Effect of Educational Guidelines on Nurses’ Knowledge and Practices Regarding Ventilator Associated Pneumonia at Tertiary Care Hospital Lahore

Practices Regarding Ventilator-Associated Pneumonia

Authors

  • Alvina BB Lahore School of Nursing, Faculty of Allied Health Sciences, The University of Lahore, Pakistan
  • Muhammad Afzal Lahore School of Nursing, Faculty of Allied Health Sciences, The University of Lahore, Pakistan
  • Afsar Ali Lahore School of Nursing, Faculty of Allied Health Sciences, The University of Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i01.506

Keywords:

Knowledge, Practice, Nurses, Guideline, Ventilator Associated Pneumonia

Abstract

Ventilator associated pneumonia (VAP) is a kind of pneumonia which develops in patients receiving mechanical breathing after 48 hours. One of the most prevalent nosocomial infections and the main factor in the high morbidity and mortality of intensive care units is ventilator-associated pneumonia (VAP). In order to prevent VAP, intensive care unit nurses are best equipped to use the available evidence-based measures (VAP). Objective: To determine the effect of educational Guidelines on the knowledge and practice of nurses regarding ventilator associated pneumonia. Methods: A Quasi-experimental one group pre-post, test was used conducted between January 2022 to May 2022 at a tertiary care hospital in Lahore, Pakistan, in the department of Medical intensive care unit and surgical intensive care unit. 36 registered nurses were selected by convenience sampling from tertiary care hospital Lahore according to inclusion and exclusion criteria. A structured questionnaire was used to evaluate the pre-post data that contained 20 MCQ-based knowledge questionnaire and 21 items containing practice checklist were used to check the practice level of nurses before and after guidelines-based educational intervention. Results: The results revealed a positive effect of educational guidelines on improving the nurse’s knowledge and practice about Ventilator-associated pneumonia (VAP). Mean ± S.D (7.78 ± 1.22; 15.86 ± 1.22) (8.94 ± 2.39; 17.39 ± 0.96) in post-test respectively with a statistically significant p-value (p-value <0.001). Conclusion: The education of nurses by educational guidelines has a positive effect on improving nurses’ knowledge and practice about Ventilator-associated pneumonia (VAP).

References

Vaz LE, Kleinman KP, Kawai AT, Jin R, Kassler WJ, Grant PS, et al., Impact of Medicare’s hospital-acquired condition policy on infections in safety net and non–safety net hospitals. Infection Control & Hospital Epidemiology. 2015 Jun; 36(6): 649-55. doi: 10.1017/ice.2015.38

Sanders-Thompson D. Examining ICU Nurses' Knowledge of Ventilator-Associated Events and Ventilator-Associated Pneumonia (Doctoral dissertation, Walden University). 2020.

Saba Zubair HA, Raza SF, Warind JA, Beg AE, Bushra R. Assessment of frequency and transience rate for ventilator-associated pneumonia (VAP) in geriatric patients in tertiary care settings of Karachi, Pakistan. Journal of the College of Physicians and Surgeons Pakistan. 2018 Jul; 28(7): 536-40. doi: 10.29271/jcpsp.2018.07.536

Mogyoródi B, Dunai E, Gál J, Ivanyi Z. Ventilator-associated pneumonia and the importance of education of ICU nurses on prevention–Preliminary results. Interventional Medicine and Applied Science. 2016 Dec; 8(4): 147-51. doi: 10.1556/1646.8.2016.4.9

Timsit JF, Esaied W, Neuville M, Bouadma L, Mourvillier B. Update on ventilator-associated pneumonia. F1000Research. 2017Dec; 6: 1-13. doi: 10.12688/f1000research.12222.1

Kiyoshi-Teo H, Cabana MD, Froelicher ES, Blegen MA. Adherence to institution-specific ventilator-associated pneumonia prevention guidelines. American Journal of Critical Care. 2014 May; 23(3): 201-15. doi: 10.4037/ajcc2014837

Klompas M, Anderson D, Trick W, Babcock H, Kerlin MP, Li L, et al. The preventability of ventilator-associated events. The CDC prevention epicenters wake up and breathe collaborative. American journal of respiratory and critical care medicine. 2015 Feb; 191(3): 292-301. doi: 10.1164/rccm.201407-1394OC

Kiyoshi-Teo H, Cabana MD, Froelicher ES, Blegen MA. Adherence to institution-specific ventilator-associated pneumonia prevention guidelines. American Journal of Critical Care. 2014 May; 23(3): 201-15. doi: 10.4037/ajcc2014837

Yeganeh M, Yekta H, Farmanbar R, Khalili M, Khaleghdoost T, Atrkar Roushan Z. Knowledge of evidence‐based guidelines in Ventilator‐Associated Pneumonia prevention. Journal of Evidence‐Based Medicine. 2019 Feb; 12(1): 16-21. doi: 10.1111/jebm.12188

Madhuvu A, Endacott R, Plummer V, Morphet J. Nurses’ knowledge, experience and self-reported adherence to evidence-based guidelines for prevention of ventilator-associated events: A national online survey. Intensive and Critical Care Nursing. 2020 Aug; 59: 102827. doi: 10.1016/j.iccn.2020.102827

Hill B. Principles of mechanical ventilation for non-critical care nurses. British Journal of Nursing. 2020 Apr; 29(8): 470-5. doi: 10.12968/bjon.2020.29.8.470

Khan FU, Fang Y, Khan Z, Khan FU, Malik ZI, Ahmed N, et al. Occurrence, associated risk factors, and treatment of surgical site infections in Pakistan. European Journal of Inflammation. 2020 Jan; 18: 205873922096054. doi: 10.1177/2058739220960547

Dipanjali R, Shivananda PM, Yashoda S. Effectiveness of an Educational Intervention on Knowledge and Practice of Staff Nurses on Prevention of Ventilator Associated Pneumonia among Neonates in Neonatal Intensive Care Unit. International Journal of Caring Sciences. 2020 May; 13(2): 1421-30.

Meherali SM, Parpio Y, Ali TS, Javed F. Nurses' knowledge of evidence-based guidelines for prevention of ventilator-associated pneumonia in critical care areas: a pre and post test design. Journal of Ayub Medical College Abbottabad. 2011Mar; 23(1): 146-9.

Hassan ZM and Wahsheh MA. Knowledge level of nurses in Jordan on ventilator‐associated pneumonia and preventive measures. Nursing in Critical Care. 2017 May; 22(3): 125-32. doi: 10.1111/nicc.12273

Apisarnthanarak A, Pinitchai U, Thongphubeth K, Yuekyen C, Warren DK, Zack JE, et al. Effectiveness of an educational program to reduce ventilator-associated pneumonia in a tertiary care center in Thailand: a 4-year study. Clinical Infectious Diseases. 2007 Sep; 45(6) :704-11. doi: 10.1086/520987

Jansson M, Ala-Kokko T, Ylipalosaari P, Syrjälä H, Kyngäs H. Critical care nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia–A survey study. Intensive and Critical Care Nursing. 2013 Aug; 29(4): 216-27. doi: 10.1016/j.iccn.2013.02.006

Osti C, Wosti D, Pandey B, Zhao Q. Ventilator-Associated Pneumonia and Role of Nurses in Its Prevention. Journal of the Nepal Medical Association. 2017 Oct; 56(208): 461-8. doi: 10.31729/jnma.3270

Aloush SM. Nursing students' knowledge about ventilator-associated pneumonia prevention guidelines: effectiveness of a teaching program. American Journal of Infection Control. 2017 May; 45(5): 544-6. doi: 10.1016/j.ajic.2017.01.025

Mishra R and Rani N. Effectiveness of Structured Teaching Program on Knowledge and Practice Regarding Care Bundle on Prevention of Ventilator-Associated Pneumonia among Nurses. International Archives of Nursing and Health Care. 2020; 6(4): 149. doi: 10.23937/2469-5823/1510149

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Published

2023-01-31
CITATION
DOI: 10.54393/pjhs.v4i01.506
Published: 2023-01-31

How to Cite

BB, A. ., Afzal, M. ., & Ali, A. . (2023). Effect of Educational Guidelines on Nurses’ Knowledge and Practices Regarding Ventilator Associated Pneumonia at Tertiary Care Hospital Lahore: Practices Regarding Ventilator-Associated Pneumonia. Pakistan Journal of Health Sciences, 4(01), 104–107. https://doi.org/10.54393/pjhs.v4i01.506

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