scholarly journals Evaluation of critical care nurses’ knowledge of evidence-based guidelines for prevention of ventilator-associated pneumonia

2015 ◽  
Vol 2 (1) ◽  
pp. 14-23 ◽  
Author(s):  
Samaneh Shahidi Far ◽  
Amir Emami Zeydi ◽  
Behzad Taghipour ◽  
Hamid Sharif Nia ◽  
Mohammad Ali Soleimani ◽  
...  
Keyword(s):  
Critical Care ◽  
Critical Care Nurses ◽  
Evidence Based ◽  
Ventilator Associated Pneumonia ◽  
Evidence Based Guidelines ◽  
Nurses Knowledge

Development of Evidence-Based Guidelines and Critical Care Nurses ’ Knowledge of Enteral Feeding

2007 ◽  
Vol 27 (4) ◽  
pp. 17-29 ◽  
Author(s):  
Annette M. Bourgault ◽  
Laura Ipe ◽  
Joanne Weaver ◽  
Sally Swartz ◽  
Patrick J. O’Dea
Keyword(s):  
Critical Care ◽  
Enteral Feeding ◽  
Critical Care Nurses ◽  
Evidence Based ◽  
Evidence Based Guidelines ◽  
Nurses Knowledge

Critical Care Nurses’ Knowledge of Evidence-Based Guidelines for Preventing Ventilator-Associated Pneumonia: An Evaluation Questionnaire

2007 ◽  
Vol 16 (4) ◽  
pp. 371-377 ◽  
Author(s):  
S. Labeau ◽  
D.M. Vandijck ◽  
B. Claes ◽  
P. Van Aken ◽  
S.I. Blot ◽  
...  
Keyword(s):  
Critical Care ◽  
Content Validity ◽  
Item Difficulty ◽  
Critical Care Nurses ◽  
Evidence Based ◽  
Ventilator Associated Pneumonia ◽  
Item Discrimination ◽  
Response Alternatives ◽  
Evidence Based Guidelines

Background Nurses’ lack of knowledge may be a barrier to adherence to evidence-based guidelines for preventing ventilator-associated pneumonia. Objective To develop a reliable and valid questionnaire for evaluating critical care nurses’ knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia. Methods Ten nursing-related interventions were identified from a review of evidence-based guidelines for preventing ventilator-associated pneumonia. Selected interventions and multiple-choice questions (1 question per intervention) were subjected to face and content validation. Item difficulty, item discrimination, and the quality of the response alternatives or options for answers (possible responses) were evaluated on the test results of 638 critical care nurses. Results Face and content validity were achieved for 9 items. Values for item difficulty ranged from 0.1 to 0.9. Values for item discrimination ranged from 0.10 to 0.65. The quality of the response alternatives led to the detection of widespread misconceptions among critical care nurses. Conclusion The questionnaire is reliable and has face and content validity. Results of surveys with this questionnaire can be used to focus educational programs on preventing ventilator-associated pneumonia.

Critical Care Clinicians’ Knowledge of Evidence-Based Guidelines for Preventing Ventilator-Associated Pneumonia

2010 ◽  
Vol 19 (3) ◽  
pp. 272-276 ◽  
Author(s):  
Mohamad F. El-Khatib ◽  
Salah Zeineldine ◽  
Chakib Ayoub ◽  
Ahmad Husari ◽  
Pierre K. Bou-Khalil
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Evidence Based ◽  
Ventilator Associated Pneumonia ◽  
Care Providers ◽  
Care Experience ◽  
Respiratory Therapists ◽  
Evidence Based Guidelines

Background Ventilator-associated pneumonia is the most common hospital-acquired infection among patients receiving mechanical ventilation in an intensive care unit. Different initiatives for the prevention of ventilator-associated pneumonia have been developed and recommended.Objective To evaluate knowledge of critical care providers (physicians, nurses, and respiratory therapists in the intensive care unit) about evidence-based guidelines for preventing ventilator-associated pneumonia.Methods Ten physicians, 41 nurses, and 18 respiratory therapists working in the intensive care unit of a major tertiary care university hospital center completed an anonymous questionnaire on 9 nonpharmacological guidelines for prevention of ventilator-associated pneumonia.Results The mean (SD) total scores of physicians, nurses, and respiratory therapists were 80.2% (11.4%), 78.1% (10.6%), and 80.5% (6%), respectively, with no significant differences between them. Furthermore, within each category of health care professionals, the scores of professionals with less than 5 years of intensive care experience did not differ significantly from the scores of professionals with more than 5 years of intensive care experience.Conclusions A health care delivery model that includes physicians, nurses, and respiratory therapists in the intensive care unit can result in an adequate level of knowledge on evidence-based nonpharmacological guidelines for the prevention of ventilator-associated pneumonia.

scholarly journals Preventing Ventilator-Associated Pneumonia: Educating Emergency Room Nurses

2014 ◽  
Author(s):  
Dana Ferrazzano
Keyword(s):  
Intensive Care ◽  
Emergency Room ◽  
Oral Care ◽  
Evidence Based ◽  
Ventilator Associated Pneumonia ◽  
Preventative Measures ◽  
Emergency Room Nurses ◽  
Evidence Based Guidelines ◽  
The Impact ◽  
Nurses Knowledge

<p>Ventilator-associated pneumonia (VAP) is the second most common hospital acquired infection and is primarily found in the intensive care units. The presence of an endotracheal tube is the primary risk factor for developing VAP. Many times the process of intubation occurs pre-hospital, in the emergency room (ER) or in the operating room. Ventilator associated pneumonia is associated with increased hospital stay and costs. Evidence-based guidelines have been developed to decrease the occurrence of VAP and decrease patient mortality. Preventative measures are initiated on the intensive care unit once the patient is transferred. The purpose of this study was to evaluate the impact of an educational program on ER nurses knowledge of VAP and preventative measures to decrease VAP.</p> <p>The study took place at Rhode Island Hospital, a level 1 trauma center located in Providence, RI. Participants were ER nurses who worked in the critical care area of the ER. A pre-intervention-posttest design was used to evaluate emergency room nurses knowledge regarding VAP. The intervention consisted of a posterboard and study guide that provided information regarding evidence-based guidelines that could be implemented in the ER such as oral care, and head of bed elevation. The overall results on the pre and posttest demonstrated that ER nurses were unaware that oral care and the use of chlorhexidine were important interventions to reduce the incidence of developing VAP. Recommendations and implications for advanced practice nursing and the need for future research are discussed.</p>

Evidence-Based Practice: Use of the Ventilator Bundle to Prevent Ventilator-Associated Pneumonia

2007 ◽  
Vol 16 (1) ◽  
pp. 20-27 ◽  
Author(s):  
Arlene F. Tolentino-DelosReyes ◽  
Susan D. Ruppert ◽  
Shyang-Yun Pamela K. Shiao
Keyword(s):  
Oral Care ◽  
Critical Care Nurses ◽  
Current Evidence ◽  
Evidence Based ◽  
Ventilator Associated Pneumonia ◽  
Surgical Intensive Care ◽  
Nail Polish ◽  
Before And After ◽  
Coronary Care ◽  
Nurses Knowledge

• Purpose To examine critical care nurses’ knowledge about the use of the ventilator bundle to prevent ventilator-associated pneumonia. • Method Published reports were reviewed for current evidence on the use of the ventilator bundle to prevent ventilator-associated pneumonia, and education sessions were held to present the findings to 61 nurses in coronary care and surgical intensive care units. Changes in the nurses’ knowledge were evaluated by using a 10-item test, given both before and after the sessions. Changes in the nurses’ practices related to ventilator-associated pneumonia, including elevation of the head of the bed to 30° to 45°, were observed in 99 intubated patients. • ResultsAfter the education sessions, the nurses performed better on 8 of the 10 items tested (P from .03 to &lt;.001). The areas of most significant improvement were elevation of the head of the bed (P &lt; .001), charting of the elevation of the head of the bed (P= .009), oral care (P= .009), checking of the nasogastric tube for residual volume (P = .008), washing of hands before contact with patients (P &lt; .001), and limiting the wearing of rings (P &lt; .001) and nail polish (P = .04). Even after the education sessions, the nurses’ compliance with hand-washing recommendations before contact with patients was low, though statistically some improvement was apparent. Contraindications to elevation of the head of the bed did not appear to affect the nurses’ practices (P= .38). • Conclusion Education sessions designed to inform nurses about the ventilator bundle and its use to prevent ventilator-associated pneumonia have a significant effect on participants’ knowledge and subsequent clinical practice.

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