The impact of an Educational Training Program on Nurses in Reduction of Ventilator Associated Pneumonia

Khalifa Em, S. As
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引用次数: 1

Abstract

Introduction: Ventilator Associated Pneumonia (VAP) is a critical hospital acquired infection causing high morbidity and mortality among critically ill patients in intensive care units (ICU). Nurses play a fundamental role in prevention of VAP by adherence to evidence-based guidelines. Lack of knowledge and inadequate infection control program application are barriers against reduction of VAP incidence. Aim of work: To evaluate the effectiveness of an educational and training program of ICU nurses on their knowledge and practices regarding evidenced based guidelines for VAP prevention, to detect its impact on the incidence rate of VAP and to raise the nurses’ awareness of their occupational health and safety by adherence to infection control guidelines. Materials and methods: A quasi- experimental pre-post design, interventional study was conducted on seventy nurses at five ICUs at the Manial hospital, Cairo University. Pre- intervention questionnaire and observational checklist were used to assess nurses’ knowledge and practice of care bundle for VAP prevention. An educational and training programs about occupational health, safety and infection control measures was applied, and then post- intervention assessment was followed. Analysis of VAP incidence rate was performed after reviewing the medical records. Results: There was statistically significant improvement of knowledge in the post-intervention assessment except for the use of chlorhexidine which showed non-statistically significant differences between pre and post intervention (˃ 0.05). Nurses’ practices regarding infection control measures and care bundle for VAP prevention showed statistically significant improvement in the post- intervention assessment (˂ 0.05) except for the use of clean unsterilized gloves and use of chlorhexidine swab which were the least practices adopted in 4.3% and 12.9% of nurses respectively. The mean VAP incidence rate was 24.86± 5.19 and was reduced to 5.47.96± in the post intervention phase (statistically significant). Conclusion: There was an overall improvement of nurses’ knowledge and practices of evidence based guidelines for VAP prevention associated with reduction of VAP incidence rate after the implementation of the program.
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教育培训计划对护士减少呼吸机相关性肺炎的影响
呼吸机相关性肺炎(VAP)是重症监护病房(ICU)危重患者中一种高发病率和死亡率的重症医院获得性感染。护士通过遵守循证指南在预防VAP方面发挥着根本作用。缺乏知识和感染控制程序的应用不足是降低VAP发病率的障碍。工作目的:评价ICU护士VAP预防循证指南知识和实践教育培训的效果,探讨其对VAP发病率的影响,提高护士遵守感染控制指南的职业健康安全意识。材料与方法:对开罗大学Manial医院5个icu的70名护士进行了一项准实验的介入前设计研究。采用干预前问卷和观察性检查表评估护士对VAP预防护理包的知识和实践情况。实施职业健康、安全、感染控制等教育培训,并进行干预后评价。在查阅病历后分析VAP的发病率。结果:除氯己定的使用外,干预前与干预后的认知水平差异无统计学意义(0.05)。在干预后评估中,护士对预防VAP感染控制措施和护理包的做法有显著改善(小于0.05),但使用清洁未消毒手套和使用氯己定棉签的做法最少,分别为4.3%和12.9%。VAP的平均发生率为24.86±5.19,干预后降至5.47.96±,差异有统计学意义。结论:实施该方案后,护士对VAP预防循证指南的知识和实践有了全面的提高,VAP发病率降低。
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