2025, Vol. 7, Issue 1, Part A

Purpose: The study aimed to determine the existing level knowledge and practice of nurses on arterial pressure monitoring in order to develop a guideline and to validate the same for the purpose of accurate and safe practice while caring patients in Critical care areas by the nurses.

Methodology: The quasi experimental research approach was adopted among 100 Nurses posted in two critical care areas with similar set up. Data were collected by using a structured knowledge questionnaire and a structured Practice criterion check list on Arterial Pressure monitoring. All Nurses were included in the study. Both Descriptive and inferential statistics were used to analyze the data.

Results: In the research study it was observed that 28 (28%) of Nurses are at the age group of 21 to 25 years, (48%) were 26-30 years and >31 years only 24(24%) Nurses. 76(76%) were female nurses and 24(24%) were male nurses participated for the study. Majority of the nurses were arts back ground joined nursing. 47(47%) of Nurses were having 1-3 years of Nursing experience where as 60% Nurses were having 1-3 years of critical care experience. It means Nurses without experience to other areas directly posted at critical care areas. And Majority (85%) of Nurses have never attended any Hemodynamic monitoring workshop or training before appointed in Critical care. Knowledge of the nurses were assessed by mean percentages and SD which has shown, mean pre-test knowledge score of Nurses is 5.78, ( the knowledge questionnaire carries to total 20 marks)Standard Deviation (SD) 2.42. Mean pre -test practice score is 11.13 and SD 3.18 (The practice observation checklist carries total 15 marks). The Mean post-test knowledge score 19.40 and SD 0.86 after implementation of the guidelines on arterial blood pressure monitoring), and the post-test Practice score is 14.46, with SD 1.22.A paired samples t-test used, which showed that the participant's level of Knowledge on Arterial pressure monitoring after implementation of guidelines increased from pre-test (M = 5.78, SD = 2.24) to post-test (M = 19.4 SD = 0.86,), Paired difference mean 13.62, with SD 2.64 and Pair t test = 51.53, p<.001, df = 99, and practice score showed that the participant's Practices on arterial pressure monitoring after implementation of guidelines increased from pre-test (M = 11.13, SD = 3.18) to post-test (M = 14.46 SD = 1.22; pair difference Mean 3.33 and SD 2.29, t = 14.53, p<.001, df = 99. Hence the data proves that implementation of Arterial pressure monitoring guidelines significantly improved Critical care nurse’s knowledge and practices. Hence the Null hypothesis was rejected and research hypothesis was accepted. A bivariate Correlation computed with person test between age of the nurses and pre-test knowledge score, which showed significant at p<0.05 level, (p = 0.041), whereas pre-test knowledge with years of experience and Critical care experience is not significantly corelated at p<0.05.

Conclusion:The understanding and accurate interpretation of patient’s hemodynamic status is paramount important. Continuous training with guidelines helps to interpret the technique of Arterial pressure monitoring. The researcher has seen in this study that Nurses has significantly improves their knowledge and practices.