Effectiveness of Structured Teaching on FAST HUGS BID Protocol for Critically Ill Patients: A Pre-Experimental Study Among ICU Nurses
Keywords:
FAST HUGS BID, structured teaching, ICU nurses, critical care, patient safety, nursing education, evidence-based practiceAbstract
Critically ill patients in intensive care units (ICUs) require coordinated, evidence-based care to prevent complications and optimize outcomes. The FAST HUGS BID protocol is a structured mnemonic designed to ensure essential daily care components, including feeding, analgesia, sedation, thromboembolism prophylaxis, head-of-bed elevation, ulcer prevention, glycemic control, bowel care, indwelling catheter assessment, and antibiotic de-escalation. This pre-experimental study aimed to evaluate the effectiveness of a structured teaching programme on nurses’ knowledge regarding the FAST HUGS BID protocol in selected hospitals. A total of ICU nurses were assessed using a pre-test/post-test design. Data analysis using descriptive and paired t-test statistics revealed a significant improvement in knowledge following the intervention. The mean pre-test score of participants was 10.42 (SD=2.31), which increased to 16.87 (SD=1.94) in the post-test, with a highly significant p-value (<0.001). Component-wise analysis also demonstrated significant gains across all elements of the protocol. No demographic variables showed significant association with post-test scores, indicating uniform effectiveness across groups. The study concludes that structured teaching substantially enhances ICU nurses’ knowledge of the FAST HUGS BID protocol, emphasizing the importance of standardized educational strategies for improving critical care practices and patient safety.
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