Nursing Performance Regarding Complications Post Craniotomy in Neuro- Intensive Care Unit

Background: Craniotomy is a popular neurosurgery treatment, despite its potential to save lives, it entails a high risk of neurological and systemic consequences. The aim of this study was to assess nursing performance regarding complications post craniotomy in neuro-intensive care unit. Methods: Research design: A descriptive exploratory design was followed. Setting: The study was conducted at neuro-intensive care unit and neurosurgical department at Zagazig University, Egypt. Participants: The study sample included a convenience sample of all available nurses (40) and purposive sample of (40) patients who fulfilling the inclusion criteria. Tools of data collection: Structured interview questionnaire for nurses, observational checklists, and interview questionnaire for patients. Results: 72.5% of studied nurses had unsatisfactory total knowledge about complication of craniotomy while 50% had satisfactory practice level. The majority of studied patients had postoperative complications including nausea, vomiting and urinary tract infection, while the most common neurosurgical post craniotomy complications were cerebral edema, seizures, hydrocephalus, and visual disturbances. There is negative correlation between patients’ complications and nurses’ knowledge and practice. Conclusion: While half of the nurses in the study had a reasonable degree of practice, three quarters lacked sufficient overall understanding of craniotomy. Recommendation: Additional research is needed to assess how training or educational programs affect nurses' competence in caring for patients after craniotomies.