Background: Long-term morbidity, cognitive impairment and hospitalization-associated
disability are common occurrence in the survivors of critical illness, with significant consequences
for patients and for the caregivers. ABCDEF bundle compliance and outcomes including hospital
survival and delirium-free and coma-free days in community hospitals. Aim of the study: Assess
nurses' performance during implementation of care bundle for critically ill patients through the
following (1) assess nurses' knowledge regarding implementation of care bundle for critically ill
patients (2) assess nurses' practice during implementation of care bundle for critically ill patients.
Research design: A descriptive design was used in the study. Subject: A convenient sample of 80
nurses working at medical ICU in Ain-Shams University Hospital. Setting: The study was
conducted in medical ICU at Ain-shams University Hospital affiliated to Ain Shams University
Cairo/Egypt. Tools of data collection: Two tools were developed by the investigator and utilized
for data collection (1) Self-administered questionnaire to assess nurses' knowledge regarding care
bundle for critically ill patients (2) An observational checklist to assess nurses' practice during
implementation of care bundle for critically ill patients. Results: Revealed that 72.5% of the studied
nurses had unsatisfactory level of knowledge, 77.5 % of the studied nurses had unsatisfactory
practices regarding implementation of care bundle for critically ill patients. Conclusion: There was
a lack of knowledge and practice regarding implementation of care bundle for critically ill patients.
Recommendation: Establish periodical in-service training program to improve nurses' performance
regarding implementation of care bundle for critically ill patients.