Reduction of ventilator-associated pneumonia: enhancing knowledge is important

Labeau, Sonia; Vandijck, Dominique; Brusselaers, Nele; Wandel, David De; Vogelaers, Dirk; Blot, Stijn

doi:10.1007/s00134-009-1604-3

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…This means that to ensure proper practice, innovative techniques such as electronic and mechanical alarms have to be implemented, as do educational measures. 20,32,[48][49][50] Better strategies should be adopted at the bedside to eliminate erroneous behavior and attitudes. On the other hand, the implementation of some practices, such as subglottic suctioning of respiratory secretions or selective digestive decontamination, does not depend on personal knowledge or conviction, but on unit or hospital policies.…”

Section: Discussionmentioning

confidence: 99%

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Prevention of Ventilator-Associated Pneumonia: Can Knowledge and Clinical Practice Be Simply Assessed in a Large Institution?

Pérez‐Granda

Muñóz

Heras³

et al. 2012

Respir Care

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OBJECTIVE: User-friendly scores to assess knowledge of guidelines for prevention of ventilatorassociated pneumonia (VAP) are scarce and have mainly evaluated nurses, but not students or physicians. Gaps between knowledge and actual clinical practice have not been sufficiently analyzed. We assessed knowledge of and adherence to guidelines for prevention of VAP among physicians, nurses, and students in adult ICUs. METHODS: All adult ICU healthcare workers were invited to complete a 20-point questionnaire. The first part assessed personal knowledge of international guidelines for prevention of VAP; the second part assessed daily clinical practice. Personal knowledge and daily practice were scored from 0 to 10 points. RESULTS: We invited 257 ICU healthcare workers to participate in the study, and 167 (65%) accepted (32/54 physicians, 108/176 nurses, and 27/27 students). The median (IQR) personal knowledge scores for physicians, nurses, and students were 6 (5-7), 5 (4 -6), and 5 (4 -7), respectively. The median scores for daily clinical practice for physicians and nurses were 5 (4 -6) and 4 (3-5), respectively. Healthcare workers with more than 1 year of ICU experience scored significantly better in personal knowledge than those with less experience: 6 (5-7) versus 4 (3-6), P ‫؍‬ .004. CONCLUSIONS: A simple, easy-to-complete questionnaire enabled us to rapidly evaluate personal knowledge and reported clinical practice in prevention of VAP in large teaching institutions. These scores will be used as baseline figures to assess the impact of educational and intervention campaigns.

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Section: Discussionmentioning

confidence: 99%

“…The gaps between individual knowledge of VAP prevention and actual daily clinical practice have not been compared. 26,[32][33][34][35][36] Our objective was to assess and compare the knowledge of physicians, staff nurses, and medical and nursing students in adult ICUs and their adherence to guidelines in daily practice.…”

Section: Introductionmentioning

confidence: 99%

Prevention of Ventilator-Associated Pneumonia: Can Knowledge and Clinical Practice Be Simply Assessed in a Large Institution?

Pérez‐Granda

Muñóz

Heras³

et al. 2012

Respir Care

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“…It is well documented that knowledge does not guarantee adherence, but it is apparent that a lack of knowledge, per definition, impedes adherence. 5 Poor knowledge levels regarding prevention of evidence-based guidelines among intensive care unit nursing staff have been repeatedly reported. In internationally scaled studies, the average score on knowledge tests regarding the prevention of ventilator-associated pneumonia and central line-associated bloodstream infection were, respectively, 45% and 44%, 6,7 and thereby even lower compared with the pretest scores of Maurya et al 1 regarding ventilator-associated complications (53%).…”

Section: Optimizing Educational Initiatives To Prevent Ventilator-associated Complicationsmentioning

confidence: 99%

Optimizing educational initiatives to prevent ventilator-associated complications

Blot

Koulenti

Labeau

2017

American Journal of Infection Control

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“…In other words, staff members need to actively be told about and understand the reasons for change. The favourable impact of a preventive measure will increase if the underlying principles are better understood, although we are aware that knowledge alone does not ensure compliance (Labeau et al , 2009a; Vandijck et al , 2009d). Nevertheless, knowledge definitely is a primary condition for compliance.…”

Section: How To Close the Gap Between Evidence‐based Theory And Nursimentioning

confidence: 99%

Prevention of nosocomial infections in intensive care patients*

Vandijck

Labeau

Vogelaers

et al. 2010

Nursing in Critical Care

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Intensive care nurses can make a significant contribution in preventing nosocomial infections by assuming full responsibility for quality improvement measures such as evidence-based infection prevention and control protocols. However, as general knowledge of the preventive measures has been shown to be rather poor, nurses' education should include supplementary support from evidence-based recommendations.

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Reduction of ventilator-associated pneumonia: enhancing knowledge is important

Cited by 7 publications

References 5 publications

Prevention of Ventilator-Associated Pneumonia: Can Knowledge and Clinical Practice Be Simply Assessed in a Large Institution?

Prevention of Ventilator-Associated Pneumonia: Can Knowledge and Clinical Practice Be Simply Assessed in a Large Institution?

Optimizing educational initiatives to prevent ventilator-associated complications

Prevention of nosocomial infections in intensive care patients*

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