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Abstract Maternity intensive care nursing is the field of nursing with a focus on the utmost care of the critically ill or unstable patients. Critical care nurses can be found working in a wide variety of environments and specialties, such as emergency departments and the intensive units (Johnson, 2013). An important function of critical care nursing is to provide continuous observation of critically ill patients. Observation will reduce a patient‘s risk of precipitous deterioration, monitor their total dependence on support equipment and prevent their agitation or confusion leading to harm (Ball, 2002). The Aim of the study: To evaluate the effect of maternity intensive care guideline on nurses‘ knowledge and practical skills. This aim was achieved through following: 1- Assessment of nurses‘ knowledge and practical skills at the maternity intensive care unit 2- Design and implement guideline for nurses at maternity intensive care to enhance their knowledge and practical skills.3- Evaluate the effect of maternity intensive care guideline on nurses‘ knowledge and practical skills. 4- Dissemination the result of this study Research hypothesis: An instruction guideline will enhance nurses‘ knowledge and practical skills in maternity intensive care unit. A Quasi- experimental study was utilized, at intensive care unit, in Ain Shams University Maternity Hospital for four days per week (two days from 8 am to 2 pm and two days from 2 pm to 8 pm for seven months. A convenient sample was all nurses (40 nurses) who were worked and accepted to participate in study, at previously mentioned study setting. Tool was used for data collection; 1) A Structured interviewing questionnaire schedule which included two parts: The first part: assessed nurse‘s general characteristics. The second part: assessed nurses‘ knowledge regarding nursing care integrated at maternity intensive care unit 2) Observational checklist: it consisted of all nursing procedures which were done by nurses in maternity intensive care unit A Supportive instruction guideline was designed by researcher according knowledge and practical skills related to critical ill mothers in maternity intensive care unit. The pilot study was conducted for 10 %( 4 nurses) of total sample at selective all nurses who were worked at previously mentioned study setting Main results of the present study were as follows: There was highly statistically significant between pre &post immediately, and post three months of intervention related to nurse‘s Knowledge about maternity intensive care. The main source of nurse‘s Knowledge about maternal critical patient was work experience represent (72.5%), followed by the study and Training course (65% & 22.5%) respectively. There was highly statistically significant between pre &post immediately, and post three months of intervention related to total score of nurse‘s Knowledge about maternity intensive care. There was highly statistically significant between pre &post immediately, and post three months of intervention related to general care of nurse‘s skills (p value ≤ 0.001) and statistically significant with assessing patient condition(p< 0.05) There was highly statistically significant between pre &post immediately, and post three months of intervention related to Nursing Care of Patient on ventilator, and Care of toxemia of nurse‘s skills, (P value ≤ 0.001).and statistically significant with Care of patient Hemorrhage and Care of diabetic patient (P < 0.05). There was statistically high significant relation between pre &post immediately, and post three months of intervention related to total score of nurse‘s skills(P value <0.001). There were statistically no significant relations between Nurses‘ Knowledge and general characteristics (age, Qualification, Years of Experience and Training course) preintervention (P value >0.05). There were statistically high significant relations between Nurses‘ Knowledge and general characteristics (age, Qualification, Years of Experience and Training course) post intervention (p-value ≤ 0.001). There was statistically significant relation between Nurse‘s skills and general characteristics (age, Qualification and Years of Experience) pre-intervention (P value < 0.05).There were statistically high significant relations between Nurse‘s skills and general characteristics (age, Qualification and Years of Experience) post intervention (p-value ≤ 0.001). There was a highly significant positive correlation between nurses‘ knowledge score and nurses‘ skills score about maternity intensive care regarding their post three months of intervention) (P value ≤ 0.001). There was statistically significant relation between general characteristics (pre-& post immediately, and Pre-and post-three months of intervention related to Nurse‘s Knowledge and Nurse‘s skills about maternity intensive care (P < 0.05). In Conclusion &Recommendations In conclusion, the present study and an instruction supportive guideline about maternal intensive care unit had significant improved post intervention compared to pre-intervention. Based on the results of the present study the following recommendations are suggested:1. Refreshing courses pre-service and in-services training programs to enhance nurse‘s practical skills at maternity intensive care units. 2. Specialize intensive care unit nurses must be available at maternal intensive care unit. 3. Established Standards and protocol of care for maternal intensive care. |