CAN A FAILURE-TO-RESCUE PREVENTION PROGRAM ENHANCE WARD NURSES' KNOWLEDGE AND PRACTICE IN EARLY DETECTION OF DETERIORATING PATIENT?

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Date
2025-11-06
Authors
Zandeeq, Ward
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An-Najah National University
Abstract
Background: Failure to rescue (FTR), marked out as death next to treatable complications, it’s a crucial index of hospitals quality and patients’ safety. Ward nurses play a critical role in early recognizing deterioration; however. Knowledge and practice deficit can delay actions and rise the mortality rates. Objectives: This thesis aimed to assess the effectiveness of FTR prevention educational program in increase ward nurses’ knowledge, practice and self-competence. Methodology: a quasi-experimental one group pre and post design was established at An-Najah National University Hospital across emergency, medical, specialized surgeries, day care, bone marrow transplant, out clinic, intermediate cardiac care unit and surgical departments. A total of 57 nurses recruited through G-Power sample size estimation. Data collection between December 2024 and April 2025 using a tool consists of: Questionnaire 10 MCQs, practice questionnaire 10 case based MCQs, and self-competence scale 12 Likert type items. Content validity confirmed by seven experts (S-CVI/Ave≥ 0.87), along with internal consistency supported by (Cronbach’s α = 0.70–0.83). data analysis done using descriptive statistics and paired t-test at a significant level of p ≤ 0.05. Results: knowledge achieved scores increased from pre-intervention 58.2% to 98.2% post-intervention (P= 0.000). practice scours improvement from 58.8% to 95.3% (P= 0.000). self-assessment enhanced from 69.7% to 83%. the results demonstrate significant improvements along with all domains after the program.
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