Readiness of final-year nursing students towards giving health education to caregivers of critically ill clients after transfer out of ICU

Abstract

Introduction: Critically ill patients often require complex care even after discharge from the Intensive Care Unit (ICU), and caregivers become crucial in providing continuous care at home. Preparing nursing students to educate these caregivers is essential to ensuring quality patient outcomes. Objectives: This study aimed to assess the readiness of final-year nursing students in providing health education to caregivers of critically ill patients following ICU discharge, focusing on their knowledge, skills and awareness, and confidence. The study also examined whether gender had a significant association with these competencies. Methodology: A quantitative cross-sectional design was employed, targeting 102 final-year nursing students at IIUM Kuantan. Participants were recruited using census sampling. Data collection was conducted from March to April 2025 through a self-administered online survey consisting of the Health Education Competency Instrument (I-Cepse) and the Casey-Fink Readiness for Practice Survey. Statistical analysis was performed using SPSS Version 27 for descriptive and inferential statistics, including chi-square tests. Results: Most students demonstrated high levels of knowledge (78.4%) and confidence (73.5%). However, a lower proportion (39.2%) reported high levels of skills and awareness. Gender showed no significant association with any of the readiness variables. Notably, knowledge was significantly associated with confidence (p < 0.05) and showed a borderline association with skills and awareness (p = 0.051). Conclusion: While final year nursing students are well-prepared theoretically, practical and communication skills related to caregiver education require further strengthening. The curriculum should incorporate simulation, interprofessional training, and caregiver engagement strategies to ensure holistic readines