Effectiveness of an Evidence-Based Respiratory and Renal Care Training With Case-Based Discussion on Nurses' Clinical Reasoning, Knowledge & Practice, Nurse-Physician Collaboration and Mechanically Ventilated Patient Outcomes in a Tertiary-Level ICU in Bangladesh

Background and Rationale:Critically ill patients requiring mechanical ventilation are at high risk ofcomplications related to respiratory and renal dysfunction, includingventilator‐associated events (VAE), ventilator‐associated pneumonia (VAP), acute kidneyinjury (AKI), prolonged mechanical ventilation, prolonged intensive care unit (ICU) stay,and death. Prevention, early recognition, and appropriate management of thesecomplications require ICU nurses to possess adequate knowledge, clinical reasoningability, practical skills, and effective communication and collaboration with physiciansand other members of the ICU team.In resource‐limited settings, including Bangladesh, gaps in ICU staffing, continuingprofessional education, standardized clinical practices, and multidisciplinarycommunication may affect the quality and safety of care provided to mechanicallyventilated patients. Evidence‐based training that combines theoretical education withpractical application and case‐based clinical discussion may improve nurses' ability torecognize patient deterioration, interpret clinical findings, apply evidence‐basedinterventions, and communicate effectively with physicians and other ICU professionals.This study will evaluate an evidence‐based respiratory and renal care training programcombined with structured case‐based discussion for ICU nurses in a tertiary‐level ICU inBangladesh. The intervention is designed to strengthen nurses' clinical reasoning,knowledge, clinical practice, and nurse‐physician collaboration in the care ofmechanically ventilated patients.The study will also examine whether improvements in nursing competency and collaborativeclinical decision‐making are associated with improved patient outcomes.