Constructing a Nursing Programme to Manage Intra-Abdominal Pressure in Neurocritical Care Patients: A Modified Delphi...

Area of Science:

• Critical Care Medicine
• Nursing Science
• Intensive Care Unit Management

Background:

• Elevated intra-abdominal pressure (IAP) is a critical concern in neurocritical care patients.
• Effective management of IAP is essential for improving patient outcomes and preventing complications.

Purpose of the Study:

• To construct a comprehensive nursing program for managing intra-abdominal pressure (IAP) in neurocritical care patients.
• To establish evidence-based guidelines for nurses caring for patients with elevated IAP.

Main Methods:

• A two-round Delphi method was employed, involving 16 experts with extensive experience in critical care.
• A preliminary nursing program was developed based on international literature and expert input.
• Questionnaires were used to gather expert feedback and achieve consensus on the management protocol.

Main Results:

• The Delphi process involved two rounds of expert consultation, with high response rates (88.9% and 100%).
• Significant revisions were made to the initial program, with 22 items revised in the first round and 8 in the second.
• Consensus was achieved on 73 items, categorized into Level 1 (6 items), Level 2 (17 items), and Level 3 (50 items), indicating strong expert agreement.

Conclusions:

• A panel of 16 experts unanimously approved the developed nursing program for managing IAP in neurocritical care.
• The protocol provides a systematic approach to IAP management, enhancing nurses' skills and potentially preventing related health issues.