Effectiveness of an Educational Program for Nurses about Nursing Management for Unconscious patients at Azadi Teaching Hospital
Abstract
Unconscious patients are a major challenge in healthcare, requiring special expertise and competencies from nursing staff. Effective management is essential to ensuring the safety and recovery of these individuals. This study aims to evaluate the effectiveness of an educational program aimed at improving nurses' management of unconscious patients. The program aims to enhance nurses' competence in key areas, including personal hygiene, monitoring vital signs, and preventing complications. To evaluate the effectiveness of nursing education program on nurses’ knowledge concerning in nursing management for unconscious patients at Azadi teaching hospital A quasi-experimental design with pre- and post-intervention assessments was carried out between 28th December 2024 and 25th May 2025. A Multistage, Probability “purposive sample” sampling technique was utilized to collect data from (1st February to 1st April) nurses from (60) nurses in respiratory care unit and intensive care unit at Azadi Teaching Hospital., it is consisting of seven parts, data were analyzed using descriptive and inferential statistics by using SPSS version 0.26. The study sample was predominantly female, constituting 42% (70.0%) of the total sample. Regarding age, most nurses were under 30 years old, constituting 51% (85.0%), with a mean of 26.13 years and a standard deviation of 3.08 years. Nearly two-thirds of them were single, constituting 38% (63.3%). Finally, nearly all of them held a bachelor's degree, constituting 59% (98.3%). Most of them had been employed in positions with less than 5 years of experience, constituting 53% (88.3%). Nearly two-thirds of them had no training in nursing management of unconscious patients in the ICU or intensive care unit, constituting 38% (63.3%). Most of them had only attended one-time courses, constituting 20% (90.91%). Most of them worked in the intensive care unit, representing 54% (90.0%), and finally, three-quarters of them worked the night shift, representing 45% (75.0%). All values for the nurses studied had a restricted distribution, as significant differences were calculated at P<0.01 between observers, and there is an expected frequency distribution, including training courses, that simply did not achieve the significant level. Accordingly, it can be said that, with regard to this study, the distribution of nurses is restricted to the large numbers of nursing staff in the first years of work in clinical units. The study found Most nurses were young (85%), female (70%), and had a bachelor's degree (98%). Limited training (63%) and experience (88.3%) raised concerns. The program significantly improved knowledge, with post-training scores reaching 100% in key areas, proving its effectiveness in critical care. Provide specialized training courses for critical care nurses to enhance their expertise in caring for comatose patients. New nurses in intensive care units should be trained in coma and nursing care.
References
Al-Jumaily, A. S. K., & Khudur, K. M. (2019). Effectiveness of an Education Program on Nurses knowledge concerning in Nursing Management for patients with Heart Block in Kirkuk Teaching Hospitals. Indian Journal of Public Health Research & Development, 10(4), 597. https://doi.org/10.5958/0976-5506.2019.00765.4
Baeez, Y., & Younis, Y. (2019). Effect of a Health Educational Program on Patients Knowledge regarding Heart Failure: A Quasi-Experimental Study. Erbil Journal of Nursing and Midwifery, 2(2), 125–131. https://doi.org/10.15218/ejnm.2019.16
Faris, H. I., & Abed, R. I. (2022). Effectiveness of an education program on nurses knowledge toward enteral nutrition support for unconscious patients at critical care unit in Imam Al-Hussein Medical City in Holy Karbala. Pakistan Journal of Medical & Health Sciences, 16(3), 990–994. https://doi.org/10.53350/pjmhs22163990
Mahmood, N., Othman, S., Al-Tawil, N., & Al-Hadithi, T. (2018). Impact of an education intervention on knowledge of high school students concerning substance use in Kurdistan Region-Iraq: A quasi-experimental study. PLoS ONE, 13(10), e0206063. https://doi.org/10.1371/journal.pone.0206063
Sania, N. S., Raja, Ali, S., & Ali, J. (2022). Impact of Educational Training on Nurses to improve knowledge about Practices Regarding Patients Safety after Cardiac Catheterization. Pakistan Journal of Health Sciences, 140–144. https://doi.org/10.54393/pjhs.v3i06.303
Nair, N. S., Clement, N., S, J., Shaji, J., Geevarghese, S. A., & Samuel, T. (2022). Effectiveness of Structured Teaching Program on Knowledge and Practice of staff nurses regarding care of unconscious patients in a selected hospital, Alappuzha District, Kerala. International Journal of Advances in Nursing Management, 370–374. https://doi.org/10.52711/2454-2652.2022.00081
Kotp, M. H., Aly, M. A., Ismail, H. A., Elmoaty, A. E. E. A., & Basyouny, H. a. A. (2025). Nursing graduates’ perceived future career pathway and career shift tendency in Egypt: a cross sectional study. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-02709-6
Baharum, H., Ismail, A., McKenna, L., Mohamed, Z., Ibrahim, R., & Hassan, N. H. (2023). Success factors in adaptation of newly graduated nurses: a scoping review. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01300-1
Solberg, H., & Nåden, D. (2020). It is just that people treat you like a human being: The meaning of dignity for patients with substance use disorders. Journal of Clinical Nursing, 29(3–4), 480–491. https://doi.org/10.0011/jocn.15108
Sanches, D., Pereira, S., Castro, S., Mendes, M., Santos, E., & Ribeiro, O. (2024). Generational diversity in nursing practice environments – scoping review. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-02607-3
Yavuz, M. B., Orhan, E. O., Eksi, C., Ainola, M., Nurmi, K., Eklund, K. K., & Beklen, A. (2025, May 2). A survey study of oral care given by nurses in intensive care units. https://www.unboundmedicine.com/medline/citation/40309308/A_Survey_Study_of_Oral_Care_Given_by_Nurses_in_Intensive_Care_Units.
Hunter, & Irving, E. (2020). An examination of predictive variables toward graduation of minority students in science at a selected. . . ResearchGate.
Tarek Ismail, Hala Hassan, & Mahmoud El-Kholy. (2022). Effectiveness of a structured educational program on ICU nurses’ knowledge in the management of unconscious Patients: A Quasi‐Experimental Study using ANCOVA. International Journal of Critical Nursing, 26(2), 58–108. https://doi.org/10.4274/tnd.2022.77869
Abdelkader, G. S., El-Naenaeey, E. Y., Abdallah, H. M., Abu-Zeid, E. H., Rehan, I. F., Zigo, F., & Elmowalid, G. A. (2025, May 12). Immune enhancement and disease resistance against Aeromonas hydrophila infection by dietary Lactobacillus plantarum-fermented Moringa oleifera leaves in Oreochromis niloticus. https://www.unboundmedicine.com/medline/citation/40351771/Immune_enhancement_and_disease_resistance_against_Aeromonas_hydrophila_infection_by_dietary_Lactobacillus_plantarum-fermented_Moringa_oleifera_leaves_in_Oreochromis_niloticus.
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