nursing, Assiut University, Egypt.

Abstract

Background: Effective communication during shift handovers can significantly reduce medical errors, prevent information loss, and improve continuity of care for critically ill patients. Despite nurses’ knowledge of standardized handover protocols, a clear gap persists between what they know and what they do. Aim: this study aim to assess the gap between knowledge and practice among critical care nurses regarding the basic standards of critically ill patients shift handover. Research Design: Descriptive correlational research design was utilized in this study. Setting: The study was implemented at Intensive Care Units in main Assiut University Hospitals, Assuit city, Egypt .Subjects: All available critical care nurses who work in previous mentioned setting. Data collection: Two tools were used .Tool (I): Nurses’ assessment tool. Part I:Nurses’Personal Characteristics Part II: Nurses' Shift-to-shift handover knowledge questionnaire.Tool(II): Nurses’ Practice Assessment (Observational Checklist).Results: Results showed that 65% of nurses had satisfactory knowledge, but only 33.3% demonstrated adequate practice positive correlation was found between knowledge and practice (r = 0.185, p = 0.043).Conclusion: The study revealed a significant knowledge-practice gap among critical care nurses regarding shift handover. Recommendations: 1.Integrate shift handover training into nursing curricula and ongoing in-service education programs. 2. Customize handover protocols. 3. Implement digital handover systems.

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