Nurses’ Knowledge, Attitude, and Practice Towards Application of Protocol of Management Among Critically Ill Patients in Critical Care Setting in Governmental Hospital Khartoum State Sudan 2026

Abstract

This study explores nurses' knowledge, attitudes, and practices regarding the application of critical care management protocols among critically ill patients in a governmental hospital setting in Khartoum, Sudan, in 2026. Methodology: A descriptive cross-sectional study enrolled 40 nurses with a mean age of 25.5 years; they were predominantly female, held qualifications ranging from diploma to master's degrees, and had more than two years of critical care experience. Results indicate that nurses have a high level of knowledge (100% with good knowledge) and are highly familiar with protocols such as airway management, ventilator settings, and infection control. Attitudes towards protocol adherence are generally positive, with 95% considering protocol compliance a priority, though only 5% demonstrated a good attitude score. Practice assessments revealed that over half of the nurses exhibited good compliance with protocol-based interventions, such as medication administration and vital sign monitoring. Significant correlations were found between knowledge and practice (p=0.0001) and between qualification level and attitude (p=0.004). The findings underscore the importance of ongoing training and support to enhance compliance and improve patient outcomes in critical care settings. Recommendations include targeted educational programs to sustain high standards of care and reinforce positive attitudes towards protocol adherence.