Guidelines for the prevention of ventilator-associated pneumonia and their implementation. The Spanish “Zero-VAP” bundle

Lerma, F. Álvarez; García, Miguel Sánchez; Lorente, Leonardo; Gordo, Federico; Añón, J.M.; Álvarez, J.; Palomar, Mercedes; García, Rosa; Arias, Sara; Vázquez‐Calatayud, Mónica; Jam, R.

doi:10.1016/j.medine.2013.12.001

Cited by 6 publications

(3 citation statements)

References 73 publications

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“…In addition, perform routine environmental decontamination with germicidal wipes, avoid heavy sedation & paralytics to decrease aspiration risk, Prevent ventilator tubing condensate from entering airway, maintain head of the bed (HOB) 30-45 degrees and positioning of neonates must be keep raised at 10-15 degrees, maintenance of bedside, measure intubation readiness daily, and oral hygiene. [12][13][14] Neonatal nurses at critical care settings play an imperative role in prevention of ventilator-associated pneumonia and risk factors associated. The care bundle built on factors, including evidence concerning the etiology of pneumonia, pathophysiology, and mechanical ventilation, interval of ventilation, and neonates' age, can propose a persistent prevention approaches for care providers caring for neonates at NICUs.…”

Section: Introductionmentioning

confidence: 99%

Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Zed

Mohammed²

2019

JNEP

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Background: Ventilator Associated Pneumonia (VAP) is a common syndrome in pediatrics primarily in infants and early childhood. Mechanical ventilation is one of the leading supportive modalities of management in the intensive care unit, but it conveys a lot of threats and complications. This study aimed to assess the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates through the following: 1) Assessment of nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. 2) Designing, implementing and evaluating the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Methods: Research design: A quasi-experimental design was utilized to conduct this study. Settings: The study was convoyed at Maternity & Gynecological and Children’s Hospitals affiliated to Ain shams University Hospitals from neonatal intensive care units. Sample: A convenient sample method of forty three (43) nurses, and fifty (50) neonates’ infants on mechanical ventilation was included in the study as a single study group. Tools: The questionnaire format, the observation checklist and implementation of nursing guidelines was assessed the nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. The implementation of nursing guidelines was premeditated as reference guidelines for nurses.Results: There were statistically significant differences between mean scores of the pre and post test as regards nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Conclusions: Application of the nursing guidelines has a positive outcome on improving nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. Recommendations: The current study recommended that directing a written protocol for prevention of ventilator associated pneumonia in neonates to support satisfactory knowledge, and competent practices are actually required at neonatal intensive care units.

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Section: Introductionmentioning

confidence: 99%

Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Zed

Mohammed²

2019

JNEP

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“…There is evidence that the use of SSD reduces the incidence of VAP, duration of mechanical ventilation and length of stay on the ICU, although studies have been unable to show a mortality benefit (Muscedere et al , ). International surveys suggest that in other countries it is the least adopted strategy for VAP prevention compared with the other components of a ventilator care bundle (Juneja et al , ; Alvarez Lerma et al , ; Eom et al , ).…”

Section: Introductionmentioning

confidence: 99%

Audit of UK ventilator care bundles and discussion of subglottic secretion drainage

Baldwin

Gray

Chequers

et al. 2015

Nursing in Critical Care

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“…Intrinsic factors as age, comorbidity and severity of disease. While extrinsic factors like potential hospital environmental, prior exposure to antibiotics and tracheal intubations [15] Staff knowledge is considered as the irst step on the ladder of guideline implementation and adherence, so that, staff education intervention should be applied in the multimodal policy [16]. E-learning, sometimes also called online learning or Web-based learning, it is a type of distance learning in which training or educational material is delivered electronically to a remote learner via the internet or intranet.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of electronic learning module in implementing ventilator-associated pneumonia prevention measures among intensive care unit nurses

2017

J. adv. health med. sci.

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One of the vital principle for preventing Ventilator Associated Pneumonia (VAP) in the hospital is equipping healthcare worker by adequate knowledge regarding VAP prevention measures. Integration of electronic education into nursing education lowing growing awareness all-over the world help Intense Care Unit (ICU) nurses to incorporate evidence based practice into daily care for critically ill patient. Study aimed to evaluate the effectiveness of electronic learning module in implementation of ventilatorassociated-pneumonia prevention measures among intensive care unit nurses. Quasi experimental design was used. The current study was conducted in intensive care unit of Al Noor Specialist Hospital in Makkah. Convenience sample of 109 ICU nurses was recruited. This study was conducted by using two tools; knowledge assessment tool and VAP bundle checklist . It was founded that nurses' knowledge before they were exposed to educational module was graded as average 72.66% while scores were improved after the exposure to learning module to be high 96.2% meaning that their knowledge has been noticeably improved. However, differences in ICU nurses knowledge in pre and post test was highly signi icant (p < 0.005). ICU nurses poor performance was apparent before exposure to module (61.73%), while ICU nurses performance showed tremendous improvement ( >99%) in the last observation. The difference between preand post test observation was highly signi icant (p > 0.005). The study revealed that e-learning module in educating ICU nurses about VAP prevention were considerably effective. This was highlighted by high mean scores for VAP knowledge and practice after exposure to module. Recommendation: Integrate orientation program for VAP prevention measures to new staff and continues professional development program for senior staff.

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Guidelines for the prevention of ventilator-associated pneumonia and their implementation. The Spanish “Zero-VAP” bundle

Cited by 6 publications

References 73 publications

Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Audit of UK ventilator care bundles and discussion of subglottic secretion drainage

Effectiveness of electronic learning module in implementing ventilator-associated pneumonia prevention measures among intensive care unit nurses

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