Evaluate Critical Care Nurses' Compliance to the External Ventricular Drain Care Bundle for Critically Ill Patients at Kenyatta National Hospital

Abstract

The External Ventricular Drain (EVD) care bundle, which entails insertion, maintenance, troubleshooting, and monitoring for issues related to EVD, is mostly the responsibility of nurses. Better results for EVD patients may be predicted by accurate and responsible nursing care. Objective: To evaluate Critical Care Nurses' Compliance with the EVD Care Bundle for Critically ill Patients at Kenyatta National Hospital (KNH). Methodology: The study was conducted at KNH’s Critical Care Units. It will focus on critical care nurses from KNH. This was a mixed-methods study. A total of 81 nurses were included in the study. Data analysis will be carried out in R version 4.1.2. Quantitative continuous data e.g., the knowledge of EVD care bundle was summarized using medians and interquartile ranges. Categorical data e.g., the level of education, sex and specialization will be summarized using frequencies and proportions. Qualitative data was analyzed using manual thematic analysis. Results: The majority of the respondents were aged 30 to 40 years 43.2% (n = 35), females were 75.3% (n = 61), those with higher diploma were 54.3% and 4.9% had a specialization in EVD care. Majority 48.1% (n = 39) of the nurses had good knowledge of EVD care bundle, 46.9% (n = 38) had fair knowledge and 5% had poor knowledge. Binary logistic regression and chi square tests showed that no factors were associated with knowledge of EVD care bundle (P>0.05 chisquare) though ages <30 and >40, being female, having a basic diploma and no specialization in EVD care were associated with higher odds of poor or fair knowledge of EVD care bundle. The majority 56% (n = 45) had a fair score on practice of EVD care and the rest had poor knowledge. Guidelines of EVD care and training on EVD care emerged as resources for utilization of EVD care guidelines Conclusions: The study improves comprehension of the EVD care bundle, with most nurses having fair to good knowledge of it. However, the majority of nurses only demonstrated fair compliance with the EVD care bundle, primarily due to barriers like inadequate education, supervision, and complex guidelines