Critical care nurses' knowledge of measures to prevent ventilator-associated pneumonia

2014 ◽  
Vol 42 (8) ◽  
pp. 923-925 ◽  
Author(s):  
Hsin-Lan Lin ◽  
Chih-Cheng Lai ◽  
Li-Yu Yang
2015 ◽  
Vol 2 (1) ◽  
pp. 14-23 ◽  
Author(s):  
Samaneh Shahidi Far ◽  
Amir Emami Zeydi ◽  
Behzad Taghipour ◽  
Hamid Sharif Nia ◽  
Mohammad Ali Soleimani ◽  
...  

2019 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Ariza Widya Rahma ◽  
Suhartini Ismail

Risiko VAP pada pasien terintubasi ventilasi mekanik disebabkan oleh tabung endotrakeal yang terpasang invasive memungkinkan masuknya bakteri secara langsung ke saluran pernapasan bagian bawah. VAP Bundle Care terbukti dapat mengurangi VAP dan meningkatkan hasil positif bagi pasien. Pengetahuan perawat menjadi salah satu indikator keberhasilan VAP Bundle Care karena pengetahuan berpengaruh terhadap terbentuknya perilaku perawat. Penelitian ini bertujuan untuk mengidentifikasi tingkat pengetahuan perawat ICU tentang intervensi mandiri VAP Bundle Care. Desain penelitian ini adalah kuantitatif deskriptif dengan metode survey. Teknik sampling yang digunakan yaitu total sampling. Sebanyak 100 perawat ICU berpartisipasi. Pengambilan data menggunakan critical care nurses’ knowledge of evidence based guidelines for preventing ventilator associated pneumonia: an evaluation questionnaire. Face validity dan item validity telah dilakukan. Hasil reliabilitas kuesioner memiliki koefisien alpha 0,529. Analisis data yang digunakan yaitu analisis univariate dengan bentuk distribusi frekuensi. Hasil penelitian menunjukkan bahwa 65% perawat ICU memiliki pengetahuan sedang tentang intervensi mandiri VAP Bundle Care. Kesimpulan dari penelitian ini adalah lebih banyak perawat ICU yang memiliki pengetahuan sedang daripada perawat dengan pengetahuan kurang. Penelitian ini diharapkan dapat menjadi saran baik perawat, instansi rumah sakit, institusi pendidikan, peneliti selanjutnya untuk memaksimalkan pengetahuan tentang VAP Bundle Care. Kata kunci: Pengetahuan perawat, unit perawatan intensif, vap bundle care, ventilasi mekanik Abstract Analysis of nurse knowledge about mandiri intervention of associated pneumonia bundle care in patients with mechanical ventilation in intensive care units. Risks of ventilator-associated pneumonia (VAP) in intubated patients receiving mechanical ventilation is due to an invasive endotracheal tube that may enable bacteria to enter directly into the lower respiratory tract. VAP bundle care has been proven to reduce VAP and improve positive outcomes for patients. Nurses’ knowledge is one of the indicators of the success of VAP bundle care since it influences the formation of nurses’ behaviors. This study aimed to identify the knowledge level of ICU nurses about VAP bundle care independent intervention. This study employed a quantitative descriptive design with survey methods. A total of 100 ICU nurses recruited using total sampling participated in this study. The data were collected using the critical care nurses and ventilator-associated pneumonia: an evaluation questionnaire. The face validity and item validity tests were performed. The result of the reliability test obtained an alpha coefficient of 0.529. The collected data were analyzed using a univariate analysis in the form of frequency distribution. The results showed that 65% of the ICU nurses had a moderate level of knowledge about VAP bundle care independent intervention. This study concluded that more ICU nurses had a moderate level of knowledge than those who had an inadequate level of knowledge. This study is expected to be a suggestion for nurses, hospital agencies, educational institutions, and further researchers to optimize the knowledge of VAP bundle care Keywords: Intensive Care Unit, Nurses’ Knowledge, Mechanical Ventilation, VAP Bundle Care 


1997 ◽  
Vol 6 (4) ◽  
pp. 289-295 ◽  
Author(s):  
C Pederson ◽  
D Matthies ◽  
S McDonald

BACKGROUND: Although nurses are accountable for pain management, it cannot be assumed that they are well informed about pain. Nurses' knowledge base underlies their pain management; therefore, it is important to measure their knowledge. OBJECTIVE: To measure pediatric critical care nurses' knowledge of pain management. METHOD: A descriptive, exploratory study was done. After a pilot study, an investigator-developed Pain Management Knowledge Test was distributed to 50 pediatric ICU nurses. Test responses were collected anonymously and coded by number. Item analysis was done, and descriptive statistics were calculated. Modified content analysis was used on requests for pain-related information. RESULTS: The test return rate was 38%. The overall mean score was 63%. Mean scores within test subsections varied from 50% to 92%. Other mean scores were 85% on a nine-item scale of drug-action items and 92% on a two-item scale of intervention items. However, no nurse recognized that cognitive-behavioral techniques can inhibit transmission of pain impulses; only 32% indicated that meperidine converts to a toxic metabolite, only 47% recognized nalbuphine as a drug that may cause signs and symptoms of withdrawal if given to a patient who has been receiving an opioid; and only 63% indicated that when a child states that the child has pain, pain exists. Thirteen nurses requested pain-related information, and all requests focused on analgesic medications. CONCLUSIONS: Testing nurses' knowledge of pain indicated gaps that can be addressed through educational interventions. Research is needed in which the test developed for this study is used as both pretest and posttest in an intervention study with pediatric critical care nurses or is modified for use with nurses in other clinical areas.


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