ASSESSMENT OF KNOWLEDGE AND COMPLIANCE OF CRITICAL CARE NURSES REGARDING VENTILATOR ASSOCIATED PNEUMONIA (VAP) CARE BUNDLE IN A TERTIARY CARE HOSPITAL, ASSAM, INDIA
DOI:
https://doi.org/10.31674/mjmr.2021.v05i02.001Abstract
Background: Ventilator-associated pneumonia (VAP) is reported to be the second most common nosocomial infection and the leading cause of death from nosocomial infections in critically ill patients. The purpose of the study was to assess the knowledge and compliance of critical care nurses regarding ventilator-associated pneumonia (VAP) care bundle. Research Methods: A descriptive study was conducted in December 2018in a tertiary care hospital, Assam. 60 Critical care nurses were selected as samples by convenient sampling technique. Structured knowledge questionnaire and compliance checklist was used for data collection. Results: The result revealed that the critical care nurses had mean knowledge score of 13.7±2.3 (68.5%) which indicated average knowledge score. Area wise mean knowledge score was highest in the area of Concept of VAP (85%) and was lowest in the area of the common causative organism of VAP (45%). Mean compliance score was 24.23 ±1.49 (93.2%) which indicated good compliance score. The maximum compliance was found in patient positioning (98%) and oral care (98%) and minimum compliance was found sedation vacation and weaning trials (90%). A weak positive relationship (0.39) was found between knowledge and compliance of the critical care nurses regarding VAP care bundle which was significant (p<0.05). There was no significant association between the knowledge and the selected variables. Conclusions: The study showed various degree of deficiency among the critical care nurses in the knowledge and compliance area regarding VAP care bundle. The findings of the study have implications in the field of nursing. So, the researcher recommends that further research can be conducted to evaluate a structured teaching program on VAP care bundle, and an exploratory study can be done to identify the factors and its barriers responsible for noncompliance of VAP care bundle among the critical care nurses.
Keywords:
Critical Care Nurses, VAP, VAP Care Bundle, ComplianceDownloads
References
Al-Abdely, H.M., Mohammed, Y.K., Rosenthal, V.D., Orellano, P.W., ALazhary, M., Kaid, E., Al-Attas, A., Hawsawi, G., Kelany, A., Hussein, B. and Esam, B.,Altowerqi, R., Alkamaly, M.A., Tawfic, N.A., Cruzpero, E., Al Rashidi, R.M., Thomas, R., Molano, A.M., Al Enazy, H.A., Al Adwani, F.M.,Pahilanga, A.M.C., Alatawi, S., Nakhla, R., Al Adwani, F.M.,Aromin, R.G.,Ubalde, E.B.,Diab, H.H., Kader, N.A., Assiry, I.Y.H., Sawan, F.A., Ammari, H.E., Mashiakhy, A.M., Santiago, E.B., Chua, C.M.S., Dalis, I.M., Arishi, H.M., Lozada, R.,Asiri, I.A.M.A., Ahmed, H., Jarie, A., Al-Qathani, A.S.M., Al-Alkami, H.Y., AlDalaton, M., Alih, S.J.B., Alaliany, M.J., Helali, N.J.,Sindayen, G., Malificio, A.A., Al Dossari, H.B., Algethami, A.G., Mohamed, D.., Yanne, L., Tan, A., Babu, S., Abduljabbar, S.M., Rushdi, H., Fernandez, J., Hussain, W.M., Rajavel, R.D., Bukhari, S.Z., Turkistani, A.A., Mushtaq, J.J., Albeladi, E., Aboushoushah, S., Qushmaq, N., Shyrine, L., Philipose, J., Raees, M., AbdulKhalik, N.S., Madco, M., Abdulghany, M., Manao, A., Acostan, C., Safwat, R., Halwani, M.,Aal, N.A.H.A., Thomas, A., Abdulatif, S.M., Ariola, N.C., Mutwalli, A.H., Ariola, N., Bohlega, E., Simon, S., Damlig, E., Elsherbini, S.G., Krishne, I.T., Abraham, S.,Karrar, M.A.A., Gosn. N.A., Al Hindi, A.A., Jaha, R.N., AlQahtani, S.M.,Aziz, A.O.A., Demaisip, N.L., Cortez, E.L., Cabato, A.F., Celiz, J.M.G., Al Raey, M.A., Al Darani, S.A., Aziz, M.R, Manea, B.A., Samy, E., Briones, S., Krishnan, R., Raees, S.S.M., Tabassum, K., Ghalilah, K.M., Alradady, M., Al Qatri, A., Chaouali, M., Elsisi, M., Aldossary, H.A., Al-Suliman, S., Al Talib, A.A., Albaghly, N., Mia, M.E.H., Al-Gethamy, M.M., Alamri, D.M., Al-Saadi, A.S., Ayugat, E.P., Al Hazazi, N.A., Al Hussain, M.I., Caminade, Y., Santos, A.J., Abdulwahab, M. & Al-Garni, B.T.A. (2018). Impact of the International Nosocomial Infection Control Consortium (INICC)'s multidimensional approach on rates of ventilator-associated pneumonia in intensive care units in 22 hospitals of 14 cities of the Kingdom of Saudi Arabia. Journl of Infection and Public Health. Sep-Oct, 11(5):677-684.
Al Shameri, F.A. (2017). Critical care nurse’s knowledge of ventilator-associated pneumonia prevention in selected hospitals, khartoum. Nursing & Healthcare International Journal, 1(5), pp.1-7.
American Thoracic Society and Infectious Diseases Society of America (2005). Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. American Journal of Respiratory and Critical Care Medicine, 171(4), p.388.
Bukhari, S.Z., Hussain, W.M., Banjar, A.A., Fatani, M.I., Karima, T.M. & Ashshi, A.M. (2012). Application of ventilator care bundle and its impact on ventilator associated pneumonia incidence rate in the adult intensive care unit. Saudi Medical Journal, 33(3), pp.278-283.
Chawla, R. (2008). Epidemiology, etiology, and diagnosis of hospital-acquired pneumonia and ventilator-associated pneumonia in Asian countries. American Journal of Infection Control, 36(4), pp. S93-S100.
Esteban, A., Anzueto, A., Frutos, F., Alía, I., Brochard, L., Stewart, T.E., Benito, S., Epstein, S.K., Apezteguía, C., Nightingale, P. and Arroliga, A.C. (2002). Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day International study. Jama, 287(3), pp.345-355.
Guide, H.T. (2012). Prevent ventilator-associated pneumonia. Cambridge, MA: Institute for Healthcare Improvement. Retrived from: http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventVAP.aspx
Mathai, A.S., Phillips, A. and Isaac, R. (2016). Ventilator-associated pneumonia: A persistent healthcare problem in Indian Intensive Care Units! Lung India: official organ of Indian Chest Society, 33(5), p.512.
Rello, J., Ollendorf, D.A., Oster, G., Vera-Llonch, M., Bellm, L., Redman, R. and Kollef, M.H. (2002). Epidemiology and outcomes of ventilator-associated pneumonia in a large US database. Chest, 122(6), pp.2115-2121.
Rosenthal, V. D., Maki, D. G., Jamulitrat, S., Medeiros, E. A., Todi, S. K., Gomez, D. Y., Leblebicioglu, H., Abu Khader, I., Miranda Novales, M. G., Berba, R., Ramírez Wong, F. M., Barkat, A., Pino, O. R., Dueñas, L., Mitrev, Z., Bijie, H., Gurskis, V., Kanj, S. S., Mapp, T., Hidalgo, R. F., INICC Members (2010). International Nosocomial Infection Control Consortium (INICC) report, data summary for 2003-2008, issued June 2009. American Journal of Infection control, 38(2), 95–104.e2.
Silva, S.G.D., Salles, R.K.D., Nascimento, E.R.P.D., Bertoncello, K.C.G. and Cavalcanti, C.D. (2014). Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit. Texto & Contexto-Enfermagem, 23(3), pp.744-750.
The International Nosocomial Infection Control Consortium (INICC). (2013). Retrieved from: www.INICC.org.
Torres, A., Niederman, M. S., Chastre, J., Ewig, S., Fernandez-Vandellos, P., Hanberger, H., Kollef, M., Li Bassi, G., Luna, C. M., Martin-Loeches, I., Paiva, J. A., Read, R. C., Rigau, D., Timsit, J. F., Welte, T., & Wunderink, R. (2017). International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia: Guidelines for the management of hospital-acquired pneumonia (HAP)/ventilator-associated pneumonia (VAP) of the European Respiratory Society (ERS), European Society of Intensive Care Medicine (ESICM), European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and Asociación Latinoamericana del Tórax (ALAT). The European Respiratory Journal, 50(3), 1700582.
Van Hooser, D.T. (2002). Ventilator-associated pneumonia (VAP) best practice strategies for caregivers. Kimberly-Clark Corporation, Roswell, GA USA.https://pt.halyardhealth.com/media/1488/vap_ceu_booklet_z0406.pdf
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