Evaluating the Effectiveness of the Training Program on the Shock for Nurses in the Intensive Care Unit

The aim of this study was to evaluate the effectiveness of a training program developed for shock for nurses in the intensive care unit (ICU).

The present study was performed on 200 nurses working in the ICUs of selected medical sciences hospitals in Mashhad (Imam Reza, Shariati, and Ghaem) in 2016, based on the Kern educational model. The instruments used in the study included a demographic information questionnaire, an observational checklist, and a researcher-made clinical reasoning skills questionnaire. In order to evaluate the training program developed after the pilot training, the results of clinical reasoning and shock management of participating nurses were reviewed. The difference between the mean scores of nurses was determined using the Wilcoxon test and t-test.

The results showed that the mean score of clinical reasoning for shock diagnosis skills in nurses in pre-test was equal to 1.591±0.287 and in post-test was equal to 1.889±0.136. Also, the average control skills of nurses in the pre-test were 3.158 ±0.752 and in the post-test was 4.151±0.762. In addition, the results of the Wilcoxon test and t-test showed that educational intervention had a positive and significant effect on both diagnosis and control scores of nurses (P=0.001).

The results of this study indicate the importance and positive effect of developing continuing education programs in the field of clinical reasoning skills (diagnosis and control) in order to monitor shock effectively.