ABSTRACT

Background & Objective: Nursing care plan in ICU patients is one of the important elements in nursing care, and one of the main strategies is promotion of education level, specially use of supervisors roles as a clinical educator in staff education. Clinical supervisors due to  long time relationship with nursing staff in 24 hours and use of multiple roles of education, supervision and supporting, have excellent position in evaluating educational needs and performing clinical educator roles. This study was aimed to determine the effect of education by supervisors on quality of nursing care in criticd care units

Methods: This semiexperimentol study  was performed on 22 nurses in intensive care units that were selected by concensus  method. The 7 supervisors, after 5 session  training, were trained to nurses during 5 sessiones. The Lesson content was including of care of patients who were under mechanical ventilation. The cheklist was including 42 nursing care items in intensive care units and was completed one month before and  after education with perception by supervisors. Data were analyzed using SPSS v.12 and descriptive and analytical tests such as paired t test.

Results: Findings showed that supervisers as a clinical educators have significant effect in promotion of quality of these nursing  cares: Communication with pateint (P=0.02), aseptic teqniques (P= 0.001), and correct suctioning teqniques (P=0.001), evacuation of tracheal tube (P=0.001), chest physiotherapy (P=0.001), position change (P=0.001), quality and safety nutrition(P=0.001), back massage (P=0.001), prevention of foot drop (P=0.001), mouth and eye health (P=0.001).

Conclusion: The result of this study showed that education and educator role playing by clinical supervisors, have positive effect on practice of nurses in care of patients in intensive care unit, especially about suctioning tracheal tube with correct technique.

Key words: Clinical Supervisors, Education , Nursing care, ICU, Mechanical ventilation