Optimizing educational initiatives to prevent ventilator-associated complications

Blot, Stijn; Koulenti, Despoina; Labeau, Sonia

doi:10.1016/j.ajic.2016.05.035

Cited by 4 publications

(4 citation statements)

References 14 publications

(14 reference statements)

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“…A slight drop being noticed in ICU nurse's knowledge in 2nd & 3rd post-test. This result in line with Blot et al, [19] who revealed that an educational initiative increased the average level of knowledge from 53% in a pretest to 77% following an educational course in post test. Moreover present study results is congruent with a result of Meherali et al, [18] who found that there was a difference in mean score from baseline (7.8) to post-test 1 mean score (10.8) and finally in post-test 2 mean score (9.8) who show a slight drop in knowledge level during 2nd and 3rd post-test as it's appear in the current study.…”

Section: Knowledge Of Icu Nurse's For Vap Prevention Measuressupporting

confidence: 90%

Effectiveness of Electronic Learning Module in Implementing VentilatorAssociated Pneumonia Prevention Measures of Intensive Care Unit Nurses

Hawsawi¹,

Al-Naghshabandi²,

Sofar³

2018

Nur Primary Care

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Background: One of the vital principles 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 flowing growing awareness all-over the world help ICU nurses to incorporate evidence-based practice into daily care for critical ill patient. Study Aimed to evaluate the effectiveness of electronic learning module in implementation of ventilator-associatedpneumonia prevention measures of intensive care unit nurses. Methodology: this study was quasi experimental design used two tools; knowledge assessment tool and VAP bundle checklist. Convenience sample of 109 ICU nurses was recruited from Al-Noor specialist hospital in Makkah. Result: 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 significant (P<0.005). ICU nurses poor practice was apparent before exposure to module (61.73%), while ICU nurses practice showed tremendous improvement (>99%) in the last observation. The difference between pre-and post test observation was highly significant (P>0.005). Conclusion: 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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Section: Knowledge Of Icu Nurse's For Vap Prevention Measuressupporting

confidence: 90%

Effectiveness of Electronic Learning Module in Implementing VentilatorAssociated Pneumonia Prevention Measures of Intensive Care Unit Nurses

Hawsawi¹,

Al-Naghshabandi²,

Sofar³

2018

Nur Primary Care

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“…Cottrell and Donaldson [28] accordingly the researcher believe that ICU nurses electronic training for VAP prevention measure training will have major affect rather than traditional training. A reduction of VAP in ICU should be done through an active guideline implementation strategy and measuring the baseline level of knowledge provides to identify the speci ic educational needs of a target group and to tailor educational interventions to the group's exact requirements [16].…”

Section: Signi Icance Of the Studymentioning

confidence: 99%

“…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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“…VAP education in this study was delivered through online learning (TEACHQ platform), an internal learning platform available within the hospital. The study used this approach to maximise the engagement of PICU staff with VAP education materials (Blot, Koulenti, & Labeau, 2017;Cirulis et al, 2016;Labeau et al, 2016), but assessing the effectiveness of this method was not a focus of this study, so it is recommended that future research may assess the usefulness of this method.…”

Section: General Implications and Future Directionsmentioning

confidence: 99%

An epidemiological study of ventilator-associated pneumonia (VAP) and ventilator-associated events (VAE) surveillance and preventative strategies in critically ill children

Ali¹,

Azizah²

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Background: Ventilator-associated pneumonia (VAP) is an ongoing iatrogenic burden within the healthcare system for both adults and paediatrics. Debate continues over the appropriateness of the VAP surveillance tool in paediatrics. Implementation of the new ventilator-associated events (VAE) surveillance tool in the adult setting have shown to overcome the subjectivity of the traditional pneumonia 1 VAP (PNU1/VAP) surveillance tool. Unlike in adult units, the application of the VAE surveillance tool in paediatrics has not been mandated, leaving a question as to its potential application. The lack of VAP paediatric specific studies has hampered progress informing compliance with VAP preventative strategies in paediatric intensive care units (PICUs). Despite good hand hygiene practise being established as a vital infection control measure, perception of 'Speaking up for hand hygiene' in PICU still under-research. Hence, it became a potential area to improve good hygiene practice. Aim: To determine the VAP and VAE incidence using two surveillance tools at two time points; at baseline and post an education campaign aimed at both PICU staff and parents. In addition to testing the two surveillance tools, compliance auditing and staff and parental perspectives of VAP/VAE and preventative strategies was established. Methods: Retrospective study: PNU1/VAP and VAE surveillance tools were applied to 262 mechanical episodes of 234 children who received invasive mechanical ventilation ≥48 hours in PICU in 2015. The sensitivity and specificity of VAE surveillance tool was tested. Other epidemiological data were recorded; demographic characteristics, risk factors and VAP preventative strategies documented within the unit. VAP education, VAP compliance auditing with feedback and surveys: reinforcement of updated VAP education was launched for PICU staff, and a pamphlet focusing on 'Speaking up for hand hygiene' was developed primarily to educate parents. The information was delivered to parents (N=37) via a pamphlet and face-to-face education. VAP compliance auditing was conducted for a two-month period and involved 37 patients in PICU undergoing VAP preventative strategies implemented by PICU staff and parents: hand hygiene, oral hygiene, endotracheal tube (ETT) suctioning, ETT cuff pressure checks, head of bed elevation, ventilator circuit checks, and early enteral feeding commencement. The parents' and nurses' perceptions of 'Speaking up for hand hygiene' were examined through surveys undertaken by 19 parents and 34 nurses. ii Prospective study: a six-month prospective study was conducted to investigate any improvement in incidence rates of VAP/VAE and estimate the compliance rate of VAP preventative strategies. Results: The incidence rate of VAP/VAE was 9.3 per 1000 ventilator days (VAP/VAE) based on end of ventilation and 10.2 (VAP) and 10.4 (VAE) per 1000 ventilator days based on when the patients were no longer at risk. The specificity of the new VAE surveillance tool was high with a slight agreement between the tools. The...

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Optimizing educational initiatives to prevent ventilator-associated complications

Cited by 4 publications

References 14 publications

Effectiveness of Electronic Learning Module in Implementing VentilatorAssociated Pneumonia Prevention Measures of Intensive Care Unit Nurses

Effectiveness of Electronic Learning Module in Implementing VentilatorAssociated Pneumonia Prevention Measures of Intensive Care Unit Nurses

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

An epidemiological study of ventilator-associated pneumonia (VAP) and ventilator-associated events (VAE) surveillance and preventative strategies in critically ill children

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