Comprehensive Nursing Care Protocol for Women With Pelvic Organ Prolapse and Urinary Incontinence: A Global Perspective

Primary outcomes

1. Nurses knowledge structured interview

   Time frame: 3 months

   two main parts.

   Part I: Lifestyle interventions:

   This part will be including items related to weight loss, reducing exacerbating activities (e.g. heavy lifting, coughing) and treating constipation, pelvic floor muscle exercises etc.)

   Part II: pessaries intervention:

   This part will be including items related to indication of pessaries use, pessary maintenance and follow-up, complications, various types of pessaries, etc.) The scoring system. This tool will be scored on 2 point Likert scale . The researcher will give (1) point for each correct answer and (0) point for each incorrect answer, or don't know.

   Total knowledge score will be summed, transferred to percent and categorized as follows:

   • poor (<50% of the total score)
   • fair (50-≤80% of the total score)
   • good (≥80

2. Nurses Observational Practices Checklist

   Time frame: 3 months

   This tool will be scored on 4 point Likert scale for each item as follows:

   • Done correctly and completely (3)
   • Done but incompletely (2).
   • Done incorrectly (1).
   • Not done (0). The total score for nurses' practices was classified as the following;

   • A score of more than 75% was considered "Satisfactory nursing practices".
   • A score of less than 75% was considered "Unsatisfactory nursing practices".