Enhancing Neurocritical Care Nursing Competency: An Educational Intervention of FOUR Score

Background: Mechanical ventilation is critical for Neurocritical Care Unit (NCCU) patients. Weaning poses significant challenges due to unique neurological considerations in traumatic brain injury (TBI), stroke, and subarachnoid hemorrhage (SAH) (Battaglini et al., 2021). Variability in weaning practices stems from inconsistent knowledge and application of key assessments, notably the Full Outline of UnResponsiveness Score (FOUR Score) (Roquilly, 2013). Bedside nurses play a central role in neurological monitoring; their competency in these assessments is crucial for standardizing care and enhancing outcomes (Battaglini et al., 2021). Purpose: This quality improvement project evaluated an evidence-based educational intervention on the FOUR Score for new graduate NCCU nurses (