INTENSIVE CARE UNIT NURSES' KNOWLEDGE AND PRACTICES IN SPINAL CORD INJURY MANAGEMENT AT MISURATA MEDICAL CENTER

Abstract

Spinal cord injury often results from motor vehicle accidents, followed by incidents
such as gun violence, sports-related injuries, accidental falls, and work-related
accidents. These injuries significantly affect motor, sensory, and autonomic functions,
leading to long-term physical, psychological, and social challenges for patients and
their families. This study aimed to determine intensive care unit Nurses' knowledge and
practices in spinal cord injury management at Misurata Medical Center. A crosssectional descriptive study was conducted involving 37 intensive care unit nurses from
the trauma department at Misurata Medical Center. Data collection included
questionnaires assessing demographic characteristics, knowledge of spinal cord injury
symptoms, immediate interventions, and management practices. Quantitative data were
analyzed using Microsoft Excel. The study found that 92% of nurses had knowledge
about SCI, with the most commonly identified symptom being loss of muscle tone or
paralysis in the trunk, arms, or legs. Computed tomography scans were the most
frequently utilized diagnostic tool (57%). Key interventions performed by intensive
care unit nurses included stabilization, immobilization of the spine and neck,
monitoring consciousness, and administering pain relief. The findings highlight that the
majority of ICU nurses at Misurata Medical Center possess satisfactory knowledge and
practices for managing spinal cord injuries. However, gaps in experience among less
seasoned nurses suggest a need for continuous education and training programs to
enhance clinical competencies and ensure optimal patient care.