Improvement of the nurses' awareness toward ventilator-associated pneumonia based on evidence guidelines

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Indian Journal of Medical Specialities Pub Date : 2022-04-01 DOI:10.4103/injms.injms_124_21

Z. Alaswad, M. Bayoumi

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Abstract

Background: Ventilator Associated Pneumonia (VAP) is a common hospital acquired infection that occurs as complication in patients who are connected to Mechanical Ventilation (MV). Nurses in intensive care unit (ICU) should be updated with the latest evidence-based practice to prevent such complication. This study aimed to assess improvement of the nurses' awareness toward ventilator-associated pneumonia based on latest evidence guidelines. Methods: A quantitative pretest-posttest design has been conducted. Using a convenience sample of 58 nurses who are working in the ICU were recruited. Tools: A self-administrative questionnaire was adapted to assess the nurse's knowledge about VAP and VAP prevention bundle. Results: The results highlighted that all ICU nurses had improvement of knowledge level pre-post regarding VAP (p <0.001), VAP prevention (p <0.001), and the overall knowledge score improvement revealed significantly higher after the educational program (p <0.001). Conclusion: Periodic refreshing on-services education program should be provided to nurses in ICU to improve their knowledge and to maintain high level of information, moreover hospital policies should include updated guidelines for VAP prevention bundle and protocol from international evidence.

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基于循证指南的护士对呼吸机相关性肺炎意识的提高

背景:呼吸机相关性肺炎(VAP)是一种常见的医院获得性感染，是机械通气(MV)患者的并发症。重症监护病房(ICU)的护士应该更新最新的循证实践，以防止此类并发症。本研究旨在评估基于最新证据指南的护士对呼吸机相关性肺炎意识的提高。方法:采用定量的前测后测设计。采用方便样本，招募了58名在ICU工作的护士。工具:采用自我管理问卷来评估护士对VAP和VAP预防包的知识。结果:所有ICU护士上岗前VAP知识水平均有提高(p <0.001)， VAP预防知识水平均有提高(p <0.001)，教育项目后整体知识得分提高显著(p <0.001)。结论:应定期更新ICU护士的在职教育计划，以提高其知识水平和保持高水平的信息，医院政策应包括更新的VAP预防指南和国际证据的方案。

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Indian Journal of Medical Specialities MEDICINE, GENERAL & INTERNAL-

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16.70%

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期刊介绍： The Indian Journal of Medical Specialities is an all-encompassing peer-reviewed quarterly journal. The journal publishes scholarly articles, reviews, case reports and original research papers from medical specialities specially pertaining to clinical patterns and epidemiological profile of diseases. An important highlight is the emphasis on undergraduate and postgraduate medical education including various aspects of scientific paper-writing. The journal gives priority to research originating from the developing world, including from the tropical regions of the world. The journal also publishes special issues on health topics of current interest. The Indian Journal of Medical Specialities is one of the very few quality multispeciality scientific medical journals.