Effect of an educational intervention on compliance with care bundle items to prevent ventilator-associated pneumonia

Mogyoródi, Bence; Skultéti, Dalma; Mezőcsáti, Melinda; Dunai, Erzsébet; Magyar, Petra; Hermann, Csaba; Gál, János; Hauser, Balázs; Iványi, Zsolt

doi:10.1016/j.iccn.2022.103342

Cited by 5 publications

(3 citation statements)

References 53 publications

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“…23 Similarly, a study by Mogyoródi et al found that attending educational programmes on VAP care bundles led to improved adherence to the guidelines among healthcare workers. 24 Over all the findings of this study provide further evidence that experience and education are important factors in improving healthcare professionals' knowledge and practice related to VAP care bundles. However, further research is needed to determine the most effective educational strategy for improving clinical practice in this area.…”

Section: Discussionmentioning

confidence: 53%

Prevention of Ventilator-associated Pneumonia: Knowledge and Practice of Ventilator Care Bundle among ICU Nurses of Tertiary Care Hospitals of Jodhpur, Rajasthan

Ramawat

2023

CHCMJ

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Section: Discussionmentioning

confidence: 53%

Prevention of Ventilator-associated Pneumonia: Knowledge and Practice of Ventilator Care Bundle among ICU Nurses of Tertiary Care Hospitals of Jodhpur, Rajasthan

Ramawat

2023

CHCMJ

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“…Faz-se necessário que a equipe de enfermagem, por realizar diretamente o cuidado a esses pacientes e a maior parte das medidas preconizadas no bundle, desenvolva corretamente suas atribuições diante dessa problemática e esteja consciente de seu papel na prevenção dessa infecção (6,7) . Estudos realizados tanto no Brasil (8,9) como no cenário internacional (4,10) , evidenciam o impacto das medidas preconizadas pelos bundles na redução da incidência de PAVM.…”

Section: Introductionunclassified

“…. Embora se trate de temática amplamente explorada, ainda faltam evidências quanto aos mecanismos mais eficazes para integrar as diferentes práticas (10)…”

Section: Introductionunclassified

Atuação de técnicos de enfermagem da prevenção de pneumonia associada à ventilação mecânica: estudo qualitativo

Mota,

Barilli,

Treviso

et al. 2023

Rev. baiana enferm.

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Objetivo: descrever a percepção do técnico de enfermagem e a sua atuação no bundle de prevenção de pneumonia, associada à ventilação mecânica em Unidade de Terapia Intensiva. Metodologia: estudo descritivo e qualitativo, realizado com técnicos de enfermagem de uma Unidade de Terapia Intensiva Adulto de Porto Alegre. Coleta dos dados realizada por meio de entrevistas gravadas, seguindo roteiro semiestruturado. Dados analisados sob a ótica da análise temática de Minayo. Resultados: participaram 40 técnicos de enfermagem, em queemergiram quatro categorias: a) atuação do Técnico de Enfermagem no bundle de prevenção de Pneumonia Associada à Ventilação Mecânica (PAVM); b) itens que compõem o bundle de prevenção de PAVM; c) fragilidades na implantação do bundle de prevenção de PAVM; d) educação continuada sobre PAVM. Considerações finais: participantes conhecem as medidas de prevenção, reconhecem sua importância e as executam direta e indiretamente. A equipe utiliza um mnemônico próprio para memorização dos itens do bundle.

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Compliance to ventilator care bundles and its association with ventilator-associated pneumonia

Leong,

Khoo,

Abdullah

et al. 2024

APS

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Purpose Ventilator care bundles are effective in the prevention of ventilator-associated pneumonia (VAP). However, the compliance of these bundles in intensive care units (ICUs) remains poorly studied. This study investigates the Medical Information Mart for Intensive Care (MIMIC)-IV cohort’s compliance with the Institute for Healthcare Improvement (IHI) bundle and its resulting association with VAP incidence. Methods This is a retrospective cohort study of the MIMIC-IV database. Patients with > 48 h of invasive mechanical ventilation (IMV) were included. Diagnosis of VAP was identified with the International Classification of Diseases (ICD)-9 and ICD-10 codes. Compliance rates to the IHI bundle were extracted. The association of the IHI bundle and its individual interventions with VAP incidence was analyzed with univariate and multivariate analysis. Results 8270 patients were included, of which 1328 (16.1%) had VAP. 25 patients (0.3%) had full compliance to the IHI bundle. 137 patients (1.7%) received no interventions from the bundle. Gastroprophylaxis had the lowest (2.1%) while head elevation had the highest (89.3%) compliance rates. In patients receiving the IHI bundle, each additional intervention was associated with lower VAP incidence (OR [odds ratio] = 0.906, 95% CI [confidence interval] 0.847–0.969). Appropriate sedation levels (OR = 0.765, 95% CI 0.661–0.885) and the use of heat and moisture exchanger (HME) filters (OR = 0.862, 95% CI 0.745–0.998) were individually associated with reduced VAP incidence, while active humidification was individually associated with increased VAP incidence (OR = 1.139, 95% CI 1.001–1.296). Conclusion The use of the IHI bundle was associated with a lower incidence of VAP, but compliance with the bundle was poor. Appropriate sedation and HME filters were individually associated with reduced VAP incidence. Better compliance with the IHI bundle may reduce VAP rates in mechanically ventilated patients. Graphical Abstract

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Effect of an educational intervention on compliance with care bundle items to prevent ventilator-associated pneumonia

Cited by 5 publications

References 53 publications

Prevention of Ventilator-associated Pneumonia: Knowledge and Practice of Ventilator Care Bundle among ICU Nurses of Tertiary Care Hospitals of Jodhpur, Rajasthan

Prevention of Ventilator-associated Pneumonia: Knowledge and Practice of Ventilator Care Bundle among ICU Nurses of Tertiary Care Hospitals of Jodhpur, Rajasthan

Atuação de técnicos de enfermagem da prevenção de pneumonia associada à ventilação mecânica: estudo qualitativo

Compliance to ventilator care bundles and its association with ventilator-associated pneumonia

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